[180-10147-10257.pdf — page 2]
# OFFICE OF THE CLERK## U.S. HOUSE OF REPRESENTATIVES### PERSONAL LEAVE RECORD#### 1978REEVES, FloydName of EmployeeAddressAddressPhone NumberPosition TitlaPosition NumberLevelStepDATE OF APPOINTMENT8-1-77PRIOR FEDERAL SERVICEYears MonthsANNUAL LEAVECATEGORY1.  02.  53.  0|                                             | Annual Leave | Sick Leave || ------------------------------------------- | ------------ | ---------- || BALANCE BROUGHT FORWARD FROM PRECEDING YEAR | 5            | 5          || 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                |                   || Jan.  |                                                                                     | 1                  | 1                    |                 | 6                         |                   || Feb.  |                                                                                     | 1                  | 1                    |                 | 7                         |                   || Mar.  |                                                                                     | 1                  | 1                    |                 | 8                         |                   || Apr.  |                                                                                     | 1                  | 1                    |                 | 9                         |                   || May   |                                                                                     | 1                  | 1                    |                 | 10                        |                   || June  | XXX                                                                                 | 1                  | 1                    | 3               | 8                         |                   || July  | XXX                                                                                 | 1                  | 1                    | 8               | 0                         |                   || Aug.  | XXX                                                                                 |                    |                      |                 |                           |                   || Sept. | XXXX                                                                                |                    |                      |                 |                           |                   || Oct.  |                                                                                     |                    |                      |                 |                           |                   || Nov.  |                                                                                     |                    |                      |                 |                           |                   || Dec.  |                                                                                     |                    |                      |                 |                           |                   |= 0.  5 day annual leavo= 1.  0 day annual leave= 0.  5 day sick leaveS or = 1.0 day sick leaveA or = 0.5 day administrative leaveA = 1.0 day administrative leaveU = 0.5 day unauthorized absenceU = 1.0 day unauthorized absence= 0.  5 day leave without pay= 1.  0 day leave without payEmployee's Signatura //////CERTIFIED CORRECT:Date(If employee refuses to sign, state reason below.Approved:Chief's SignatureClerk of the HouseDateDateThis 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