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City of <br />t;amsey <br /> <br />ADMINISTRATIVE SERVICES <br /> <br />15153 Nowthen Boulevard N.W. <br />Ramsey, MN 55303 <br />www.ci.ramsey.mn.us <br /> <br />Phone: (612) 427-1410 <br />Fax: (612) 427-5543 <br />TDD: (612) 427-8537 <br /> <br />I, ., donate hours of my vacation time <br /> (print name) <br /> <br />towards the City of Ramsey Vacation Leave Donation Program in accordance with Ramsey <br />Administrative Policy on Vacation Donation. I understand that once I donate my vacation time, <br />it will be deleted from my official records and transferred to another employee's account. <br />I also understand that once I donate ms) vacation time, this donation/gift is irrevocable and I have no <br />control over how the give of vacation time is used once donated. <br /> <br />This donation is for <br /> (EmployeeName) <br /> <br />Donor's Name <br /> <br />Social SecurityNumber <br /> <br />Donor's Signature Date <br /> <br />Administrative Services Manager <br /> <br />6/99 <br /> <br /> <br />