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Get RI DLT-WRS-1 2011

Tified Weekly Payroll Contractor: Subcontractor: Address: Address: City/Town: State: Phone #: City/Town: Email: For Week Ending: Work Phone & SS # Classification S M Zip Code: Email: Decision Wage Decision #: T W T Date: Apprentice % State: Phone #: Project/Location: Name, Address of Employee Zip Code: F S Total Hourly Hrs Rate Hours Worked Each Day Date: Hourly Fringe Benefit Deductions Gross Social Medi- Security care Withheld Federal State RI *Other Net.

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