Peter Bishop 1234

Occur. #

6

Title: Operator

Location: Nicollet

Next Shift: 9 FEB 8PM - 4AM

Manager: Tony Stark

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	FMLA Used:	hhh
	Remaining:	hhh
	Undesignated:	hh : mm
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Absence: mm/dd/yyyy - mm/dd/yyyy	FMLA 020
mm/dd/yyyy - mm/dd/yyyy	[insert Pay Code]
Work Days Missed: #	Hours: 00:00
Source comments go here.
mm/dd/yyyy - mm/dd/yyyy	[insert Pay Code]
Work Days Missed: #	Hours: 00:00

Chargeable Occurrence (Yes): 5

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[insert manager name/badge #] signed.

[insert manager name/badge #] signed.

[insert witness name/badge #] signed.