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REQUEST FOR CASH CONVERSION OF ACCUMULATED PERSONAL LEAVE DAYS D ae For porsonal eave days accumulate, an employee may olot to bo paid n ash, at thal curent ale of pay proved tak 1. The Employee has completed at eat one year of continuous employment. 2, 120 hours must be let inthe employee's personal leave account otherwise, the Cash Out Request cannot be processed, '3. Cosh conversions are permited in July and December, ora the discretion ofthe ily Manager. Employee Name ] fv oe ~ wld \ polte LMarfed Vv ‘Human Resources Approval J eu ic® Director Approval For Pero! Use Only 63 .€\ ‘Current Hours Avaliable Jul/Dee Payral PTARK W. HAueTere | | Hours Requested ] [00.0 | biS1é 6/Is [16 Date Cfayle €4Kb Date CAL Date 499.81 ‘Curent Hours PL Hours Lef (120hvs a eater) For personal leave days accumulated, an employee may elect to be paid in cash, al their current rate of pay provided that 1. The Employee has completed atleast one year of continuous employment, 2. 120 hours must be left in the employee's personal leave account; otherwise, the Cash Out Request can not be processed. 3. Cash conversions are permitted in July and December, or atthe discretion of the City Manager. Employee Name “Hours Requested S67 wlpexk td Youve re | [22.0e 2 2 ‘Emplofee Signature ‘Date Cah LE; 2h 2/1/76 ¥ Spero L Date hele Wrhanfed ACHE | ____ Human Resources Approval V | Date _ Qi. ph Finance Director Approval Date | pT aATER | Heape 52D. 09 Yas. 04 REQUEST FOR CASH CONVERSION OF ACCUMULATED PERSONAL LEAVE DAYS 1. The Employee has completed at For personal leave days acoumate, an employee may ect fo be paid in cash, al tel curent rate of pay provided that on year of contnuous employment 420 hours must be lft inthe employee's personal leave account otherwise, the Cash Out Request can not be processed. Cash conversions are permite in July and December, o atthe discretion ofthe Cy Manager, Employee Name Hours Requested aK. HAE TETe. ‘Supervisor Approval Keates Wren fowl uman Resources Approval Bucdtltic t Finance Director Approval fanager Approval eH ‘For Payroll Use Only SY5.07 LIS.04 Sia Ra ET SRA aN ato ora