STATE OF FLORIDA
state of florida. office of the comptroller. bureau of state payrolls w-4 employee: please compete. unshaded areas only soc. sec. num. (9) first name (14) m.i. (1) last name (16) address (30) city (15) state (2) zip code (5 or 9) or foreign country (13) birth date race. code (see. below) sex ... ................
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