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CITY OF LITTLE CANADA <br />REQUEST FOR LEAVE <br />Request is hereby made for the following leave •• WITH PAY /6 WITHOUT PAY 3 cRj <br />Insert number of Hours requested in space provided below: <br />VACATION /(o SICK TERMINATION <br />(Accrued Vacation) <br />COMPENSATORY TIME <br />LEAVE WILL BEGIN: <br />LEAVE RECORD: VL <br />Accrued Leave <br />Leave Requested <br />Balance <br />I <br />(Day) <br />MILITARY JURY DUTY <br />LEAVE OF ABSENCE <br />(Explain) <br />SL <br />f `I 9C; <br />(Date) <br />Signed <br />CT <br />LEAVE WILL END: <br />APPROVED BY: <br />U (Employee) <br />(Department Head) <br />js i0 <br />Page 70 <br />