MELBOURNE HEA ABN : 73802706972 CERTIFICATE OF SERVICE iby Melbourne Health from 05/1 ‘This isto cently that MCLEAN, RICHARD WILLIAM has been emploss 770972007 c ea in Public Hospitals Employee Number 00034898 ‘Date Commenced ee Publ pitals) Employee Sinus PT Part Time Weekly Hours . 4 Aviad 10 Admin Oicers Chissifeation ‘HSI GRADE SGC Super Fund First Stae-Healh SGC Scheme Other Super fond NMW Generic Fund Membership Number WORKCOVER | AnnualLeave ae Hous rei a teminaion Too Anniversary Date Hours pal out at termination 0.00 Hours not paid at termination 00 EB \Eeeeremar eer cs ours credit at enninalion O00 Aniversary Date ours worked in curren year 12000 i Without a Medical Certieate 7100 (occasions during current anniversary year) With a Statutory Declaration O00 (oveasions during eurent aniversary year) se Carers Leave 0.c0 (occasion ring cument aniversary year) e Long Service Leave Recognition Date ——Aiverary Date ) Colendar day’ granted during service 0.09 Calendar days at termination 00 | Calendar days paid outa erination 0100. Calendar dyna paid at termination 0.00 MD eae Nina hy CHOW maa re va ea Stort Date End Dns Calendar Days Start Date End Date Calendar Days Start Date End Date Calendar Days Ee 13.11,06-26.1106 14 11,12.06-24.12.06 14 0107 14 " 050207-180207 14 0513.07.260607 112 08.0707.22.07.07 06,08,07-02.09.07 28 ss istory '05/10/2006-07)0972007 Part Time -0.S0hrs Date of issue NO ALTERATIONS OR ERASURES Original CERTIFICATE OF SERVICE to be kept by EMPLOYEE ONLY