523621335 523621335 PRKVIEW002522-01 * 12/01/2012 COBRA * * 04/30/2015 ARLENE LUCZAK * 1441 GREENE AVENUE * PUEBLO CO 81004 US * 11/15/1951 Female * * * * * * * * * Error(s): Most Recent Hire Date: Does not satisfy 'Is Required ?' field condition of sub template Home Address Country: Not defined Pay Date: Does not satisfy 'Is Required ?' field condition of sub template Pay Period Start Date: Does not satisfy 'Is Required ?' field condition of sub template Pay Period End Date: Does not satisfy 'Is Required ?' field condition of sub template Pay Cycle Frequency: Does not satisfy 'Is Required ?' field condition of sub template Gross Pay: Does not satisfy 'Is Required ?' field condition of sub template Net Pay: Does not satisfy 'Is Required ?' field condition of sub template W2 wages: Does not satisfy 'Is Required ?' field condition of sub template 523621370 523621370 PRKVIEW002706-01 * 11/01/2014 COBRA * * * CAROL PATTERSON * 1901 GREENWOOD ST. * PUEBLO CO 81003 US * 03/09/1954 Female * * * * * * * * * Error(s): Most Recent Hire Date: Does not satisfy 'Is Required ?' field condition of sub template Home Address Country: Not defined Pay Date: Does not satisfy 'Is Required ?' field condition of sub template Pay Period Start Date: Does not satisfy 'Is Required ?' field condition of sub template Pay Period End Date: Does not satisfy 'Is Required ?' field condition of sub template Pay Cycle Frequency: Does not satisfy 'Is Required ?' field condition of sub template Gross Pay: Does not satisfy 'Is Required ?' field condition of sub template Net Pay: Does not satisfy 'Is Required ?' field condition of sub template W2 wages: Does not satisfy 'Is Required ?' field condition of sub template