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📄 FOREMED INVOICES JULY 17 | p.3
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Fax Server 6/9/2026 4:16:36 PM EDT PAGE 1/001 Fax Server

% ‘The Canada Life Assurance Company
f i) Vancouver Disabilty Management Services
* PO Box 1095
canada Ral :

Winnipeg, MB R3C 2X4

Tel 604-646-1200 / 1-888-292-4111
Fax 1-844-216-1038

vancouver emsp@@ecenadalife.com
canadaiife com

FAX TRANSMISSION FORM

DATE: June 9, 2026

TO: Dr. Gbogboade Ademiluyi
FAX #: (1) 604-522-7206
FROM: Erika Nikbin
Case Manager
PHONE: (604) 648-3094
FAX #: 1 (844) 816-1038
RE: Mark Holand

British Columbia Rapid Transit Company Ltd.
Group Plan Number: 50788

Employee ID Number: E000021987

Portfolio ID: 130684485

NUMBER OF PAGES FAXED INCLUDING COVER PAGE: 1

REPLY REQUESTED: NO

The contents of this fax, including any attachment(s), are confidential and may be privileged. If you are not the
intended recipient (or are not receiving this fax on behalf of the intended recipient), please notify the sender
immediately and delete or destroy this fax without reading it, and without making, forwarding, or retaining any copy or
tecord of it or its contents. Thank You.

Le contenu de la présente télécopie, y compris toute piéce jointe, est confidential et peut étre privilégié. Si vous
n’étes pas le destinataire visé (ou si vous ne recevez pas la présente télécopie au nom du destinataire visé), veuillez
en aviser immédiatement I'expéditeur et supprimer ou détruire la présente télécopie sans Ia lire, en tirer des copies,
la retransmettre ou en enregistrer le contenu. Merci.