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Get Official Business Penalty For Private Use

RIVATE USE $300 *See Reverse Side for Easy Opening Instructions* COPY B FOR RECIPIENT T A B L E FORM 1099G CERTAIN GOVERNMENT PAYMENTS REPORT OF TAXABLE UNEMPLOYMENT COMPENSATION PAYMENTS FROM THE STATE OF CALIFORNIA Employment Development Department Recipient's Name OMB NO. 1545-0120 2010 Form 1099G Rev. 27 Social Security Number Unemployment Insurance Integrity and Accounting Division - MIC 16A P.O. Box 2408 Rancho Cordova, CA 95741-2408 Payer's Federal ID No. 94-2650401 2. State o.

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