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HomeMy WebLinkAboutNB04-Personnel .' . EMP.NO. DEPT. NO.. 102 CLASS NO. . STATUS OF POSITION STATUS OF PERSON FROM: FROM: CLASS No.. Resignation Duration . . CITY OF SAN BERNARDINO' Personnei Action Request Form NAME: (LAST) (FIRST) (MIDDLE) BIRTH DATE ~~l'ON ETHNIC SOCIAL SECURITY NUMBER . SCHWE IiZER. RA Y DEPARTMENT TYPE OF ACTION COUNCIL AGENDA DATE SPECIAL PROJECTS (See below) 2/17/86 NEW APPOINTMENT, RElilRE OR REINSTATEMENT CLASS TITLE SALARY RANGE SALARY STEP SALARY (HOURLY) PEftMANEHT Xl TEMPORARY 0 P'ULL TIME 0 PART TIME 0 C:"'A..'''II:~ 0 UNCLA..'P"'IED JXJ .IIO.AT'OHARY 0 PERMANENT 0 IS POSITION BUDGETED' TEM.ORA"Y/~ PROVISIONAL. [J YE. m NO [J SEASONAL. SALARV RANGE SALARY ADJUSTMENT SALARY SALARY RANGE SALARV STEP SALARV STEP PROMOTION, DEMOTION, RECLASSIFICATION OR TRANSFER CLASS NO.. CLASS TITLE CLASS NO. CLASS TITLE SALARY RANGE DEPT. NO. DEPARTMENT NAME SALARY TO: SALARY RANGE 3170 D 4398 3185 C DEPT. NO. DEPARTMENT NAME 102 SPECIAL PROJ. 101 SEPARATION OR LEAVE OF ABSENCE AD~lI N I STRATI ON CLASS TITLE l.eave without Pay SALARY RANGE SALARY STEP SALARY Retirement Deceased Dismissal uYOff rom: (I: REMA.RKS cd "" m 0\ " '2J .." ,- m -, CD "1"1 :31 - I OJ -., ~ 2= , 0 - .h ." -..J ~ Expected Starting Date: I /3I/86 Justification for action taken: /1113 () i SIG.NATIJAI=' DEPARTMFNT "'1='4n