CALL IN/TARDY NOTE

I ..............................................., hereby declare that I was either late or called in on
.......................................................... . This is a warning and an agreement that if I am to be late
or call in without proper notice I am to be subject to receive a council form.

ES name.......................................................................... Signature.............................................
LES name....................................................................... Signature..............................................
RSE name...................................................................... Signature..............................................

CALL IN/TARDY NOTE
I ..............................................., hereby declare that I was either late or called in on
.......................................................... . This is a warning and an agreement that if I am to be late
or call in without proper notice I am to be subject to receive a council form.

ES name.......................................................................... Signature..............................................
LES name....................................................................... Signature..............................................
RSE name....................................................................... Signature..............................................

733.9047.0.91.294-0.20 $3.20 $3.0/343   %88.70020399.3..3/.%# %   070-/0.0..9..4:3.90  47.9:70            .20 $3.80907...1472    $3.9:70   #$3.709.0.9:70   $3.394:9574507349.294-08:-0.99470.

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