Creator:Univeristy of Western Ontario
Date Created:April 14, 1972
Place Created:Ontario
Keywords:lecture fee,Tracy Hall
Context:statement of earnings and deductions for lecture
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THE UNIVERSITY OF WESTERN ONTARIO N ^ ™
STATEMENT OF EARNINGS AND DEDUCTIONS
GROSS SALARY	ANNUITY	ADD'L. ANNUITY	CANADA PENSION	INCOME TAX	m	GROUP INSURANCE			CANADA SAVINGS BONDS	UNITED FUND	UNION DUES
						LIFE	C0MP.	DIS.			
500|00 V 1	1 1 1 l	1 1 1	1 1 1 i	7500 i i	i i i i	T i i i	1 1 1	1 i 1 1	1 1 1	1 1 1 1	1 1 ! J
f PARKING FEE	FACULTY ASS'N.	UNIV. CLUB	O.H.S.I.P.	UNEMPLOYMENT INSURANCE						\ NET SALARY
1 1 1 V 1	1 1 1	1 1 1 l	t: l I	1 1 1 1	1 1 1 1	1 1 1	1 1 1 1	1 1 1 1	1 1 1 1	42 500 i J
/ \ STAFF NO.
406100
V_J
f PERIOD ENDING \
DAY [ MO. I YR.
07 | 04|72
V 1 i J
r	a
CHEQUE NO.
72034441
__y
f DATE OF ISSUE ^ DAY
30 ; 03 i72
inquiries concerning this statement should be addressed to the payroll office, office of the comptroller, stevenson hall
PLEASE DETACH BEFORE DEPOSITING	form lis - revised 3-71