Press 'PRINT' to print a copy for your file, then either FAX to 1-888-820-7011,
	or  Press 'SUBMIT'  to efax.
	Company/Department:
	TimeKeeper:
	Pay Period:	Start:		End:		Pay Day:
	Name of Contractor	$ Amount		***********  ADD new Contractor  ***********
1				Name
2				Address
3			City, State, Zip
4				SSN/EIN
5
6				Name
7				Address
8			City, State, Zip
9				SSN/EIN
10
11				Name
12				Address
13			City, State, Zip
14				SSN/EIN
15
	TOTAL ($)
	Comments:
	Press 'PRINT' to print a copy for your file, then either FAX to 1-888-820-7011,
	or  Press 'SUBMIT'  to efax.