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COMPANY NAME
COMPANY NAME
COMPANY ADDRESS, CITY, PROVINCE POSTAL CODE
Employee ID
Employee Name
EMPLOYEE NAME
Employee Address
EMPLOYEE ADDRESS
CITY, PROVINCE POSTAL CODE
CITY, PROVINCE POSTAL CODE
Social Insurance No
XXX-XXX-SIN
Payment Period
12/28/2025 to 01/10/2026
Marital Status
Distribution Type
Check
| Year to Date | |
|---|---|
| YTD Gross: | $600.00 |
| YTD Deduction: | $0.00 |
| YTD Net: | $600.00 |
| Current | |
|---|---|
| Gross: | $1,600.00 |
| Deduction: | $0.00 |
| Net: | $1,600.00 |
| Payment Date | |
|---|---|
| Date: | 01/15/2026 |
| Earnings |
| Rate | Hours | Current Earnings | YTD | |
| Regular | $20.00 | 80.00 | $1,600.00 | $600.00 |
| Gross Earnings | $1,600.00 | $600.00 |
| Deductions |
| Current | YTD | |
| Federal Tax | $0.00 | $0.00 |
| Provincial Tax | $0.00 | $0.00 |
| Employment Insurance | $0.00 | $0.00 |
| Canada Pension Plan | $0.00 | $0.00 |
| Total Deduction | $0.00 | $0.00 |
| Employer Contribution |
| Current | YTD | |
| Employment Insurance | $0.00 | $0.00 |
| Canada Pension Plan | $0.00 | $0.00 |
| Total Contribution | $0.00 | $0.00 |
Remarks
PREVIEW ONLY
CO.
2rv
FILE
811139
DEPT
583670
CLOCK
93637
VCHR. NO
19687
062
COMPANY NAME
COMPANY ADDRESS
CITY, PROVINCE POSTAL CODE
Social Insurance Number:
Employee ID:
XXX-XXX-SIN
Earnings
Rate
Hours
Amount
Year to Date
Regular
$20.00
80.00
$1,600.00
$600.00
Gross Pay
$1,600.00
Deduction
Statutory
Federal Tax
- $0.00
$0.00
Provincial Tax
- $0.00
$0.00
Employment Insurance
- $0.00
$0.00
Canada Pension Plan
- $0.00
$0.00
Net Pay
$1,600.00
Check
-$1,600.00
EMPLOYER CONTRIBUTIONS
Statutory
Employment Insurance
- $0.00
$0.00
Canada Pension Plan
- $0.00
$0.00
Total
$0.00
Earnings Statement
Period Beginning:
Period Ending:
Pay Date:
12/28/2025
01/10/2026
01/15/2026
EMPLOYEE NAME
EMPLOYEE ADDRESS
CITY, PROVINCE POSTAL CODE
Other benefits and
COMPANY NAME
COMPANY ADDRESS
CITY, PROVINCE POSTAL CODE
Advice Number:
Pay date:
Social Insurance Number:
6347407
01/15/2026
XXX-XXX-SIN
Pay to the order of:
EMPLOYEE NAME
This amount:
one thousand six hundred and 00/100 dollars
$1,600.00
NON-NEGOTIABLE
VOIDED CHECK
PREVIEW ONLY
SWIPE TO SEE ALL DESIGNS