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Portable Network Graphic  |  1992-01-26  |  3KB  |  512x342  |  1-bit (2 colors)
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OCR: For 1991 IRS tax purposes ... 1. Rents 1099s OMB No. 1545-0115 1991 2. Royalties Statement for 3. Prizes Recipients of Miscellaneous Income Recipient's Federal ID no. 4. Fed. Inc. w/held 5. Fishing Name Street 6. Medical 7. NonEmp. comp City St Zip 8. Substitutes Acct. No. (opt) 9. Direct sales of $5000 or more of products for Duplicate 10. Crop ins resale. Card Number Cut New Mark 11. State income 12. State No. tax withheld