Civil Service Form No. 48 Civil Service Form No.

48
DAILY TIME RECORD DAILY TIME RECORD
rum: _
Name:
For the Month of: ----,-,-- _ For the Month of: _
Office Hour: Arrival A.M. 8: 00 P.M Office Hour: Arrival A.M. P.M. 1:00
1:00 8:00
Departure A.M. 12: 00 P .M. 50: Depanure AM PM 500
0 12:00

DAYS Antval
A.M.
0., ...... Arrtv.1
P.M.
0. ....... . ..
U n
DAYS AmY ••
A.M .
Dt p. 11,..... A rrlv.l
I'.M.
I)t!P ..... N
Undr
11m.
1.
2.
3.
..
d r 1
2
S
4. 4
1·-
6. 5
6. 6
7. 7
8. 8
9. 9
10. 10
II. 11
12. 12
13. 13
14. 14
16. 15
16. 16
17. 17
18. 18
19. I 19
20. I 20
21. 21
22. 22
23. 23
24. I 24
25. I 25
26. 26
27. 27
28. 28
29. 29
SO. 30
31. 31
t CERlItY on my honor that the above III I CERlItY on my honor that the above E
true and eonecL report of bours of WOOt true and c o ee e t report 0 f hcuss of work performed,
performed, 1IIeom ofwhrh was made daiy at the reeom of whe h was mode daiy III the tine of
time o farriva Iand departlll" 60m office. a rriva1a nd de pa roll" 60 m 0 IT'It e.

Employee Signature Employee Signature

Verified as 10 the prescribed offic« hours: Verified as /0 th« prescribed office hours:

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h-Charge Tn-Charge