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<br />Salary Request & Employment Form <br /> <br />TO BE COMPLETED BY DEPARTMENT HEAD <br /> <br />Name Of Employee: Kasprick, Mike <br />Title Of Position: Sergeant - Temporary Assignment <br /> <br />SSN: <br />Department: County Jail <br /> <br />Pay Grade: C-43 <br />Starting Date: Aug 20, 2007 <br /> <br />Salary Range: Minimum $43,759 Maximum $62,961 <br />Starting Salary: i43,758' ~511srl <br />XX Salaried and Exempt: XX Non-exempt <br /> <br />Employee Status: <br /> <br />Hourly <br /> <br />XX <br /> <br />Full Time <br />Part Time <br />Part Time <br />Temporary <br /> <br />(Works 40 hours per week) <br />(Works more than 20 scheduled hours per week) <br />(Works less than 20 scheduled hours per week) <br />(Less than 6 months employment expected) <br /> <br />Position #: 3510-422- <br /> <br />This Salary request is for a: <br />New Position <br /> <br />xx <br /> <br />Salary Adjustment From: $ <br />to: $ <br /> <br />Hour <br /> <br />Month <br />Month <br /> <br />Pay Grade: B-32 <br />Pay Grade: C-43 <br /> <br />Hour <br /> <br />Reason for Adjustment <br /> <br />Merit Increase <br /> <br />Cost of Living <br />Across the Board <br /> <br />XX Other: Temporary Assignment <br /> <br />XX Replacement for: Sgt Judy Tollefson <br /> <br />Who was at the previous salary of <br /> <br />Hour <br /> <br />Month <br /> <br />Year XX <br /> <br />Reason: Mike Kasprick has been assigned to assume the duties of Sgt Judy Tollefson for five weeks. <br /> <br />Period beginning August 20,2007 to September23, 2007 <br /> <br />l~ <br />, <br />Head <br />By ,Deputy <br /> <br /> <br />(Five Weeks) ~ <br /> <br />y1~/J . <br /> <br />Signature, Personnel Department <br />