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ABC Company Policy number: 22222222
Registered Retirement Savings Plan
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Termination request details for Jane Bradley


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Request date & time: January 13, 2011, 08:46 AM EDT

Member address: 401 King Street. South
Kitchener, ON
CANADA N2J 2Y1
Phone: (519) 747-7000
Fax:
Email: sample@manulife.com

Reason: Termination of employment

Termination date: January 13, 2011


Plans the member is leaving:

Policy(s) Member number Last contribution details Reference number

RRSP, Policy 22222222 66152 January 13, 2011 8534246

 
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