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OIL EQUIPMENT SERVICE <br /> DIV. OR KEITH A. TALLIA, INC. N2' 18847 <br /> P. O. BOX 950 <br /> 750 INDUSTRIAL WAY 209-754-1808 7/1210 <br /> .SAN ANDREAS, CALIFORNIA 95249 19 <br /> PAY TO TH� <br /> ORpER OF0 O <br /> L DOLLARS <br /> First Interstate Bank <br /> Pirst of California #629 <br /> 169East St. Charles Street <br /> Interstate P.O. Box 637 <br /> Bank San Andreas, CA 95246.0637 <br /> I <br /> OIL EQUIPMENT SERVICE N°' 18847 <br /> DIV. OR KEITH A. TALLIA, INC. STUB 700 <br /> HOURS RATE AMOUNT TOTAL DEDUCTIONS TOTAL NET <br /> WORKED EARNED D.I. ST W/H FED.W/H O.A.S.I. DEDUCTIONS CHECK <br /> REG. <br /> O.T <br /> PERIOD _ FROM: <br /> NAME SOC.SEC.NO. COVERED TO: <br /> DATE DESCRIPTION CODE AMOUNT OF DISCOUNT OTHER NET <br /> INVOICE DEDUCTIONS AMOUNT <br /> TOTALS <br /> DETACH AND RETAIN THIS STATEMENT ((4rr <br /> I I f THE ATTACHED CHECK IS IN PAYMENT OF ITEMS DESCRIBED ABOVE <br /> oe <br /> �V. <br />