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VILLAr,E Or ORO,40, J,,! IESOTA <br />STATEAE11T OF RES I 4ATI ON <br />Prepare <br />3 copies <br />i4A'!E OF EIPLOYEE POSITION TITLE <br />Winton Burmaster Assistant Chief <br />Department <br />Orono, Minnesota <br />Stateuent of Resignation: <br />Salary Rate <br />Full Time x <br />$16.709 hr. Part Time ` <br />I request that this resignation be accepted by t;ie Village Council to <br />become effective on A ril 30 1986 w;licli is the last <br />day of actual service. I am requesting compensation for personal service <br />to the Village in the above indicated position for accrued annual leave clue <br />for days. The reason for this resignation is as follows: <br />I would like to leave vacation and sick lea•.e in escrow for health <br />insurance premiums. Reason - RETIREMENT <br />Date: April 7, 1986 zd-e' _-,V_—(jAPAJ-. __. <br />(Employee's Signature) <br />Recommendation of Department (lead: <br />I would ( ) wonid not ( ) rr - ' this employee. <br />T.iis position may not be refilled witil <br />Date: <br />epartinent Heat <br />Certification of Accrued Leave: <br />Payment for days accrued leave upon a-inloyee'e termination on <br />is hereby authorized. <br />Data: <br />(Village AdmInistratorl <br />