📄 sign-xfdl-c14n-0.txt
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<XFDL version="4.0.1"> <vfd_title>SF71</vfd_title> <vfd_author>Thomas Mohr</vfd_author> <vfd_revision>4/6/98</vfd_revision> <vfd_date>4/6/98</vfd_date> <saveformat>application/x-xfdl</saveformat> <transmitformat>application/x-xfdl</transmitformat> <formid content="array"> <version>1.0.0</version> </formid> <page sid="PAGE1"> <vfd_pagesize>letter</vfd_pagesize> <vfd_pagedpi>120</vfd_pagedpi> <vfd_printsize>8.0;10.5</vfd_printsize> <label>PAGE1</label> <bgcolor content="array"> <ae>235</ae> <ae>235</ae> <ae>235</ae> </bgcolor> <fontinfo content="array"> <ae>Courier</ae> <ae>9</ae> <ae>plain</ae> </fontinfo> <label sid="LABEL1"> <value>REQUEST FOR LEAVE OR APPROVED ABSENCE</value> <fontinfo content="array"> <ae>Helvetica</ae> <ae>14</ae> <ae>bold</ae> </fontinfo> <justify>center</justify> <size content="array"> <ae>61</ae> <ae>1</ae> </size> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>19</ae> <ae>3</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>874</ae> <ae>34</ae> </ae> </itemlocation> </label> <label sid="LABEL2"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>20</ae> <ae>35</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>79</ae> <ae>26</ae> </ae> </itemlocation> <value>1. NAME</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL3"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>100</ae> <ae>35</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>218</ae> <ae>26</ae> </ae> </itemlocation> <value>(Last, First, Middle Initial)</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>plain</ae> <ae>italic</ae> </fontinfo> </label> <label sid="LABEL4"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>511</ae> <ae>35</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>385</ae> <ae>26</ae> </ae> </itemlocation> <value>2. EMPLOYEE OR SOCIAL SECURITY NUMBER</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL5"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>20</ae> <ae>85</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>170</ae> <ae>26</ae> </ae> </itemlocation> <value>3. ORGANIZATION</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL6"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>20</ae> <ae>135</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>248</ae> <ae>26</ae> </ae> </itemlocation> <value>4. TYPE OF LEAVE/ABSENCE</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL7"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>32</ae> <ae>155</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>236</ae> <ae>26</ae> </ae> </itemlocation> <value>(Check appropriate box(es) below.)</value> <fontinfo content="array"> <ae>Times</ae> <ae>9</ae> <ae>plain</ae> <ae>italic</ae> </fontinfo> </label> <label sid="LABEL8"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>270</ae> <ae>158</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>48</ae> <ae>22</ae> </ae> </itemlocation> <value>From:</value> <fontinfo content="array"> <ae>Times</ae> <ae>9</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL9"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>268</ae> <ae>135</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>163</ae> <ae>26</ae> </ae> </itemlocation> <value>Date</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> <justify>center</justify> </label> <label sid="LABEL10"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>352</ae> <ae>158</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>48</ae> <ae>22</ae> </ae> </itemlocation> <value>To:</value> <fontinfo content="array"> <ae>Times</ae> <ae>9</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL11"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>432</ae> <ae>158</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>48</ae> <ae>22</ae> </ae> </itemlocation> <value>From:</value> <fontinfo content="array"> <ae>Times</ae> <ae>9</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL12"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>430</ae> <ae>135</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>163</ae> <ae>26</ae> </ae> </itemlocation> <value>Time</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> <justify>center</justify> </label> <label sid="LABEL13"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>513</ae> <ae>158</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>48</ae> <ae>22</ae> </ae> </itemlocation> <value>To:</value> <fontinfo content="array"> <ae>Times</ae> <ae>9</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL14"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>592</ae> <ae>134</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>80</ae> <ae>46</ae> </ae> </itemlocation> <value>TotalHours</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> <justify>center</justify> </label> <label sid="LABEL15"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>64</ae> <ae>186</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>205</ae> <ae>26</ae> </ae> </itemlocation> <value>Accrued Annual Leave</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL16"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>64</ae> <ae>232</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>205</ae> <ae>26</ae> </ae> </itemlocation> <value>Restored Annual Leave</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL17"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>64</ae> <ae>278</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>205</ae> <ae>26</ae> </ae> </itemlocation> <value>Advance Annual Leave</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL18"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>64</ae> <ae>323</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>205</ae> <ae>26</ae> </ae> </itemlocation> <value>Accured Sick Leave</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL19"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>64</ae> <ae>368</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>205</ae> <ae>26</ae> </ae> </itemlocation> <value>Advance Sick Leave</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL20"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>19</ae> <ae>409</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>80</ae> <ae>26</ae> </ae> </itemlocation> <value>Purpose:</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL21"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>142</ae> <ae>410</ae> </ae> </itemlocation> <value>Medical/dental/optical Examination of requesting employee</value> <fontinfo content="array"> <ae>Times</ae> <ae>9</ae> <ae>plain</ae> </fontinfo> <size content="array"> <ae>45</ae> <ae>1</ae> </size> </label> <label sid="LABEL22"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>535</ae> <ae>410</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>46</ae> <ae>24</ae> </ae> </itemlocation> <value>Other</value> <fontinfo content="array"> <ae>Times</ae> <ae>9</ae> <ae>plain</ae> </fontinfo> </label> <label sid="LABEL23"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>142</ae> <ae>435</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>439</ae> <ae>42</ae> </ae> </itemlocation> <value>Care of family member/bereavement, including medical/dental/optical examination of family member</value> <fontinfo content="array"> <ae>Times</ae> <ae>9</ae> <ae>plain</ae> </fontinfo> </label> <label sid="LABEL24"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>64</ae> <ae>498</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>204</ae> <ae>26</ae> </ae> </itemlocation> <value>Compensatory Time Off</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL25"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>64</ae> <ae>535</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>180</ae> <ae>26</ae> </ae> </itemlocation> <value>Other Paid Absence</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL26"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>64</ae> <ae>556</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>158</ae> <ae>24</ae> </ae> </itemlocation> <value>(Specify in Remarks)</value> <fontinfo content="array"> <ae>Times</ae> <ae>9</ae> <ae>plain</ae> <ae>italic</ae> </fontinfo> </label> <label sid="LABEL27"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>64</ae> <ae>593</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>192</ae> <ae>26</ae> </ae> </itemlocation> <value>Leave Without Pay</value> <fontinfo content="array"> <ae>Times</ae> <ae>10</ae> <ae>bold</ae> </fontinfo> </label> <label sid="LABEL28"> <itemlocation content="array"> <ae content="array"> <ae>absolute</ae> <ae>676</ae> <ae>135</ae> </ae> <ae content="array"> <ae>extent</ae> <ae>215</ae> <ae>46</ae> </ae> </itemlocation> <value>5. FAMILY AND
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