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Hours Verification Form - Solutionary Project

Student’s name: ____Geordyn-Makaila Moad________________________________________

Adult witness’ name: ___Melanie Moad_____________________________________________

Adult witness’ cell phone: ____(808)216-2712______ E-mail: ___melgckg@hawaii.rr.com____

Date Hours Description of Work


3/25/2023 3 Getting supplies for bracelet making
4/8/2023 6 Making example bracelets for the students too look at for reference

4/9/2023 2 Making example bracelets for the students too look at for reference

Total hours: __11________

By signing below, you attest that the above information verifying the student’s work is true and
accurate.

_____Geordyn Moad_______________ __________Melanie Moad____________


Student’s Signature Supervisor’s Signature

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