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NAME: DEPT:
AUGUST 16, __________TO AUGUST 15, __________ |
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Period |
Vacation |
Sick Leave |
Floating Holiday |
Date and Employee Signature |
Date and Supervisor Signature |
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Aug 16 - |
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Sep 16 - |
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Oct 16 - |
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Nov 16 - |
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Dec 16 - |
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Jan 16 - |
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Feb 16 - |
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Mar 16 - |
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Apr 16 - |
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May 16 - |
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Jun 16 - |
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Jul 16 – |
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* all leave amounts are to be in ½ day or whole day increments only.