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Civil Service Form No.

48

DAILY TIME RECORD


-----o0o-----

(Name)

For the month of


Official hours for arrival Regular days
and departure Saturdays

A.M. P.M. Undertime


Day
Arrival Depar-ture Arrival Depar-ture Hours Min-utes
1 9:00 11:30 12:00 4:30
2 8:30 12:30 1:00 5:00
3 8:45 11:30 12:30 4:30
4 8:00 12:00 12:30 4:00
5 8:30 11:30 12:30 4:30
6 8:00 12:30 1:00 4:30
7 9:00 11:00 12:30 4:00
8 8:00 12:30 12:00 5:00
9 9:00 12:00 1:30 5:00
10 9:00 11:30 12:00 4:30
11 8:00 11:00 12:30 4:00
12 9:00 11:30 12:00 4:30
13 8:45 12:00 12:30 4:00
14 9:00 11:30 12:30 4:30
15 8:00 11:00 12:00 5:00
16 9:00 12:30 1:00 4:30
17 8:30 12:00 1:00 4:30
18 8:45 11:30 12:30 4:30
19 8:00 11:30 12:30 4:30
20 8:30 11:30 12:30 4:30
21 9:00 12:00 12:00 4:45
22 8:30 12:30 1:00 4:30
23 8:45 12:00 1:00 5:00
24 8:00 11:30 12:30 4:30
25 9:00 12:00 1:00 4:00
26 8:30 11:30 12:00 5:00
27 8:00 12:30 1:00 5:00
28 8:45 11:00 12:00 4:30
29 8:00 11:30 12:30 4:30
30 9:00 11:30 1:00 4:00
31 8:30 12:00 12:00 4:30
Total

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 and departure
from office.

VERIFIED as to the prescribed office hours:

In Charge

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