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Self-Employment Business Ledger

Income Only

Prepared for GIL, LUIS

Settlement Period 2023

Contracting Company Liveops Agent Services, LLC

Location LiveOps

06/16/2023

Incomes

Settlement $117.63

Incomes Total $117.63

Incomes Total $117.63

* Includes Openforce formerly known as CMS Technology and Administrative Services fee, and insurance premium if
applicable.

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