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Civil Service Form 48

Employee No. ____________

Civil Service Form 48

DAILY TIME RECORD

Employee No. ____________

DAILY TIME RECORD

(NAME)

(NAME)

For the Month of _________________ 200__

For the Month of _________________ 200__

Official Hours for Reg. Days ____________________

Official Hours for Reg. Days ____________________

Arrival and Departure Saturdays _________________

Arrival and Departure Saturdays _________________

D
A
Y

D
A
Y

A.M.

Arr.

P.M.

Dep.

Arr.

OVERTIME

Dep.

Arr.

Dep.

10

10

11

11

12

12

13

13

14

14

15

15

16

16

17

17

18

18

19

19

20

20

21

21

22

22

23

23

24

24

25

25

26

26

27

27

28

28

29

29

30

30

31

31

TOTAL _______________________

A.M.

Arr.

P.M.

Dep.

Arr.

OVERTIME

Dep.

Arr.

TOTAL _______________________

I certify on my honor that the above is true

I certify on my honor that the above is true

and correct report of the hours of work performed,

and correct report of the hours of work performed,

record of which was made daily at the time of arrival

record of which was made daily at the time of arrival

and departure from office.

and departure from office.

Official or Employee

VERIFIED as to the prescribed hours.

Dep.

Official or Employee

VERIFIED as to the prescribed hours.

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