📄 Extracted Text (153 words)
LSJ Employees, LLC
Mailing Address: 6100 Red Hook Quarter 133 tit. Thomas, VI 00802-1348
General contact information Tel: 340-775-8100 Fax: 340-775-8108
E-mail:
Accounts payable department contact information Fax: 340-775-2528
Vacation / Leave Form
Name: @fit I ci)) A
Date of Request:i 15 rocv c ot;
Dates of Requested:
Date of First Day of Vacation: —rues 31 Aran Date Return to Work: Wars 11-fri
Total Number of Days:
Al,a7,ab 304 31 21 t Apr
Leave Days: 3 Weekend Days: / Holidays: 2. Personal / Sick : I Days Remaing:
Type ofLeave:
y Vacation with Pay C Leave without pay C Personal Sick Leave C Other
If Other Explain:
List of all contact information:
Phone:
E
Cell: I
Email:
L
The following must be verified with Estate Manager
1. The number of vacation days you have taken.
2. The number employee in your division / department that are leave at the same time
Approved:
EFTA01091902
ℹ️ Document Details
SHA-256
cead2c7ad1f53d5df11f49242c25b1535a2778fdd34bfeeb34f6873b1ef351dc
Bates Number
EFTA01091902
Dataset
DataSet-9
Document Type
document
Pages
1
Comments 0