Disablement caused by job normal adjustments costs from 1995 to ion Basis Annuities Individual account Annuities Transitional Annuities Inclu ding % % % normal adjustments costs from 1999 to 2009 Total Retiree premiums according to Document [97]No.43 Inclu ding Basis Annuities Individual account Annuities Name: xxx Sex: Female Age: 50 ID Card No. xxx Previous Worki ng Place: xxx Address after Retireme nt: xxx Previous Positi on: Date of Issue: xxx Issui ng authority:Special Seal for Retired audition (Seal of Annual Exam in ati on) Date (Seal of Annual Exam in ati on) Date 7.The certificate is prin ted by Departme nt of Huma n Resources and Social Security. Any other units should not print or copy. Producer (seal):Labor and Social Security of Hunan Province Labor and Social Security Departme nt of Hunan Prov ince (seal) No: Date of Start Working XXX Date of Retirement XXX Years of Paid in Total standard or basic wage of 1994 Paid Adjusted Basic Pension Benefits Date of Adjusted and Number Executi on date Additio nal Amount The Actual Amount Paid Registration of Annual Examination 3.A ny cha nge in the ben efits shall be altered by the issu ing authority of the Social In sura nce Authority. 5.This certificate shall be exam ined by issu ing authority regularly, without required verification shall automatically be invalid. 4.If the Certificate is lost or damaged this should be reported and re-issue applied for promptly. 6.The certificate is invalid without the steel seal of the issuing Social In sura nce Authority. Transitional Adjust Cash Total Basic Pension Paid By Per Month Date of Start Working Date of Retirement Years of Paid in Total Year month c according to previous company Executi on date Additio nal Amount The Actual Amount Paid Adjusted Basic Pension Benefits Date of Adjusted and Number Executi on date Additio nal Amount The Actual Amount Transitional Annuities Transitional Adjust Cash Total Annuities of Industry Transition Basic Pension Paid By Per Month Adjusted Basic Pension Benefits Date of Adjusted and Number Retiree premiums according to Document No. 104 % retirement living allowance according to Document No. [91]35 % Wage of Special Contributions () % Nursingsubsidyfor People's Republic of China Retirement Certificate Notice 1.This certificate is a legal document to certify the identity of the retirees. 2.Retired staff can receive the basic pension in designated units with the voucher. If other people does it, he or she should carry the ID car of both, the staff's retireme nt certificate and commissi on.