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Deductions from Paychecks

I authorize the Company to deduct from my paycheck, the value of any purchases, supplies, materials or other goods that have been obtained through the Company for my benefit, if I have not repaid the Company in full for such items within 30 days of the date that I incurred the expense.

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Signature of Employee

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Name of Employee

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Date

Prepared by:
Kollman & Saucier, P.A.
The Business Law Building,
1823 York Road,
Timonium, MD 21093
(410) 727-4300