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CO.
2rv
FILE
811139
DEPT
583670
CLOCK
82065
VCHR. NO
33036
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:
09/06/2025
09/19/2025
09/24/2025
EMPLOYEE NAME
EMPLOYEE ADDRESS
CITY, PROVINCE POSTAL CODE
Other benefits and
Information
This Period
Year To Date
Important Notes
COMPANY NAME
COMPANY ADDRESS
CITY, PROVINCE POSTAL CODE
Advice Number:
Pay date:
Social Insurance Number:
1432530
09/24/2025
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

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