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wate 1 0.29 69110 " sriy rere sens PamoL UE ® ervey rssh sao 320 Jouning eo oun vu une ompres vere amin vey Be Taal su erie) sever eguewe _eooper_opeeea _oriee asus sw sz essen yuna sei Oaumny GLA VG voy said itg eoRuD REGNUM eEOA dea alas URN Aon Agisipn QNOZIOEID- cLazrti2 pated syD—U19 LaNy-JoyelBox Buluse youseg ‘84M NOLONIAM IRVING TUN Laon TREE SCHON DIS RECT Name aJesin Lybansty, School Dakss fre nae S dow a 504 of F040 case fh AL0/5F Rate & Cade to be Hedin by Disnict Omen) Time Dae Endet ot Nous ——_. Wortep the § 4 5 (i sa,) Sommer cssignmenr by Fe oy) etnies Ee MY 6 Period ths 4 gt ty) > other Gi FOS 8G dy) xpliantion: CBee /OST Summer 2007 Oe 3 _ = gha/ia Ean Saar ‘at pa: Dalit recat be completed by empliyce after asigomen is emmpletd, signe hy your building principal und ierintentent an then sont te the Payroll Department lar uppeocal by the Assent Superimeaens be PAID Revised: 8129716 IRVINGTIN UNION FREE SCHOOL. DIS TRICH Irvington, Hew York 10595 ADD TO PAYROLL FORM 1K ! FOR CURRICULUM WORK i Name__wles2a. Lubsns’ ~ School Qs 4or 3% Rate dawn * $08 9529 2 Biyuy Coder HAG BUTB Gate & Coue tobe fled in by District Oey Dae Gane Sy wathyous Works wo Ge ay ———__ Summer assigumenn — Tf6 a Yt sy) repr chairgerson = FE Gos Ff finy ¥ «th Period Dhe we FMF city omer 111s a aE G ES) ETO JOSS Samra Zar «sy fle 19 Sima ‘Ta Fa Sana io . ee a <7 an ‘sii Sap i or CoO Spa (oa roan Completed by employee after assignment ic completed signed by your building prseipa, and fendent, aed then sent othe Payroll Departowot fax approval ij the Assistant Superioondont fon Busines) Revised: 2729716 IRVINGTON UNION FREE SCHOOL DEST 1 6 5 Irvington, New York 10533 DD TO PAYROLL FORM SOR CURRICULUM WORK Name__ ~Jesum, bebvasty Sehoot___ Disko = 4 Foye Rute. Sale COIS: "2H 350 Coder Ab FONE (Rat “ ie & Code tae filled ia by Oitriet Offs} Time Time Pate Stured Ended of Hes Workshop Tha ¥ “ st thy) ‘Summer Assignatent Fy a “ iG tay Dept. Chairperson Dh & SM a) Peet zip & 4 (4 aS) ote Bhs se Ch A) Raplonatios STO LOST Sumar Zan any 8 f3-/\7 Tein eB) ‘aay ina Saray a) errant ere A 7 GL {fois farm ito be comple hy emlayn, alter assignments empleo signe by yoxr bellng principal, and peuauZerintendent and then sent ea the Payroll Department for approval bythe Avasnal Sayernerdete ton Bisinesy) Revised: 8/29/16 IRVINGTON UNION EREE SCHOOL DISTRICH Irvington, New York 19533 FOR CURRICULUM WORK Nome__Jegse Lely! Schoot__Das'ors wm : ace dae "608 95°82 79 a9 cone 62 UEP © (Rate & Code to be filled in by District Offixy ADD TO PAYROLL FOR! Pi il Tie ‘Time aig Started = Ened © of Houry Workshop Ua & sw 4 Ct) Summer Assignment Mae e * ee) Dept. Chairperson Diet e Nv a Foci) 6 Period why Fe ACh 4) Pact Other Tit fos RoCt4dy) Erpaaatoo:__ CO PEC Sure Za Oeny Efpefi2 PL) ~ tinea ey “aay TF Sig] Day {bis form isto be completed by omplayes, ater sesignanet is eomigleled signed by your b the Superiatendont, and then sent tothe Payrolf Dapantivent for eppraval bythe Arsoteat Busines} PALE Revised: 8/29/16