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02/09/2020 9001572464
SYDNEY KATE BLOCK
0
Account No.
Recipient ID No.
645-171491
***-**-9184
Pages 8 of 10
Customer Service:
Payer's Fed ID Number:
Note: This information is not reported to the IRS. It may assist you in tax return preparation.
2019 SUPPLEMENTAL INFORMATION
04-3523567
415-326-7650
