T h e p e o p l e " s R e p u b l i c o f C h i n a

　 TaxPaymentCertificates State

　（141）No：********* TaxationAuthority

　IssuingDate

　TaxpayerName

　 TaxpayerIdentityNo

　TaxItem ProductName TaxIncomePeriod Storage(Back)Date TaxReturnedPayment Salaries SalaryAndSalary

　 ￥1000.00

　Salaries SalaryAndSalary

　 ￥1000.00

　Salaries SalaryAndSalary

　 ￥1000.00

　Salaries SalaryAndSalary

　 ￥1000.00

　Salaries SalaryAndSalary

　 ￥1000.00

　Salaries SalaryAndSalary

　 ￥1000.00

　Salaries SalaryAndSalary

　 ￥1000.00

　Salaries SalaryAndSalary

　 ￥1000.00

　Salaries SalaryAndSalary

　 ￥1000.00

　Salaries SalaryAndSalary

　 ￥1000.00

　Salaries SalaryAndSalary

　 ￥1000.00

　Salaries SalaryAndSalary

　 ￥1000.00

　Salaries Totally

　 ￥12,000.00

　TheFollowingIsEmpty TotalTaxAmount(InWord)：

　EightThousandEightHundredAndEighty-EightYuan,Eighty-EightCent ￥8,888.88

　TaxAuthority: Remarks：

　FillInPerson

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