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CITY/OF OR(O/ryI P A Y <br />C� \OCrrr[r / Y-T-D s - - - - <br />EMPL-NO NAME DIV GROSS GROSS EXP/ALLC <br />ADAM.. i 11 2200 00 220.00 <br />BUTLER MC 11 2750.00 275.00 <br />CALLAHAN EJ 11 660.00 220.00 k "r: <br />FRAHM T 11 2200.00 220.00 =1 C cr <br />6RABEK J 11 2200.00 2" .00 l< <br />KT r <br />COUNT GRAND 1,155.00 <br />PAID 00005 <br />rr <br />TOTAL 00005 TOTAL <br />Ca <br />TOTAL FICA TAX GROSS .00 EMPLOYERS F1, <br />A = GROUP HEALTH <br />B = PHYSICIAN'S HEALTH PLAN <br />C = BLUE CROSS/BLUE SHIELD <br />D = MEDICAL CENTER PLAN <br />E = PRUDENTIAL <br />F = COORD. HEALTH CARE <br />G = "TNNESOTA HMO <br />H = TRANS-AMERICA OCC. <br />I = BANKERS LIFE <br />J e MUTUAL SERVICES <br />K = MUTUAL OF OMAHA <br />L w EMPLOYEE'S BENEFIT <br />M = AETNA <br />N = NICOLLET EITEL <br />0 = LEAGUE OF CITIES <br />Z R HEALTH CARE MAINT ACCT. <br />MISSING HOSP CODE FOR SOME EMPL'S <br />