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# OFFICE OF THE CLERK## U.S. HOUSE OF REPRESENTATIVES# PERSONAL LEAVE RECORD## 1977BOLAND, C.T.AddressAddressPhone NumberPosition TitlePosition NumberLavelStepDATE OF APPOINTMENT12-27-76ANNUAL LEAVE CATEGORY1.  0PRIOR FEDERAL SERVICE1.  52.  0BALANCE BROUGHT FORWARD FROM PRECEDING YEARAnnual Leave -Sick Leave -| 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 Annual. Leave / | ACCRUED THIS MONTH Sick Leave / | AVAILABLE THIS MONTH Annual Leave / | AVAILABLE THIS MONTH Sick Leave / | USED THIS MONTH Annual Leave / | USED THIS MONTH Sick Leave / | BALANCE AT CLOSE OF MONTH Annual Leave 1 | BALANCE AT CLOSE OF MONTH Sick Leave 1 | EMPLOYEE INITIALS |     |     |     |     |     || ----- | --- | --- | --- | --- | ---- | --- | --- | --- | ----- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | ---------------------------------- | ------------------------------- | ----------------------------------- | --------------------------------- | ------------------------------ | ---------------------------- | ---------------------------------------- | -------------------------------------- | ----------------- | --- | --- | --- | --- | --- || Jan.  |     |     |     |     |      |     |     |     |       |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     || Feb.  |     |     |     |     |      |     |     |     |       |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     || Mar.  |     |     |     |     |      |     |     |     |       |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     || Apr.  |     |     |     |     |      |     |     |     |       |     |     |     |     |     |     | X   | X   |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     || May   |     |     |     |     |      |     |     |     |       |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     || June  |     |     |     |     |      |     |     |     |       |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     || July  |     |     |     |     |      |     |     |     |       |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     || Aug.  |     |     |     |     |      |     |     |     |       |     |     |     |     |     |     |     | X   |     |     |     |     |     | X   | X   | X   | X   | X   |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     || Sept. | SS  |     |     |     | SSSA |     |     |     | AAAAA |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     || Oct.  |     |     |     |     |      |     |     |     |       |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     || Nov.  |     |     |     |     |      |     |     |     |       |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     || Dec.  |     |     |     |     |      |     |     |     |       |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |     |                                    |                                 |                                     |                                   |                                |                              |                                          |                                        |                   |     |     |     |     |     |Terminated 9/15/77= 0.5 day annual leave= 1.0 day annual leave= 0.5 day sick leave.S 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 payEmployee's SignatureDate(If employee refuses to sign, state reason below.)CERTIFIED CORRECT:Chief's SignatureDateApproved:Clerk of the HouseDateThis 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:32243278 Page 3