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[[pre-printed]] EARNINGS and WITHHOLDING TAX Date Earnings Tax [[/pre-printed]] Jan. 14 Complete Income $2786.35 Expenses [[?]].15 Income on $1014.20 [[strikethrough]][[?]] $12.00[[/strikethrough]] [[end page]] [[start page]] 40. [[pre-printed]] EARNINGS and WITHHOLDING TAX Date Earnings Tax [[/pre-printed]]