Kitasoo / Xai’xais - First Nations community of Klemtu in ...

PAYROLL DEDUCTIONS AUTHORIZATION FORM. Employee Name: Birthdate: Social Insurance Number: I, _____, hereby authorize my employer, Marine Harvest Canada to deduct from my wages rent and utilities expenses owed to the Kitasoo Band Office in the amount of $_____ monthly / bi-weekly (please circle one) ... ................
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