Attachment 8 Bereavement Leave Certification.doc
DOC document 8 KB Posted
- Solicitation number
- HDEC08-10-R-0009
- Issued by
-
Defense Commissary Agency
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Attachment 8
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Other files
| File | Type | Posted |
|---|---|---|
| HDEC08 10 R 0009 Amendment 0003 Fort Bragg North Commissary.doc | DOC document | |
| Attachment 4 Volume I Cost Breakout for CBA Fort Bragg North Amendment 0003.xls | XLS spreadsheet | |
| HDEC08-10-R-0009 Amendment 0002.doc | DOC document | |
| HDEC0810R0009 Amendment 0001.doc | DOC document | |
| Attachment 7 Volume III Past Performance Information.doc.doc | DOC document | |
| Attachment 2 Final Fort Bragg North PWS dtd 12 4 2009.doc | DOC document | |
| Attachment 4 Volume I Cost Breakout for CBA.xls | XLS spreadsheet | |
| Attachment 5 Volume II Technical Capability and Personnel Proposal.doc | DOC document | |
| Solicitation HDEC08 10 R 0009 Fort Bragg North.doc | DOC document | |
| Attachment 1 DD 1707 Information to Offerors or Quoters.doc | DOC document | |
| Attachment 3 Collective Bargaining Agreement.doc | DOC document |
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Text version
Attachment 8 Solicitation Number: HDEC08-10-R-0009 Commissary: Fort Bragg North , NC
BEREAVEMENT LEAVE CERTIFICATION
REQUEST FOR PAYMENT
Contract: ____________________________________
Name of Employee: ____________________________
Area of Operation (circle one) Shelf Stocking Custodial RSHA
Name of Deceased: __________________________
Relationship to Employee: _____________________
Dates of Bereavement Leave: ___________________
I certify that the above named individual took Bereavement Leave in accordance with the provision of the Collective Bargaining Agreement (CBA) applicable to abovementioned contract and that the individual was paid according to its provisions. Pursuant to said agreement, the contractor is entitled to reimbursement.
| _________________________________ |
| (Signature) |
| _________________________________ |
| (Name, Position, and Date) |
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