| PAY PERIOD | EMPLOYEE | DATE 1 | DATE 2 | DATE 3 | DATE 4 | DATE 5 | DATE 6 | DATE 7 | DATE 8 | DATE 9 | DATE 10 | TRANSMITTING CLERK | DATE 11 | DATE 12 | DATE 13 | DATE 14 | TRANSMITTING DATE/TIME | PRINT DATE 1 | PRINT DATE 2 | PRINT DATE 3 | PRINT DATE 4 | PRINT DATE 5 | PRINT DATE 6 | PRINT DATE 7 | PRINT DATE 8 | PRINT DATE 9 | PRINT DATE 10 | TOTAL # EMPLOYEES TRANSMITTED | PRINT DATE 11 | PRINT DATE 12 | PRINT DATE 13 | PRINT DATE 14 | TOTAL # RECORDS TRANSMITTED | MESSAGES TRANSMITTED |
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