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# OFFICE OF THE CLERK## U.S. HOUSE OF REPRESENTATIVES# PERSONAL LEAVE RECORD## 1978BALANCE BROUGHT FORWARD FROM PRECEDING YEAR|              |            || ------------ | ---------- || Annual Leave | Sick Leave || 2            | 6          |YEARANNUAL LEAVE CATEGORYDATE OF APPOINTMENT6-22-771.  01.  5PRIOR FEDERAL SERVICE2.  0|                    |                      |                 |                           || ------------------ | -------------------- | --------------- | ------------------------- || ACCRUED THIS MONTH | AVAILABLE THIS MONTH | USED THIS MONTH | BALANCE AT CLOSE OF MONTH ||              |            |              |            || ------------ | ---------- | ------------ | ---------- || Annual Leave | Sick Leave | Annual Leave | Sick Leave |BURFORD, JudithName of EmployeeAddressAddressPhone NumberPosition TitiaPosition 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  | Annual Leave | Sick Leave | Annual Leave | Sick Leave | Annual Leave | Sick Leave | Annual Leave | Sick Leave |     || ----- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ------------ | ---------- | ------------ | ---------- | ------------ | ---------- | ------------ | ---------- | --- || Jan.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     | S   |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | 1            | 1          | 3            | 7          | /            | 1          | 3            | 6          |     || Feb.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | 1            | 1          |              |            |              |            | 4            | 7          |     || Mar.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | 1            | 1          |              |            |              |            | 5            | 8          |     || Apr.  |     |     |     |     |     |     |     |     |     |     |     | S   |     |     |     |     |     |     | X   |     |     |     |     |     |     |     |     |     |     |     | XX  |              | 1          | 1            | 7          | 9            |            | 1            | 6          | 8   || May   |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | S   |     |     |     |     |     |     |     |     | 1            | 1          |              |            | 3            |            | 4            | 9          |     || June  | XX  |     |     |     |     | X   | X   | X   | X   | S   |     |     |     |     |     |     |     |     |     |     |     |     |     | S   |     |     |     |     |     | XX  |     | 1            | 1          | 5            | 10         | 2            | 1          | 3            | 9          |     || July  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | S   |     |     |     |     |     |     |     |     | 1            | 1          | 4            | 10         | 4            | 2          | 0            | 7          |     || 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= 0.5 day administrative leaveA or = 1.0 day administrative leave= 0.5 day unauthorized absenceU or = 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.Approved:Chiel's Signature DateClerk 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:32243286 Page 3