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DAILY MONITORING FORM

NAME: MAYCIE O. SOLLORANO PAYROLL PERIOD: APRIL 11-25,2023

SIGNATURE: DAY - OFF: EVERY FRIDAY ONLY

REGULAR DUTY OVERTIME NIGHT DIFFERENTIAL (FROM


Total # of Total # of Type of Total # of
Date Time In Time Out From To REASON FOR OVERTIME Authorized by: From To
Hours Hours OT Hours
11-Apr 5:15AM 6:00PM 12 2:00PM 6:00PM 4 D EARLY IN : SKELETAL SCHEDULE - - - -
12-Apr 5:15AM 6:00PM 12 2:00PM 6:00PM 4 D EARLY IN : SKELETAL SCHEDULE - - - -
13-Apr 5:20AM 6:00PM 12 2:00PM 6:00PM 4 D EARLY IN : SKELETAL SCHEDULE - - - -
14-Apr 5:30AM 6:00PM 12 6:00AM 2:00PM 8 A CANCELLED REST DAY WITH DUTY - - - -
14-Apr 5:30AM 6:00PM 12 2:00PM 6:00PM 4 AD CANCELLED REST DAY W/ EXTENDED DUTY - - - -
15-Apr 5:30AM 6:28PM 12 2:00PM 6:28PM 4 D EARLY IN : SKELETAL SCHEDULE - - - -
16-Apr 5:20AM 7:00PM 13 2:00PM 7:00PM 5 D EARLY IN : SKELETAL SCHEDULE - - - -
17-Apr - - - - - - - HOME QUARANTINE : SKELETAL SCHEDULE - - - -
18-Apr - - - - - - - HOME QUARANTINE : SKELETAL SCHEDULE - - - -
19-Apr - - - - - - - HOME QUARANTINE : SKELETAL SCHEDULE - - - -
20-Apr - - - - - - - HOME QUARANTINE : SKELETAL SCHEDULE - - - -
21-Apr - - - - - - - HOME QUARANTINE : SKELETAL SCHEDULE - - - -
22-Apr - - - - - - - HOME QUARANTINE : SKELETAL SCHEDULE - - - -
23-Apr - - - - - - - HOME QUARANTINE : SKELETAL SCHEDULE - - - -
24-Apr - - - - - - - MATERNITY LEAVE / BED REST - - - -
25-Apr - - - - - - - MATERNITY LEAVE / BED REST - - - -
A = Duty on Dayoff / Rest Day B = Holiday Duty C = Duty on Rest Day an Holiday D = Extended Duty

Inter-Serve Portion:
Verified by : Immediate Superior / Officer-in-Charge OT - SH - SH / CDO - Reviewed by: Finance
ND - SH OT - SH / CDO OT -
CDO - LH - LH / CDO -
Signature over printed name / Date CDO OT - LH OT - LH / CDO OT - Sig. over printed name / Date
Inter-Serve Portion:

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