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FOREMED_INVOICES__JULY_17 — p.13
📄 FOREMED INVOICES JULY 17 | p.13
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Foremed Clinic

420 Columbia St., New Westminster, BC, V3L 1B1
Ph: 604 522 2206 Fax: 604 522 7206

Certificate of Health Status
2026-04-28
Doctor Gbogboade Ademiluyi (68199)
CPSID 43560
MSP ID 68199

To Whom this may concern:

RE: HOLAND, MARK THOMAS
DOB: 04/09/1978 (d/m/y)

Dear Sirs, Mesdames,

It is hereby confirmed that this patient was consulted by the doctor at this clinic today, regarding a medical problem.
This patient has been unable to work due to medical reasons since Thu, Mar-05-2026. The approximate return to work
date is now estimated to be Mon, Jun-15-2026.

_

Signed: Gbogboade Ademiluyi (68199)