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# OFFICE OF THE CLERK## U.S. HOUSE OF REPRESENTATIVES# PERSONAL LEAVE RECORD## 1978SCHLICHTMANN, JanName of EmployeeAddressAddressDATE OF APPOINTMENT8-25-77ANNUAL LEAVE CATEGORY1.0BALANCE BROUGHT FORWARD FROM PRECEDING YEARAnnual Leave: 4Sick Leave: 4Phone NumberPosition Title1.5Position Number Level StepPRIOR FEDERAL SERVICEYears Months2.0| 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.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | A   | A   | A   | A   |     |     |     |     |     |     | /   | /                  |                    |                      | 5               | 5                         |                   |              |            |     |     |     |     |     |     || Feb.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | A   | A   | A   | A   |     |     |     |     |     |     | /   | /   |                    |                    | 6                    | 6               |                           |                   |              |            |     |     |     |     |     |     || Mar.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | X   | X   | X   | X   |     | X   | X   | X   |     |     | /   | /   |                    |                    | 7                    | 7               |                           |                   |              |            |     |     |     |     |     |     || Apr.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | X   | X   | X   |     |     | /   | /   | 7                  | 7                  | 8                    | 0               | 8                         |                   |              |            |     |     |     |     |     |     || May   |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                    |                      |                 |                           |                   |              |            |     |     |     |     |     |     || June  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                    |                      |                 |                           |                   |              |            |     |     |     |     |     |     || July  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                    |                      |                 |                           |                   |              |            |     |     |     |     |     |     || Aug.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                    |                      |                 |                           |                   |              |            |     |     |     |     |     |     || Sept. |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                    |                      |                 |                           |                   |              |            |     |     |     |     |     |     || Oct.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                    |                      |                 |                           |                   |              |            |     |     |     |     |     |     || Nov.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | Terminated 4/26/78 |                    |                      |                 |                           |                   |              |            |     |     |     |     |     |     || Dec.  |              |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                    |                      |                 |                           |                   |              |            |     |     |     |     |     |     |= 0.5 day annual leaveCERTIFIED CORRECT:= 1.0 day annual leave= 0.5 day sick leaveS or S = 1.0 day sick leaveEmployee's Signature Date(If employee refuses to sign, state reason below.)Chief's Signature Date= 0.5 day administrative leaveA or A = 1.0 day administrative leaveApproved:Clerk of the House Date= 0.5 day unauthorized absenceU or U = 1.0 day unauthorized absenceThis 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.= 0.5 day leave without pay= 1.0 day leave without payEXHIBIT INW 88326DocId:32244094 Page 3