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VIL1AGL- : ....jNO, ',INNESOTA <br />STATEi IEJT OF RESIGNATION <br />Prepare <br />3 copies <br />NXIIE OF Ei iPLOYEE <br />(T <br />Depar4ment <br />Statement of Resignation: <br />Salary Rate <br />I by 9 <br />POSITION TITLE <br />Full Time ✓ <br />"Crt Time <br />I request that this resignation be accepted by the Village Council to <br />become effective on f�nv y _ ���� w;iicii is the last <br />day of actual service. —i am �iequesting compensation for personal service <br />to the Village in the above indicated position for accrued annual leave due <br />for days. The reason for this resignation is as follows: <br />Date: <br />loyee's Signa re) , <br />l,G(/'✓dam <br />Recommendation of Department mead: <br />I would ( ) would not ( ) rehire this employee. <br />TAis position may not be refilled until <br />Date: ��z 1 <br />apartment ea <br />Certification of Accrued Leave: <br />Payment for days accrued leave upon employee's terininatiLn on _ - <br />is hereby authorized. <br />Date: - <br />-`age ministratof� <br />