[180-10060-10472.pdf — page 2]
# OFFICE OF THE CLERK## U.S. HOUSE OF REPRESENTATIVES# PERSONAL LEAVE RECORD## 1978![Image of the personal leave record year.]## LOCKE, RalphName of EmployeeAddressAddressPhone NumberPosition TitlePosition Number Level StepDATE OF APPOINTMENT11-15-76ANNUAL LEAVE CATEGORY1.  02.  53.  0PRIOR FEDERAL SERVICEYears MonthsBALANCE BROUGHT FORWARD FROM PRECEDING YEARAnnual Leave: 10Sick Leave: 13| Month | DAY OF MONTH |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | ACCRUED THIS MONTH | AVAILABLE THIS MONTH | USED THIS MONTH | BALANCE AT CLOSE OF MONTH | EMPLOYEE INITIALS |              |            |              |            |     || ----- | ------------ | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ------------------ | -------------------- | --------------- | ------------------------- | ----------------- | ------------ | ---------- | ------------ | ---------- | --- ||       | 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                 | Annual Leave         | Sick Leave      | Annual Leave              | Sick Leave        | Annual Leave | Sick Leave | Annual Leave | Sick Leave |     || Jan.  |              |     |     |     |     | X   | X   | X   | X   | X   |     |     |     |     |     |     |     |     |     |     | A   |     |     |     |     |     |     |     |     |     | 1                  | /                    | /               | 11                        | 14                |              |            |              |            |     || Feb.  |              |     |     |     |     | X   | X   | X   | X   | X   |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    | /                    | /               | 12                        | 15                | 5            | 7          | 15           |            |     || Mar.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    | /                    | /               |                           |                   |              | 8          | 16           |            |     || Apr.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    | /                    | /               |                           |                   |              | 9          | 17           |            |     || May   |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    | /                    | /               |                           |                   |              | 10         | 18           |            |     || June  | X            | X   |     |     |     | X   | X   | X   | X   |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | X                  | /                    | /               | 11                        | 19                | 6            | 5          | 19           |            |     || July  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | X   | X   | X   | X   | X   | X   |                    | /                    | /               | 6                         | 20                | 6            | 0          | 20           |            |     || Aug.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |              |            |              |            |     || Sept. |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |              |            |              |            |     || Oct.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |              |            |              |            |     || Nov.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |              |            |              |            |     || Dec.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |              |            |              |            |     |☑ = 0.5 day annual leave☒ = 1.0 day annual leave☑ = 0.5 day sick leaveS or ⌿ = 1.0 day sick leave☐ or [A] = 0.5 day administrative leaveⒶ or [A with check mark] = 1.0 day administrative leaveU or [U with line] = 0.5 day unauthorized absenceU or ⌿ = 1.0 day unauthorized absence☑ = 0.5 day leave without pay☑ = 1.0 day leave without pay![handwritten notes] 7/15/78Employee's Signature Date(If employee refuses to sign, state reason below.CERTIFIED CORRECT: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:32239480 Page 3