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BPKith 8992 H 024220270218060103202
BPKith 8992 H 024220270218060103202
000030028 J0976488
MAVERICK ARMS INC
1001 IND BLVD
EAGLE PASS, TX 78852-5242
LUIS G REYNA
1914 SUENO CIRCLE
EAGLE PASS, TX 78852
Please verify that your name is as it appears on your social security card and matches records
maintained with your employer.
22
1H
2A 2D 2D 2D 2D 2B 2A 2A 2A 2A 2A 2A
600220
Form 1095-C (2022) Page 2