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Civil Service Form No. 48 Civil Service Form No.

48

DAILY TIME RECORD DAILY TIME RECORD

Ivan H. Gonzales Ivan H. Gonzales

(Name) (Name)
For the month of May , 20 21 For the month of June , 20 21
Official hours of arrival Regular Days 9: am – 5:00 pm Official hours of arrival Regular Days 9: am – 5:00 pm
and departure Saturdays N/A and departure
Saturdays N/A

UNDER UNDER
A. M. P. M. A. M. P. M.
TIME TIME
Days
DEPAR- DEPAR- Days ARRIVAL
DEPAR-
ARRIVAL
DEPAR-
Hours Minutes
ARRIVAL ARRIVAL Hours Minutes TURE TURE
TURE TURE
1 Sat Sat Sat Sat N/A N/A 1 8:30 11:30 1:00 5:00 0 0
2 Sun Sun Sun Sun N/A N/A 2 8:30 11:30 Half day Half day 0 0
3 8:30 11:30 1:00 5:00 0 0 3 8:30 11:30 1:00 5:00 0 0
4 8:30 11:30 1:00 5:00 0 0 4 8:30 11:30 1:00 5:00 0 0
5 8:30 11:30 Half day Half day 0 0 5 Sat Sat Sat Sat N/A N/A
6 8:30 11:30 1:00 5:00 0 0 6 Sun Sun Sun Sun N/A N/A
7 8:30 11:30 1:00 5:00 0 0 7 8:30 11:30 1:00 5:00 0 0
8 Sat Sat Sat Sat N/A N/A 8 8:30 11:30 1:00 5:00 0 0
9 Sun Sun Sun Sun N/A N/A 9 8:30 11:30 Half day Half day 0 0
10 8:30 11:30 1:00 5:00 0 0 10 8:30 11:30 1:00 5:00 0 0
11 8:30 11:30 1:00 5:00 0 0 11 8:30 11:30 1:00 5:00 0 0
12 8:30 11:30 Half day Half day 0 0 12 Sat Sat Sat Sat N/A N/A
13 8:30 11:30 1:00 5:00 0 0 13 Sun Sun Sun Sun N/A N/A
14 8:30 11:30 1:00 5:00 0 0 14 8:30 11:30 1:00 5:00 0 0
15 Sat Sat Sat Sat N/A N/A 15 8:30 11:30 1:00 5:00 0 0
16 Sun Sun Sun Sun N/A N/A 16 8:30 11:30 Half day Half day 0 0
17 8:30 11:30 1:00 5:00 0 0 17 8:30 11:30 1:00 5:00 0 0
18 8:30 11:30 1:00 5:00 0 0 18 8:30 11:30 1:00 5:00 0 0
19 8:30 11:30 Half day Half day 0 0 19 Sat Sat Sat Sat N/A N/A
20 8:30 11:30 1:00 5:00 0 0 20 Sun Sun Sun Sun N/A N/A
21 8:30 11:30 1:00 5:00 0 0 21 8:30 11:30 1:00 5:00 0 0
22 Sat Sat Sat Sat N/A N/A 22 8:30 11:30 1:00 5:00 0 0
23 Sun Sun Sun Sun N/A N/A 23 8:30 11:30 Half day Half day 0 0
24 8:30 11:30 1:00 5:00 0 0 24 8:30 11:30 1:00 5:00 0 0
25 8:30 11:30 1:00 5:00 0 0 25 8:30 11:30 1:00 5:00 0 0
26 8:30 11:30 Half day Half day 0 0 26 Sat Sat Sat Sat N/A N/A
27 8:30 11:30 1:00 5:00 0 0 27 Sun Sun Sun Sun N/A N/A
28 8:30 11:30 1:00 5:00 0 0 28 8:30 11:30 1:00 5:00 0 0
29 Sat Sat Sat Sat N/A N/A 29 8:30 11:30 1:00 5:00 0 0
30 Sun Sun Sun Sun N/A N/A 30 8:30 11:30 Half day Half day 0 0
31 8:30 11:30 1:00 5:00 0 0 31
TOTAL 0 0 TOTAL 0 0

I CERTIFY on my honor that I CERTIFY on my honor that


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

Ivan H. Gonzales Ivan H. Gonzales

Name Name

Elizabeth Gonzalez Elizabeth Gonzalez

In-Charge In-Charge
(See Instructions on back) (See Instructions on back)

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