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2005_0425_Packet
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2005_0425_Packet
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Last modified
5/12/2014 12:06:48 PM
Creation date
9/14/2009 10:01:42 AM
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Roseville City Council
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Council Agenda/Packets
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�:e[} nf <br />.� �� <br />�1io nrzuta, L'�r� <br />T�T�ELLN�SS` INCENTIVE CHOICES FORM <br />Please initial the incentive choice that you wish to receive this trimester and <br />attach it to your point tracking and verification information when you tum it into <br />Human Resources. On1y this form will be kept after the trimester is completed so <br />please 1cee�a a copy of all information you will need for ��tfi��r� trimesters. <br />1. 4 HOURS OF VACATION TIME <br />ADDED TO MY VACATION BANK. <br />(Vacation Bank Ma�mums still apply) <br />2. 4 HOURS AT MY CURRENT <br />BASE WAGE ADDED TO MY <br />DEFERRED COMPENSATION. <br />3. 4 HOURS PAID TO ME IN <br />TAXABLE WAGES AT MY <br />CURRENT BASE WAGE. <br />Employee Signature: <br />Human Resources Approval <br />Date: <br />�:1Documents and 5ettingsica€ofyn.curti\Lo�al SeitingslTempo�•ary Internet F8q'�8'R��O����S� INCENTIVE CHOICES FORM 5- <br />4S.doc 51i1q5 <br />
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