Laserfiche WebLink
VILLAGE OF OROUO, ''INNESOTA <br />STATENEUT OF RESIGNATION <br />Prepare <br />3 conies <br />NAME OF E IPLOYEE <br />z <br />Department Salary <br />" Rate <br />`� rNu;'7Ncy <br />Statement of Resignation: <br />POSITION TITLE <br />PAT 01ULv HriN <br />Full Time X <br />Part Time <br />I request that this resignation be accepted by the Vill ge Council to <br />become effective on /yS-/ , waich is the las- <br />day of actual service: —1 aTm requesting compensation for personal servicf• <br />to the Village in the above indicated positio° For accrued annual leave <br />for c- days. The reason for this resignati is as follows: <br />r�ul-l�l 0,�i'A��.►�c,�) r{S r� �/��rl�irt►f�•"-f G(rc i C,;,,��Tl") �'� <br />Date: C�Lj- <br />L Employee's; i ure) <br />Recommenlation of Department Head: <br />I would ( ) would not (x) re -Hire this employee. <br />T,iis position may not be refilled until <br />Date: <br />(Department ea <br />Certification of Accrued Leave: <br />Payment for days accrued leave upon employee's termination on <br />is hereby authorized. <br />Data;: <br />(VillageAdministrator) <br />