INVOICE - 302305

Foremed Clinic

420 Columbia St., New Westminster, BC V3L 1B1
Telephone: 604 522 2206

Fax: 604 522 7206

Billing To [Search]

Name: MARK THOMAS HOLAND
Address: 311-318 Agnes st

City: New Westminster
Province: BC

Postal: \3L0J3

Bill Details

Date Practitioner Payee

2026-01- Ademiluyi (68199),
30 Gbogboade

Line# Description

Written /Brief Certificate/Form including
school/work time off, medical certificate for
government employment insurance, SPARC-BC
302305 Parking Application, Handy Dart & Handy Card A00060
Application + WCB & ICBC Brief letter/note
including insurance note for
physiotherapy/massage therapy

Please Make Cheque Payable To:

F. Kara Holdings Lower Ltd.

420 Columbia Street, New Westminster, BC, V3L 2X2
Telephone: 604-522-2206

Fax: 604-522-7206
registration@secure.foremedclinic.com

Payment(DEBIT)

Date: Jul 9, 2026 at 12:00 PM

Patient ( 9128549738 )

Name: HOLAND , MARK THOMAS
Address:

311-318 Agnes st

New Westminster , BC

V3L0J3

Gender: M

Birth Date ; 1978-09-04

52.90 2.65 55.55

2026-01-30
14:04:18.0 55.55)

Subtotal: 52.90
GST Total: 2.65

Total: 55.55
Payments: 55.55
Refunds: 0.00
Balance: 0.00