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# OFFICE OF THE CLERK## U.S. HOUSE OF REPRESENTATIVES# PERSONAL LEAVE RECORD## 1978HORNBECK, JohnDATE OF APPOINTMENT: 9-19-77BALANCE BROUGHT FORWARD FROM PRECEDING YEAR| Annual Leave | Sick Leave || ------------ | ---------- || 1            | 3          |ANNUAL LEAVE CATEGORY:1.  02.  53.  0| 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.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /                  |                      | /               |                           | 0                 | 4   |     || Feb.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /                  |                      | /               |                           | 1                 | 5   |     || Mar.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /                  |                      | /               |                           | 2                 | 6   |     || Apr.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /                  |                      | /               |                           | 3                 | 7   |     || May   |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /                  |                      | /               |                           | 4                 | 8   |     || June  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | /                  |                      |                 |                           | 5                 | 9   |     || July  |     |     |     |     |     |     | XXX | XX  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     | 5                  | 9                    | 5               |                           | 0                 | 9   |     || Aug.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |     |     || Sept. |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |     |     || Oct.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |     |     || Nov.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |     |     || Dec.  |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                    |                      |                 |                           |                   |     |     |Lerminated 7/11/78= 0.5 day annual leave= 1.0 day annual leave= 0.5 day sick leaveS or S= 1.0 day sick leaveA or A= 0.5 day administrative leaveA or A= 1.0 day administrative leaveU or U= 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)Approved: 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 I