Form Uc-018 - Unemployment Tax And Wage Report - Arizona Department Of Economic Security - 2004 Page 2

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UC-020 (10-99)
UI TAX WAGE LISTING CONTINUATION
ARIZONA DEPARTMENT OF ECONOMIC SECURITY
ARIZONA ACCOUNT NUMBER
.
.
52027 .
P
O
BOX
85072-2027
PHOENIX ARIZONA
CALENDAR QUARTER ENDING
: (602) 238-9354
TELEPHONE
TELEPHONE: (602) 248-9354
PAGE
OF
,
.
LIST EMPLOYEES IN NUMERICAL ORDER BY SOCIAL SECURITY NUMBER
OR ALPHABETICALLY BY LAST NAME
1.
2.
(
,
)
3.
(
)
EMPLOYEE SOCIAL SECURITY NUMBER
EMPLOYEE NAME
LAST
FIRST
TOTAL WAGES PAID
THIS QUARTER
TOTAL WAGES THIS PAGE
/
EQUAL OPPORTUNITY EMPLOYER
PROGRAM
UI T
O
THIS DOCUMENT AVAILABLE IN ALTERNATIVE FORMATS BY CONTACTING THE
AX
FFICE

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