Form 1099 St - Summary And Transmittal Of Non-Employee Earnings - City Of Owensboro/daviess County Fiscal Court Page 2

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Column 1
Column 2
Column 3
Column 4
Column 5
Name and Address of each
Social Security No.
Total
Non-Employee
Non-Employee
Non-Employee receiving
or Federal I.D. No.
Compensation Paid to
Compensation, from
Compensation, from
compensation
for each Non-
each Non-Employee
Column 3,
Column 3, for Work
Employee
for Work Performed
Performed within Daviess
within the
County (Outside the City
City of Owensboro
of Owensboro)
ATTACH ADDITIONAL SHEET IF NECESSARY

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