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Sample WH347 INSTRUCTIONS-1 Department of Labor Wage and Hour Division INSTRUCTIONS FOR COMPLETING PAYROLL FORM, WH-347 General: The use of the WH-347 payroll form is not mandatory. This form has been made available for the convenience RECORD OF EMERGENCY DATA PRIVACY ACT STATEMENT AUTHORITY: 10 USC 1475 to 1480 and 2771, 38 USC 1970, 44 USC 3101, and EO 9397, November 1943 (SSN). PRINCIPAL PURPOSES: This form is used to designate beneficiaries for certain benefits in the event of the servicemember's death. It is a guide for the disposition of that member's pay and allowances if captured, missing or interned. Fuel your culinary passion with the revolutionary KitchenAid Other Washer Drain Hose Kit, product number 285863. This Frigidaire Dehumidifier can remove up to 70 pints of water from the air per day, and if it's located near a suitable drain, you can set up the unit so it can drain itself and run continuously—no need to empty the water tank. While completion of Form WH-347 is optional, it is mandatory for covered contractors and subcontractors performing work on Federally financed or assisted construction contracts to respond to the information collection contained in 29 C.F.R. §§ 3.3, 5.5(a). The Copeland Act Nest® and Nest Learning Thermostat™ are trademarks licensed by Nest Labs, Inc. All other trademarks are owned by their respective companies. MSRP is Manufacturer's Suggested Retail Price and may not necessarily be the price at which the product is sold in the consumer's area. Dealer alone determines actual price. 222 SAMPLE FORM FOR ILLUSTRATIVE PURPOSE ONLY INSTRUCTIONS: Complete the followin g informational areas highlighted in Black. Enter in the size of package for each item to be ordered, Name, Strength and Size. QUESTIONS PLEASE CALL: 888-894-2487 See Reverse of PURCHASER'S No order from may be issued for Schedule I and II substances unless a OMB Complete this form to apply for a Pennsylvania non-commercial driver's license if you cur

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