Document GKNyQd8QD9aVvw6dmvLkjz3DY
ETHYL GASOLINE CORPORATION PAYROLL SECTION
405 LEXINGTON AVENUE NEW YORK, NEW YORK
FEDERAL OLD-AGE TAX RECEIPT
Name of Employee..Robert. A*...Xehoe................... Period Covered By This Receipt.... Amount of Taxable Wages Paid............. $3000.00... Federal Old-Age Tax Deductions...............5Q.S.Q0...
IMPORTANT
This receipt is issued in compliance with the provisions of the Federal Insurance Contributions Act. It should be permanently retained to substantiate future claim to old-age and/or survivor*s insurance benefits
SPECIAL REFUND OF FEDERAL OLDWlGE TAX WEERE EMPLOYEE HAS MORE THAN ONE EMPLOYER
Where aggregate wages from more than one employer
oo exoeed $3,000 for the calendar year* the employee
CO is entitled to a refund* This may be accomplished C\2 by writing to the local Collector of Internal Rev
CO enue* stating the facts and requesting the proper
<o
o
o
forms (Forms 843 and SS-9)* .Be sure in writing regarding your claim to mention the number of em
ployers for whom you have worked during 1941
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