Company Name

Street Address, Address 2, City, ST ZIP code Weekly Time Sheet with Breaks

Employee: Employee phone:

Employee e-mail: Pay period start date: 10/23/2017
Manager: Pay period end date: 11/5/2017

Day Date Regular Hours Overtime Hours Sick Vacation Total

Monday 10/23/2017 8.00 8.00

Tuesday 10/24/2017 8.00 2.00 10.00

Wednesday 10/25/2017 8.00 8.00

Thursday 10/26/2017 8.00 8.00

Friday 10/27/2017 -

Shabbat 10/28/2017 -

Sunday 10/29/2017 -

Monday 10/30/2017 -

Tuesday 10/31/2017 -

Wednesday 11/1/2017 -

Thursday 11/2/2017 -

Friday 11/3/2017 -

Shabbat 11/4/2017 -

Sunday 11/5/2017 -

Sabtu -

Total 16.00 2.00 8.00 8.00 34.00

Rate per hour $10.00 $15.00 $10.00 $10.00

Total pay $160.00 $30.00 $80.00 $80.00 $350.00

Employee signature Date

Manager signature Date

Page 1 of 1