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LEAVE TIME RE UEST <br />Date � <br />Nam� ' <br />Ty�e af Leave : �� : <br />V'aca�.ion ...... number of hours �f vacation <br />Comp. Time .....number of hours of comp. time ���. <br />Sick . . . . . . . .t.ime City was called <br />person taking ��1� to <br />M�dical a • • • • • • <br />time of appointment, fram _ <br />Conf�r�ncc/training.location__ <br />- Topic_ <br />Lcave of absencc with pay _ <br />- Reaso� <br />Leavc of abs�ncc without pay <br />Reason <br />4thcr tSpeci�y�) <br />Datets) of �bsen�e: From To <br />Comm�nt�: <br />Department/Division � � Departm�nt H�ad <br />S�peivisor ��t <br />nager <br />