PPM 5210 610 PA FORM V0

10/9/2018

OHC - Print Hire Form

Hire/Personnel Action Form

Employee Information

Employee Water Raleigh

Address 1 123 Water Work St.

Address 2 N/A

Zip 27603

City Raleigh

State NC

Phone 919-996-3474

Ethnicity White/Non-Hispanic

Gender Male

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Hire Information

Position Details Hire Req# Mascot 2018-00001 (00000000)

Job Type Full-Time

Job Class

Pay Rate

Person ID 0000001

Mascot

$$,$$$

Job Class# 000000

HireDate 7/29/2014

Department Administration

Division

N/A

49

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