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CITY OF LITTLE CANADA <br />REQUEST FOR LEAVE <br />Request is hereby made for the following leave — WITH PAY <br />Insert number of Hours requested in space provided below: <br />VACATION 71 ICK TERMINATION <br />(Accrued Vacation) <br />COMPENSATORY TIME LEAVE OF ABSENCE <br />WITHOUT PAY <br />MILITARY <br />JURY DUTY <br />OTHER <br />LEAVE WILL BEGIN: 711;‘, <br />LEAVE RECORD: VL <br />Accrued Leave <br />Leave Requested <br />Balance <br />(Day) <br />SL <br />1 -/Y -93 LEAVE WILL END: / wo. <br />(Date) <br />Signed <br />CT <br />APPROVED BY: <br />(Day) <br />(Employee) <br />3 -a '1- 9 Y <br />(Date) <br />(Department Head) <br />Page 19 <br />