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<br />Salary Request & Employment Form <br /> <br />TO BE COMPLETED BY DEPARTMENT HEAD <br /> <br />Name Of Employee: Orvedal, Lorretta <br />Title Of Position: Sergeant - Temporary Assignment <br /> <br />SSN: <br /> <br />Department: County Jail <br /> <br />Pay Grade: <br /> <br />C-43 <br /> <br />Salary Range: Minimum $43,759 <br /> <br />Maximum $62,961 <br /> <br />Starting Date: July 16, 2007 <br />Employee Status: Hourly <br /> <br />xx <br /> <br />Starting Salary: <br />Salaried and <br /> <br />$43,759 i/'/fq~ <br />Exempt: XX Non-exempt <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 />XX <br /> <br />Full Time <br /> <br />Part Time <br />Part Time <br /> <br />Temporary <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: Lorretta Orvedal has been assigned to assume the duties of Sgt Judy Tollefson for five weeks. <br /> <br />Period beginning July 16, 2007 to August 20,2007 (Five Weeks) <br /> <br />?~Q~.L~ CXl~} <br /> <br />~~d Signature, Personnel Department <br />By ..... ,Deputy <br /> <br />" <br />