(— THE MAR-A-LAGO CLUB © Personnel Action Notice oo ae Gcpgo [Rem Ooops [Rey [ie . From To Date of Hire . 00 Employee # O r — a = _" KA 2 = ( Personal Address City State Zip ', Phone i Dependents C] Transfer . Al Rate/Salary C) Promotion/Demotion C) Position Title : : yi - a C] Date of Last Increase Amount § , ? Cl Leave of Absence "oO Warning (see comments) C]Medical (Sick Leave + Date of Incident: [] Personal C] Funeral ie 7 Cl Jury Duty (1 Vacation . DO ist (4nd ad Elwal From - To —_______ . Suspension Termination _.«* Total leave for’scheduled work days daysfhours te) day max) Recommended 0) TERMINATION (check one) CiNo Show [) Better Job (complete all 3 columns) ‘ : Relocation _ eer [l with Notice | enter eI Before 90 Days ; isan Without Notice- Involuntary* LJ Medical [7 Retired been out Notic untary After 90 Days C) Unsatisfactory C] Violation of Policy . *Comment section must be completed for Performance C) Layoff all involuntary terminations Rehire Eligibility Yes No men Resources “4; AY , A VY, Beiplayes ; / Yellow Human ‘Resources / i) fe lt / White - Payroll Pink - Department Head MAR-A-LAGO-0022 DOJ-OGR-00016094