Zorro Development Corp. Tel Fax E-mail Vacation / Leave Form Name: Date of Request: Brice M Gordon 02/09/16 Dates of Requested: Date of First Day of Vacation: Total Number of Days: Leave Days: 4 Type of Leave: Wed 17th Feb 2016 Weekend Days: 2 Holidays: (*I Vacation with Pay C' Leave without pay If Other Explain: Date Return to Work: Personal / Sick : r Personal Sick Leave C Other Tues Feb 23rd 2016 Days Remaing. 52 days Days Remaining Based on Vacation to be taken in March/April List of all contact information: Phone: Cell: Email: The following must be verified with Estate Manager 1. The number of vacation days you have taken. 2. The number employee in your division / department that are leave at the same time Approved: EFTA00305497

Zorro Development Corp. 49 Zorro Ranch Road Stanley, NM 87056 Tel: 505 938 2920 Fax: 505 938 2924 h E-mail Name: Date of Request: 02/09/16 Vacation / Leave Form Dates of Requested: Date of First Day of Vacation: Total Number of Days: Leave Days: 4 Type of Leave: Wed 17th Feb 2016 Weekend Days: 2 Holidays: Date Return to Work: Personal / Sick : a Vacation with Pay C Leave without pay Personal Sick Leave Other If Other Explain: Tues Feb 23rd 2016 Days Remaing: 52 days Days Remaining Based on Vacation to be taken in March/April List of all contact information: Phone: Cell: Email: The following must be verified with Estate Manager 1. The number of vacation days you have taken. 2. The number employee In your division / department that are leave at the same time Approved: EFTA00305498