TOWN OF
|
EMPLOYEE NAME |
PAY PERIOD # YEAR |
|
DEPARTMENT |
BEGINNING DATE OF PAY
PERIOD (SUNDAY) |
INDICATE DATES AND NUMBER OF
HOURS OF LEAVE REQUESTED
|
DATES |
SUN / |
MON / |
TUE / |
WED / |
THU / |
FRI / |
SAT / |
SUN / |
MON / |
TUE / |
WED / |
THU / |
FRI / |
SAT / |
TOT. |
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Vacation |
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Sick |
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Comp |
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Civil |
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W/out pay |
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Military |
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Other |
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EMPLOYEE
SIGNATURE |
DIRECTOR
SIGNATURE |
|
SUPERVISOR
SIGNATURE |
|
TOWN OF
|
EMPLOYEE
NAME |
PAY
PERIOD # YEAR |
|
DEPARTMENT |
BEGINNING
DATE OF PAY PERIOD (SUNDAY) |
INDICATE DATES AND NUMBER OF
HOURS OF LEAVE REQUESTED
|
DATES |
SUN / |
MON / |
TUE / |
WED / |
THU / |
FRI / |
SAT / |
SUN / |
MON / |
TUE / |
WED / |
THU / |
FRI / |
SAT / |
TOT. |
|
Vacation |
|
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Sick |
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Comp |
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Civil |
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W/out pay |
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Military |
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