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COMMUNITY SERVICE TIMESHEET

NAME: _Sergio Velasquez __________________________________________


WORKSITE: _____NOVA
ACADEMY___________________________________________________________________
(TELEPHONE)

(NAME)

Doreen Fiorieto

(ADDRESS) 1010 West 17st Santa Ana CA 92703

SUPERVISOR: Mrs. Deckonick_______________________


43hrs___________________________

DATE

HOURS ASSIGNED:

DATE
August2013

HOURS
4rs

HOURS

DATE

HOURS

August2013

4rs

7/2013

4rs

7/2013

4rs

7/2013

4rs

PROGRESS/COMMENTS
:
__________________________________________________________

______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

CLIENTS SIGNATURE: __________________________________________________


SUPERVISORS SIGNATURE: _____________________________________________

PROBATION OFFICERS SIGNATURE: _____________________________________

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