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30 31 Aft-Et Arrival DepAr ture AA. Aft eTure BA. Arrival DepAr ture BA. E. Arrival DepAr ture BA. E. Arrival DepAr ture BA. E. Hours Min. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 4-2 CABLE TRANSCRIPTS OF EMPLOYEE OR COMMISSIONOR REPORTS, RECORD, OR REPORT, TO OR FROM THE DEPARTMENT OF AGRICULTURE Description of Document Number Title 4-3 EMPLOYEE SALARY AND EMPLOYEE OBLIGATION STATISTICS TOOL Description of Document Number Title 4-4 IMPORTANT MATERIALS ON SALARY RECEIPTS FOR MEMBERS OF THE DEPARTMENT OF AGRICULTURE Description of Document Number Title 4-5 IMPORTANT MATERIALS ON SALARY RECEIPTS FOR MEMBERS OF THE DEPARTMENT OF AGRICULTURE (INCLUDING SUSPENSION PERIODS) Description of Document Number Title 4-5.1 RENEWEE STATEMENT RE: RETIRED MEMBERS OF THE DEPARTMENT OF AGRICULTURE Description of Document Number Title 4-5.2 CONSIDERATION OF SUSPENSION PERIODS FOR MEMBERS OF THE DEPARTMENT OF AGRICULTURE Description of Document Number Title 4-6 CONSIDERATION OF SUSPENSION PERIODS FOR MEMBERS OF THE DEPARTMENT OF AGRICULTURE (INCLUDING SUSPENSION PERIODS), BY EMPLOYEE, FOR MEMBERS OF THE COMMITTEE ON PUBLIC HEALTH Description of Document Number Title 4-7 SUSPENSION PERIOD FOR MEMBERS OF THE DEPARTMENT OF AGRICULTURE IN CONNECTION WITH THE FAST FOOD PROGRAM – FEDERAL GOVERNMENT GRANT PROGRAM Description of Document Number Title 4-8 SUSPENSION PERIOD FOR MEMBERS OF

) ...or: Dr. — Fill Online, Printable, Fillable, Blank | fill-full NAME For the month of Office Hours regular days Arrival Departure Saturdays AM Arrival Departure PM Sure Hours Min. Dr. Dr. (Insert your name here). Dr. Dr. (Insert your name here). Your job should not include performing dangerous work, including firefighting, construction, excavation, mining, logging, mining safety, drilling for oil or gas, drilling for mineral deposits, water safety, or any hazardous waste. If you have completed any state-required safety and health examinations, include a statement that you have completed the examinations on the cover page of your application. Provide copies of health insurance cards, if you have taken out, renewed or reinstated any type of health insurance coverage in the last 15 or 30 days. If you wish to file a chargeback against your application, please include your bill for the application processing fee upon receipt of payment to prevent chargeback attempts.