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# OFFICE OF THE CLERK## U.S. HOUSE OF REPRESENTATIVES# PERSONAL LEAVE RECORD## 1977YEARBROWN C.L.AddressAddressPhone NumberPosition TitleDATE OF APPOINTMENT12-29-76ANNUAL LEAVECATEGORY1.01.5PRIOR FEDERAL SERVICE2.  0Position Number Lavel Step Years Months| Month |  1  |  2  |  3  |  4  |  5  |  6  |  7  |  8  |  9  | 10  | 11  | 12  | 13  | 14  | 15  | 16  | 17  | 18  | 19  | 20  | 21  | 22  | 23  | 24  | 25  | 26  | 27  | 28  | 29  | 30  | 31  | ACCRUED THIS MONTH | AVAILABLE THIS MONTH | USED THIS MONTH | BALANCE AT CLOSE OF MONTH | EMPLOYEE INITIALS |     |     |     |     |     || ----- | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :-: | :----------------: | :------------------: | :-------------: | :-----------------------: | ----------------- | --- | --- | --- | --- | --- || Jan.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |         /          |                      |                 |                           |                   | 1   |     |     |     | 1   || Feb.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |         /          |                      |                 |                           |                   | 2   |     |     |     | 2   || Mar.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |         /          |                      |                 |                           |                   | 3   |     |     |     | 3   || Apr.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |         /          |                      |                 |                           |                   | 4   |     |     |     | 4   || May   |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |         /          |                      |                 |                           |                   | 5   |     |     |     | 5   || June  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |         //         |                      |                 |                           |                   | 6   |     |     |     | 6   || July  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |         //         |                      |                 |                           |                   | 7   |     |     |     | 7   || Aug.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   | 8   |     |     |     | 8   || Sept. |  A  |     |     |     |  A  |  A  |  A  |  X  |     |     |     |     |  X  |  X  |  X  |  X  |  X  |  X  |     |     |  X  |  X  |     |     |     |     |     |     |     |     |     |         8          |          8           |                 |             8             |                   | 0   |     |     |     | 8   || Oct.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |     |     |     |     |     || Nov.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |     |     |     |     |     || Dec.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |     |     |     |     |     |Terminated 9/20/77= 0.5 day annual leave= 1.0 day annual leave= 0.5 day sick leaveS or S = 1.0 day sick leaveA= 0.5 day administrative leaveA or A = 1.0 day administrative leaveU = 0.5 day unauthorized absenceU or U = 1.0 day unauthorized absence= 0.5 day leave without pay= 1.0 day leave without payCERTIFIED CORRECT:Employee's Signature Date(If employee refuses to sign, state reason below.)Chief's Signature DateApproved:Clerk of the House DateThis record will be forwarded to the Clerk of the House at the end of each calendar year, or in case of termination, along with the request for termination. Upon approval, the record will be filed in the employee's official personnel folder.EXHIBIT INW 88326DocId:32243283 Page 3BALANCE BROUGHT FORWARD FROM PRECEDING YEARAnnual LeaveSick Leave