Civil Service Form No. 48A NURSE II(Job Order) Civil Service Form No.

b Order) Civil Service Form No. 48A NURSE II(Job Order)

DAILY TIME RECORD DAILY TIME RECORD

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FLORES, ROSE BELLE FLORES, ROSE BELLE

(Name) (Name)

For the month of March 2019 For the month of March 2019
Official hours for arrival Regular days 8:00 AM-5:00PM Official hours for arrival Regular days 8:00 AM-5:00PM
and departure Saturdays and departure Saturdays

Da A.M. P.M. Undertime Da A.M. P.M. Undertime

y Arrival Departure Arrival Departure Hours Minutes y Arrival Departure Arrival Departure Hours Minutes

1 CHD-I P.O NO.2019-314 Agoo East CentralElem. School 1 CHD-I P.O NO.2019-314 Agoo East CentralElem. School

2 OFF 2 OFF
3 OFF 3 OFF
4 Naguilian RHU/Brgy. Natividad 4 Naguilian RHU/Brgy. Natividad

5 Suguidan/Cabaritan, Naguilian 5 Suguidan/Cabaritan, Naguilian

6 CHD-I P.O NO.2019-350 Ortiz, Naguilian 6 CHD-I P.O NO.2019-350 Ortiz, Naguilian
7 Bimotubot Upper/Lioac, 7 Bimotubot Upper/Lioac,
Naguilian Naguilian
8 Baraoas, Naguilian 8 Baraoas, Naguilian
9 OFF 9 OFF
10 Brgy. Bariquir, Naguilian 10 Brgy. Bariquir, Naguilian
11 CHD-I P.O NO.2019-369 Brgy. Casilagan, Naguilian 11 CHD-I P.O NO.2019-369 Brgy. Casilagan, Naguilian
12 Brgy. Lioac Sur, Naguilian 12 Brgy. Lioac Sur, Naguilian
13 OFF 13 OFF
14 RHU Poblacion, San Gabriel 14 RHU Poblacion, San Gabriel
15 Poblacion, San Gabriel 15 Poblacion, San Gabriel
16 CHD-I P.O NO.2019-405 Poblacion, San Gabriel 16 CHD-I P.O NO.2019-405 Poblacion, San Gabriel
17 Bucao, San Gabriel 17 Bucao, San Gabriel
18 Balbalayang, San Gabriel 18 Balbalayang, San Gabriel
19 Bayabas, San Gabriel 19 Bayabas, San Gabriel

20 Poblacion, San Gabriel 20 Poblacion, San Gabriel

21 CHD-I P.O NO.2019-405 Poblacion, San Gabriel 21 CHD-I P.O NO.2019-405 Poblacion, San Gabriel

22 Bumbuneg & Bucao, SG 22 Bumbuneg & Bucao, SG

23 Bucao, San Gabriel 23 Bucao, San Gabriel

24 Bucao, San Gabriel 24 Bucao, San Gabriel

25 Polipol, San Gabriel 25 Polipol, San Gabriel

26 Lipay Proper, San Gabriel 26 Lipay Proper, San Gabriel

27 CHD-I P.O NO.2019-483 Lipay Este, San Gabriel 27 CHD-I P.O NO.2019-483 Lipay Este, San Gabriel

28 Bumbuneg, San Gabriel 28 Bumbuneg, San Gabriel

29 Lacong, San Gabriel 29 Lacong, San Gabriel

30 DOH CHD-I 30 DOH CHD-I

31 OFF 31 OFF
Total Total

I certify on my honor that the above is a true and correct report of the hours I certify on my honor that the above is a true and correct report of the hours
of work performed, record of which was made daily at the time of arrival of work performed, record of which was made daily at the time of arrival
and departure from office. and departure from office.

FLORES, ROSE BELLE FLORES, ROSE BELLE

VERIFIED as to the prescribed office hours: VERIFIED as to the prescribed office hours:

VALERIANO JESUS V. LOPEZ, MD, MPH, MHA, CESO IV VALERIANO JESUS V. LOPEZ, MD, MPH, MHA, CESO IV
Director IV Director IV