Witness Date. TRANSFEREE --------------------------------------------------------------------- (Signature: see Notes)
Witness Date. PAYMENTS (Tick where appropriate) * In accordance with existing instructions (existing holders only) * By cheque posted to the above address * By credit to the following account in Australia in the name of the Transferee only Tax File Number (if applicable): Authorised signature of Transferee ------------------------ Date:
Witness Date. Signed for and on behalf of the Electrical Trades Union of Australia, New South Wales Branch 27 / 03 / 03 Signature Date 27 / 03 / 03 Witness Date SCHEDULE A Rates applying from the first full pay period on or after 1 April 2002 Classification All-Purpose Hourly Rate Productivity Allowance Per Hour Worked Daily Average Excess Fares Allowance Excess Travel Grade 1 $17.11 $1.60 $9.20 $11.10 Grade 2 $18.01 $1.70 $9.20 $11.80 Grade 3 $18.89 $1.80 $9.20 $12.50 Grade 4 $19.78 $1.90 $9.20 $13.20 Grade 5 unlicensed $21.07 $2.00 $9.20 $13.80 Grade 5 cert of regn $21.58 $2.00 $9.20 $13.80 Grade 5 qual super $22.03 $2.00 $9.20 $13.80 Grade 5 unlic l/hand $22.37 $2.00 $9.20 $13.80 Grade 5 lic l/hand $23.33 $2.00 $9.20 $13.80 APPRENTICES Indentured 1st year $8.50 $0.50 $9.20 $5.60 Indentured 2nd year $11.23 $0.50 $9.20 $7.37 Indentured 3rd year $15.57 $0.50 $9.20 $10.28 Indentured 4th year $17.78 $0.50 $9.20 $11.73 Trainee 1st year $9.57 $0.50 $9.20 $6.30 Trainee 2nd year $12.61 $0.50 $9.20 $7.62 Trainee 3rd year $17.05 $0.50 $9.20 $11.25 Trainee 4th year $18.65 $0.50 $9.20 $12.30 Rates applying from the first full pay period on or after 1 Oct 2002 Classification All-Purpose Hourly Rate Productivity Allowance Per Hour Worked Daily Average Excess Fares Allowance Excess Travel Grade 1 $17.45 $1.60 $9.20 $11.10 Grade 2 $18.37 $1.70 $9.20 $11.80 Grade 3 $19.27 $1.80 $9.20 $12.50 Grade 4 $20.18 $1.90 $9.20 $13.20 Grade 5 unlicensed $21.49 $2.00 $9.20 $13.80 Grade 5 cert of regn $22.01 $2.00 $9.20 $13.80 Grade 5 qual super $22.47 $2.00 $9.20 $13.80 Grade 5 unlic l/hand $22.82 $2.00 $9.20 $13.80 Grade 5 lic l/hand $23.80 $2.00 $9.20 $13.80 APPRENTICES Indentured 1st year $8.67 $0.50 $9.20 $5.60 Indentured 2nd year $11.45 $0.50 $9.20 $7.37 Indentured 3rd year $15.88 $0.50 $9.20 $10.28 Indentured 4th year $18.14 $0.50 $9.20 $11.73 Trainee 1st year $9.76 $0.50 $9.20 $6.30 Trainee 2nd year $12.86 $0.50 $9.20 $7.62 Trainee 3rd year $17.39 $0.50 $9.20 $11.25 Trainee 4th year $19.02 $0.50 $9.20 $12.30 Rates applying from the first full pay period on or after 1 April 2003 Classification All-Purpose Hourly Rate Productivity Allowance Per Hour Worked Daily Average Excess Fares Allowance Excess Travel Grade 1 $17.80 $1.60 $9.20 $11.10 Grade 2 $18.74 $1.70 $9.20 $11.80 Grade 3 $19.65 $1.80 $9.20 $12.50 Grade 4 $20.58 $1.90 $9.20 $13.20 Grade 5 unlicensed $21.92 $2.00 $9.20 $13.80 Grade 5 cert of regn $22.45 $2.00 $9.20 $13.80 Grade 5 qual super $22.92 $2.00 $9.20 $13.80 Grade 5 unlic l/h...
Witness Date. ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^
Witness Date. Physical Examination and Medical Requirements
Witness Date. Phone: 000-000-0000; Fax: 000-000-0000
Witness Date. If you are interested in automatic debit of your club statement from your bank account, please complete the following: I (we) hereby authorize St. Xxxxxxx Country Club, Inc., to initiate debit entries (or if need be, credit entries/adjustments for errors) on my (our) account named below in amounts that range between $.01 and $10,000.00 FINANCIAL INSTITUTION NAME BRANCH CITY STATE ZIP TRANSIT/ABA NO. ACCT NO.
Witness Date. This release shall be valid for ☐ a single disclosure ☐A continuing disclosure for 90 days ☐A continuing disclosure for 1 year TO BE SIGNED TO REVOKE RELEASE OR TO INDICATE A REFUSAL TO SIGN: Refusal to sign or revocation of this release in writing at any time is not a condition of treatment, payment, enrollment or eligibility for benefits. Signature of guardian or youth over 18 years of age Date THERAPY FEES Services Licensed Mental Health Professional Intake (45-50 min) $100 Individual, couple, or family session $100 Short session (25-30 min) $50 School Observation & Recommendations $100/Hr No Show Fee Full price of session *Fees are as of January 1, 2015 and are adjusted periodically No Show Fee: A cancelled appointment delays our work. When you must cancel, please give me at least 24 hours notice. I am rarely able to fill a cancelled session unless I know at least 24 hours in advance. In you are unable to provide at least 24 hours notice when you cancel, you will be charged the full fee for your session unless I am able to fill it with another client. The only time I will waive this fee is in the event of serious or contagious illness or emergency.
Witness Date. TRANSFEREE -------------------------------------------------------------------` (Signature: see Instruments) WITNESS Date: --------------------------------------------------- PAYMENTS (Tick where appropriate) * In accordance with existing instructions (existing holders only) -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- Page 97 Supplementary Terms Notice ------------------------------------------------------------------------------ * By cheque posted to the above address * By credit to the following account in Australia in the name of the Transferee only Tax File Number (if applicable): Authorised signature of Transferee -------------------------------------------- Date: INSTRUMENTS:
Witness Date determination. If an employee is injured while working in the plant and such injury arises out of and in the course of their employment, and the injury is of such nature as to prevent the employee’s return to work for an initial period of three (3) or more consecutive calendar days excluding Sunday or paid holiday or vacation following the day of injury, then the Company will pay such employee a sum equal to the current sickness and accident daily benefit rate for each of such three (3) days; provided however, that such payment shall not be made if the Workmen’s Compensation carrier of the Company is required to pay the employee Workmen’s Compensation for the three (3) day period following the day of injury. 66 Under the following circumstances the Company will pay for up to two and one-half (2-1/2) hours for working time lost by an employee on Monday:
