Creator:Utah State Tax Commission
Date Created:May 29, 1975
Place Created:Salt Lake City, Utah
Keywords:Tracy Hall,tax withholding
Context:tax withholding recipt
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FEDEI01 TAX DEPOSIT WITHHELD INCOME AND FICA TAXES
FORM SOI (STUB) (REPORT ON FORM 941 TAX RETURN)
FIRST SECURITY BANK OF UTAH
NATIONAL ASSOCIATION
N2 148401
This Certifies that funds in the amount shown have been received from the employer named, covering Federal income tax withheld irom wages or Federal Insurance Contribution Account taxes or both, to be transmitted or credited to the Federal Reserve Bank of San Q_ Francisco, as Fiscal Agrent of the United States, Pursuant to the previsions of Treasury Department Circular No. 848.
Employer's Identification Number	Date of Payment Amount
8*7-0^9395/	
Employer's Name \r\ Tracu 1 "753 3 Prfiuv .(if	1
	FIRST SECURITY BANK OF UTAH NATIONAL ASSOCIATION
	Authorized Signature
MEMORANDU/V G-46 DO NOT ATTACH	RECEIPT ONLY TO YOUR RETURN