Registered retirement savings plan receipt Federal/Fédéral

Reçu de régime enregistré d'épargne-retraite

255 Dufferin Avenue, London, Ontario, Canada N6A 4K1
255, avenue Dufferin, London, Ontario, Canada N6A 4K1
Account no./N° de compte Social insurance no./N° d'assurance sociale Taxation year/Année d'imposition Receipt no./N° de reçu
GE63251-05 590-616-793 2023 G17702111
Amount of retirement savings portion of premium $************1,894.78 Mar - Dec 2023
Montant de la portion épargne-retraite de la prime
This is your receipt of payment in respect to a Retirement
Savings Plan registered under the Income Tax Act (Canada)
or approved under the Québec Income Tax Act, and subject
thereto.

SOL T MOLINA
003097

100 WHITE OAKS COURT 508

WHITBY, ON L1P 1B7

Important: This receipt must be attached to your income tax return. President and Chief Executive Officer
Ce reçu doit être annexé à votre déclaration de revenus. Président et chef de la direction
-----------------------------------------------------------------------------------------------------------------------
Registered retirement savings plan receipt
Reçu de régime enregistré d'épargne-retraite
255 Dufferin Avenue, London, Ontario, Canada N6A 4K1
255, avenue Dufferin, London, Ontario, Canada N6A 4K1
Account no./N° de compte Social insurance no./N° d'assurance sociale Taxation year/Année d'imposition Receipt no./N° de reçu
GE63251-05 590-616-793 2023 G17702111
Amount of retirement savings portion of premium $************1,894.78 Mar - Dec 2023
Montant de la portion épargne-retraite de la prime
This is your receipt of payment in respect to a Retirement
Savings Plan registered under the Income Tax Act (Canada)
or approved under the Québec Income Tax Act, and subject
thereto.

SOL T MOLINA
100 WHITE OAKS COURT 508
WHITBY, ON L1P 1B7

Important: Keep this copy for your records. President and Chief Executive Officer
Veuillez conserver cette copie pour vos dossiers. Président et chef de la direction
-----------------------------------------------------------------------------------------------------------------------
Registered retirement savings plan receipt Québec
Reçu de régime enregistré d'épargne-retraite
255 Dufferin Avenue, London, Ontario, Canada N6A 4K1
255, avenue Dufferin, London, Ontario, Canada N6A 4K1
Account no./N° de compte Social insurance no./N° d'assurance sociale Taxation year/Année d'imposition Receipt no./N° de reçu
GE63251-05 590-616-793 2023 G17702111
Amount of retirement savings portion of premium $************1,894.78 Mar - Dec 2023
Montant de la portion épargne-retraite de la prime
This is your receipt of payment in respect to a Retirement
Savings Plan registered under the Income Tax Act (Canada)
or approved under the Québec Income Tax Act, and subject
thereto.

SOL T MOLINA
100 WHITE OAKS COURT 508
WHITBY, ON L1P 1B7

Important: This receipt must be attached to your provincial income tax return, if applicable. President and Chief Executive Officer
Ce reçu doit être annexé à votre déclaration de revenus provinciale s'il y a lieu. Président et chef de la direction