Get AR DWS-ARK-209B 2009
__________________________________ Quarter End Date _____________________ Employer ____________________________________________________________ Town _________________________________________ SOCIAL SECURITY NUMBER Page ________ of ________ FIRST NAME, MIDDLE INITIAL & LAST NAME OF EMPLOYEE 1) TOTAL WAGES PAID $ . $ . $ . $ . $ . $ . 7) $ . 8) $ . $ . $ . $ . $ . $ . $ . $ . $ . $ . $ . $ . $ . $ .
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