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EFTA00187050
1,2,3.6 AMOUNT S I I Replacement 3,4,6 I) Discharged 1.6 (I Title or Position 1,2,3.6 Repayment Schedule I) Rehire 2,3,6 II Released 1,6 0 Department or Branch 1.2,3,6 I 1 Per Pay Day With i i Reinstate I From Leave 2,3,6 0 Laid Off 1,6 Shift (Day/Night) 1,2,3.6 Balance From Any Bonus
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