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Melvin Purvis — Part 2
Page 16
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CERTIFICATE OF EMPLOYING AGENCY
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AGGREGATE BASIC EARNINGS FOR PERTODS
SUBSEQUENT TO 7/31/20 DURING WHICH RETIREMENT DEDUCTIONS, IF ANY
WO DEDUCTIONS WERE MADE
PERIOOS OF SERVICE
AGGREGATE GROSS
BEG INEING EWD ING BASIC PAY BEGINNING END ING RETIREMENT
DATE DATE DATE DATE DEDYCT 1Oms
PEAIOOS GF SERVICE
Report of all Le Without Pay in «
Calendar Year When Such Leave a the The statements contained on this form are
based on the official records of this of-
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