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Canada

RECORD OF EMPLOYMENT (ROE) UNIQUE IDENTIFIER SCER-05

1 SERIALNO. $53782965 2 SERIAL NO. OF ROE AMENDED OR REPLACED 3 EMPLOYER'S PAYROLL REFERENCE NUMBER

4 EMPLOYER'S NAME AND ADDRESS EA772 E21987

BC Rapid Transit Co. Ltd 5 CRA PAYROLL ACCOUNT 8 SOCIAL INSURANCE NUMBER 730742368

NUMBER DM Y¥
- 10 FIRST DAY WORKED
6800 - 14th Avenue 121652952RP0001

04_ 07 2023
MY

Burnaby 11 LAST DAY FOR WHICH PAID
BC, CAN 6 PAY PERIOD TYPE 04 02 2026
; B - Bi-weekly 12 FINALPAY PERIOD ENDINGDATE © MY
7 POSTALCODE Vv3N4S7 07 02 2026
EMPLOYEE'S NAME AND ADDRESS 16 EXPECTED DATE OF REGAN] 18 OCCUPATION
9 7
Mark T Holand Unknown Control Operator 80
311-318 Agnes Street 15a TOTAL INSURABLE HOURS ACCORDING TO CHART 2161
New Westminster V3L0J3 15b TOTAL INSURABLE EARNINGS ACCORDING TO CHART 61,313.61
BC, CAN 15
1c
16 REASON FOR ISSUING THIS ROE PAY PERIOD | insyrRaBLe| !NSUR- ee DIG INSURABLE | INSUR-
Other / At the employee’ pp | ENDING J carninas| ABLE || PP EARNINGS | , ABLE
ployee's request K DATE HOURS DATE HOURS
FOR FURTHER INFORMATION, CONTACT Te? Te?
Arti Jinabhai 1 | 97 oo 2006 6,387.89] 78.00 2 |oa o1 2026 3,787.20] 80.00
TELEPHONE NO. _(672)335-4657 D MY D MY
17 SEPARATION PAYMENTS 3 10 01 2026 4,579.68 80.00 4 |27_ 12 2025 5.17198) 80.00
A- VACATION PAY 5 ‘3 b 2025 4,266.64) 80.00 6 29 " 2025 4,263.18} 80.00
Anniversary (Paid on a specific date each year) 2,593.46 DM Y DM Y
Start Date (D/M/Y): End Date (D/M/Y): 7/45 41 2025 4,268.18) 80.00 8 lot _11 2025 4,346.55] 81.00
B - STATUTORY HOLIDAY PAY a MY aM OY
STATUTOF omy 2 | 48 10 2025 3,688.00] 80.00 10 Joa 49 2025 4,216.64] 80.00
D M Y D M Y
11 | 55 9 2025 4,259.72] 80.00 12 log o9 2025 3,931.92] 80.00
D M Y D M Y
13 | 33 og 2025 4,075.83] 80.00 14 log og 2025 4,075.83] 80.00
D M Y D M Y
15 | 06 oy 2025 4,143.05] 80.50 16 | 45g 2005 3,879.28] 80.00
D M Y D M Y
C - OTHER MONIES (SPECIFY) 17 | os 0g 2005 4,099.44] 80.00 18 | 44 06 2005 4,102.82] 80.00
M Y D M Y
19 4,136.55] 80.00 20 3,995.83] 80.00
Start Date (D/M/Y): End Date (D/M/Y): 31 05 2025 17_05 2025
21 03 os 2025 4,075.83] 80.00 || 22 19 ot 2025 4,547.86; 81.50
Start Date (D/M/Y): End Date (D/M/Y): DM Y DM Y
23 | oe 4 2005 4,075.83] 80.00 24 |) 03 2005 3,717.12] 80.00
D M Y D M Y
Start Date (D/M/Y): End Date (D/M/Y): 2 | os 03 2005 3,957.12] 80.00 26 |o5 99 2005 4,035.83] 80.00
18 COMMENTS dD MY dD MY
27 | og 02 2005 6,938.96] 80.00 28
29 D M Y 30 D M Y
31 D M Y 32 D M Y
D M Y D M Y
33 34
19 PAID SICK/MATERNITY/PARENTAL/COMPASSIONATE CARE/FAMILY 35 | 2 OM Y 36 |° MY
CAREGIVER LEAVE OR GROUP WAGE LOSS INDEMNITY PAYMENT
37 D M Y 38 D M Y
START DATE | ENDDATE AMOUNT PER PER > MY 51
(D/M/Y) (D/M/Y) DAY WEEK|) 39 40
D M Y D M Y
PSL O Of] a 42
WLI - Not ins. og mle uly
WLI - Ins. oOo QO
D M Y D M Y
MAT/PAR/CC/FC og 45 46
D M Y D M Y
20 COMMUNICATION PREFERRED IN | 21 TELEPHONE NO. 47 48
BJ ENGLISH (7 FRENCH (778) 239-6945 ag |? MY 5 |o MY
22 NAME OF ISSUER 51 DM Y 52 DM Y
Corina Hurmuz
D M Y
DATE ISSUED (D/M/Y) 13 03 2026 53

214P (12-17) E

THIS RECORD OF EMPLOYMENT IS SUBMITTED BY Ceridian Canada Limited, PAYROLL SERVICE PROVIDER, ON BEHALF OF THE EMPLOYER NAMED IN [BOX4], AS
AUTHORIZED BY A LETTER OF AGREEMENT BETWEEN THE PAYROLL SERVICE PROVIDER AND THE EMPLOYER.

Service Canada delivers Employment and Social Development Canada programs and services for the Government of Canada.
Service Canada has already received a copy of this electronic Record of Employment. Do not submit a paper copy of this Record of Employment to Service Canada.

La |
al lai a Page 2 contains important information.

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