Case File
efta-efta01110061DOJ Data Set 9OtherLSJ, LLC
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01110061
Pages
1
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0
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LSJ, LLC
6100 Red Hook Quarters Suite B-3 St. Thomas, VI 00802-1348 Tel:
Fax:
E-mail:
Vacation / Leave Form
Name:
!Thomas Melnick
Date of Request: [12/02/11
Dates of Requested:
Date of First Day of Vacation: 'December 24th, 2011
Date Return to Work:
'January 11th, 2012
Total Number of Days:
Leave Days: I10
Weekend Days:F
Holidays:
FT
Personal / Sick: I
Days Remainwl 0 days
Type of Leave:
C Vacation with Pay
' Leave without pay
C Personal Sick Leave
C Other
If Other Explain: Holidays : Christmas Day, New Years Day
List of all contact information:
Phone:
Cell:
Email:
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:
EFTA01110061
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Phone
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