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HomeMy Public PortalAbout11122010_img_00Jo o. c = co -- m m 0 3 n 3 O 5 g o' w 3 0 m 3 3. m > 3 o 8 o 0 m,o = 3 O 5 0 E S s o m 0m ro 0 of o m mJ a a 3 0 Sm O 5 d8 3 3 m (n a o < N N o5 o9 J m H. 3 p m � m o 7 3 0 w m auewem3S uapins allgnd 3,^2os m Ocm O T c"08d A n3 N m m N Wo N m^ N J m W o 3 3 3 a 3 o Jo 0 0 H 8 m % 2 o 0 0 m N =033. o =7„ < m 3 a N m S m n5° 880. v � x -o <0 gm �3 n `a 7m m o t < O1 3m'_ 3. w � o 'm m OT m Jam l m s o m m m8 x d 6' a m m Di •< 0'i 3 o 8 O O n 0 3 3 m j o(0 9-7 J < n. -m 0 3 a 3 3 n O m :m m saa m 8 = m d m 'c gam. 0 8 m 2g m F a 3 o 2 ms m ma oo o m -o J = O m F n M- -6- �m Wm' N o mm T. O nv m m n m m n 3 3 3"g 3 v3 m S O o J HO 8 3 23(�� a O J' 5 0 m m mJ N m A a m J m' o 0 b NC7 O a m o • O Da m 3 3 W m o m' 8 m" n 3 O _a F m m -17--J a m0 Pm DO -5E m > 0 m _ m m a- T �P.,-m ,+o > 0 r- 0 0 DNION3 >153M 210: o 7J O O� m› co O- m m mm m 656 r z Z 0 n 2 CITY OF TYBEE - CONDUCTIVITY TEST ON 1OV211NO3 210 103ro21d THE EARTH COMFORT COMPANY, INC ❑ 21013VMINOD dO 3WVN ❑ 21O1OV211NO3Sf1S NO O O 0, 0, D^� C Z T Z D- m om St CS Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. c SU CO• O . W CL m 2'0 0 C 0 0 O 0 o- (For Contractor's Optional Use; See Instructions at w.dol.gov/whd/forms/wh347lnstr.htm) - " KENNETH A KICKLIGHTER 8449 DANIEL J AMERO 9789 (1) NAME AND INDIVIDUAL IDENTIFYING NUMBER (o.g., LAST FOUR DIGITS OF SOCIAL SECURITY NUMBER) OF WORKER -- --NO. OF WITHHOLDiNG 7,3 E3 EMP ONS .... DRILLER DRILLER (3) WORK CLASSIFICATION °0 ■■ m O , ■■■■■■■■■■■■ m O co O m O o O oO OT. OR ST. ■■■ .- ■■ .. . �-���--.--- ■■■..■....■ ......- ■■•■■•■■■■ .. m oo T RKED WAND O u N .■■ ■■■■■.■ c0 O O u•n7,1 O V $29.25 O D >m -33 $144.00 S720.00 $234.00 '1,014.00 zOCON o7� V A e, A N o , m > (8) DEDUCTIONS OO 0 69 o S Z S O O A A O x t.4 y A c > X tnD O o OTHER $203.86 V.N ,40 TOTAL DEDUCTIONS c, A $732.01 m O m,0m m N A > 0 r- 0 0 DNION3 >153M 210: o 7J O O� m› co O- m m mm m 656 r z Z 0 n 2 CITY OF TYBEE - CONDUCTIVITY TEST ON 1OV211NO3 210 103ro21d THE EARTH COMFORT COMPANY, INC ❑ 21013VMINOD dO 3WVN ❑ 21O1OV211NO3Sf1S NO O O 0, 0, D^� C Z T Z D- m om St CS Persons are not required to respond to the collection of information unless it displays a currently valid OMB control number. c SU CO• O . W CL m 2'0 0 C 0 0 O 0 o- (For Contractor's Optional Use; See Instructions at w.dol.gov/whd/forms/wh347lnstr.htm) - "