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CLAS Time Record - s1

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Mary Heide H. Amora

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Annex A

COMMUNITY LEGAL AID SERVICE (CLAS) – Time Record

Date Time Spent Legal Aid Chapter/LASP Name and Signature

Service of Supervising
Rendered Lawyer

I hereby affirm that the above information is accurate and complete to the best of
my knowledge.

______________________ ________________________
Printed Name and Signature Date

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