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VILLAHE OF ORONO, .-flNNESOTA <br />STATE!lENT OF RESIGNATION <br />Prepare <br />3 copies <br />NA!IE OF El IPLOYEE / / <br />^^0 7^ 1^(7 <br />POSITION TITLE <br />Department <br />Po//c^ <br />Salary Rate <br />V. <br />ft <br />Full Time <br />Part Time <br />Stateiaeiit of Resignation: <br />I request that this resignation ^ accepted by the Village Co^cil to <br />become effective on j* wnich is the lasr <br />day of actual serviced I am requesting” compensation for personal service <br />to the Village in the above indicated position for accrued annual leave Hu. <br />for _ _ _^days. The reason for this resignation is as follows: <br />Date: <br />(Employee’s Sf^wture) <br />Recommendation of Department Head: <br />I would (>0 would not ( . ) re-hire this employee. <br />Tuis position may not be refilled \3Hti \ /icu£ <br />Date: ih rJfu^ <br />Certification of Accrued Leave: . <br />hf,ru^ ■Payment for 5/^^ ^ps^ccrued leave upon erapl <br />^O f^Om^ t Cr / <br />Date: <br />(Department Heacij <br />cee's termination on^ <br />lorinzed.i