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# OFFICE OF THE CLERK## U.S. HOUSE OF REPRESENTATIVES# PERSONAL LEAVE RECORD## 1977RUPPER M.Name of EmployeeAddressAddressPhone NumberPosition TitleDate of Appointment: 1-1-77Annual Leave Category* 1.0* 1.5* 2.0Prior Federal ServicePosition Number Level Step| 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  || ----- | --- | --- | --- | --- | --- | ---- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- || Jan.  |     |     |     |     |     |      |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /   || Feb.  |     |     |     |     |     |      |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /   || Mar.  |     |     |     |     |     |      |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /   || Apr.  |     |     |     |     |     |      |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /   || May   |     |     |     |     |     |      |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | S   |     || June  |     | S   |     |     |     |      |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | SS  |     |     || July  |     |     |     |     |     |      |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /   || Aug.  |     |     |     |     |     |      |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /   || Sept. | XX  | XX  |     |     |     | XXXX |     |     |     |     |     |     | XXA |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | A   || Oct.  |     |     |     |     |     |      |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     || Nov.  |     |     |     |     |     |      |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     || Dec.  |     |     |     |     |     |      |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |Terminated 9/30/77|                           | Annual Leave | Sick Leave || ------------------------- | ------------ | ---------- || Accrued This Month        | /            | /          || Available This Month      |              |            || Used This Month           |              |            || Balance at close of month | 1            | 1          ||                           |              |            || Accrued This Month        | /            | /          || Available This Month      |              |            || Used This Month           |              |            || Balance at close of month | 2            | 2          ||                           |              |            || Accrued This Month        | /            | /          || Available This Month      |              |            || Used This Month           |              |            || Balance at close of month | 3            | 3          ||                           |              |            || Accrued This Month        | /            | /          || Available This Month      |              |            || Used This Month           |              |            || Balance at close of month | 4            | 4          ||                           |              |            || Accrued This Month        | 5            | 1          || Available This Month      | 5            | 5          || Used This Month           | 1            | 5          || Balance at close of month | 5            | 4          ||                           |              |            || Accrued This Month        | /            | /          || Available This Month      | 6            | 5          || Used This Month           | 3            | 6          || Balance at close of month | 2            | 2          ||                           |              |            || Accrued This Month        | /            | /          || Available This Month      |              |            || Used This Month           |              |            || Balance at close of month | 7            | 3          ||                           |              |            || Accrued This Month        | /            | /          || Available This Month      |              |            || Used This Month           |              |            || Balance at close of month | 8            | 4          |✓ = 0.5 day annual leave= 1.0 day annual leaveS or S = 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 payBalance Brought Forward From Preceding Year:Annual leave: -Sick Leave: -Employee InitialsEmployee'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:32244092 Page 3