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City of <br /> camsey <br /> <br /> ADMINISTRATI V E _SERyICES. <br /> 15153 Nowthcn Boulevard N.W. Phone: (612) 427-1410 <br /> Ramsey, MN 55303 Fax: (612) 427-5543 <br /> www.ci.ramsey.mn.us TDD: (612) 427-8537 <br /> <br />Ill Ill I I - Iq <br /> I [ I I <br /> <br /> III <br />I, , donate hours of my vacation time · <br /> (print name) <br /> I <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 /> <br />it will be deleted from my official records and 'transferred to another employee's account. <br /> ! <br />I also understand that once I donate my vacation time, this donation/gift is irrevocable and I have <br /> <br />no control over how the give of vacation time is used once donated. I <br /> <br />This donation is for <br /> (Employee Name) <br /> <br />Donor's Name Social Security Number I <br /> <br />Donor's Signature <br /> <br />Date <br /> <br />Administrative Services Manager <br /> <br />I <br />I <br /> <br />6/99 I <br /> <br /> <br />