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ti <br />VILLAGE OF OKONO, fli.'NESOTA STATEMENT OF RESIGNATION <br />Prepare <br />3 copies <br />NAi'IE OF Hi'l <br />rL,. <br />PLOYEE j <br />!^< ^ X-.> <br />POSITION TITLE <br />Department Salary Rate <br />• i 1 <br />Full Time X <br />Part Time <br />Statement of Resignation; <br />I request that this resignation be accepted by the Village Cowell to <br />become effective on ' is the lasr <br />day of actual service. 1 an^'requesting compensation for personal service <br />to the Village in the above indicated position for accrued annual leave H.i* <br />for _ _ _^days. The reason for this resignation is as follows: <br />nr'*-.1.h'> <br />■T k <br />Date: <br />(Employee * s ^S4^ature) <br />Recommendation of Department Head: <br />I would pO would not ( ) re-hire this employee. <br />Tnis position may not be refilled until /- ^ ^ _ <br />Date; /(f(Department Head) <br />Certification of Accrued Leave: <br />Payment for accrued leave upon employee’s termination on <br />Data://5/fg’ <br />i