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Description of ls 425
45 the New York State Penal Law. I affirm that the above statements are true. I authorize the Commissioner of Labor deputies or agents to receive endorse my name on and deposit in the account of the Commissioner of Labor any checks or money orders made out to me as payment on this claim. Claimant s signature Date See Reverse LS 425 08/13 31. New York State Department of Labor Division of Labor Standards S For...
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ls 425
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