HomeMy WebLinkAboutPersonnel Action Request - Facilities & MaintenanceNNE ACTION R E QUEST (PAR)
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0 I -legal I -Cory Peters <Enter>
Name U
Address
<Enter>
Telephoxie 3013 A. ext.
(42-5) 750- -e
SS# - iAbd -oo-0000 — oo/00/0, 0 000-00-000 0, W-'00/00/00
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Action(s) Leave Data sepa71-ation Dahj
Type Reason
A
start Date oolooloo
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Section,,ry.—. Cofelteiii-s �(Curkeryt Dtita Required)
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'D ept -,D ePt
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-,,'Tbb#-job Title59.33
1. M a ae' III
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000-00-<,B Bitter Title>
Bire — Position
23-- _02/27/2, . 3
00/00/00 - 00/00/010
Grp -Name
Employee Type
N -.-.N' n.-Exe,
-05 o mpt
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61 "if Changtng)
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Standard Sun -Sat
Standard Stir -Sat
Secdon —Authonary izing Signatares
.Department.-Date�,-. 08121123
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H uman Resources: Date-
Board Approval Require Not Required
Chair
Vi"ce-Chain, Date..
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