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Personnel Activity Report (PAR)

Office of: For the Month of:


Employee: Year:
PIN #:
Supervisor:

PROGRAM or ACTIVITY 1 2 3 4 5 6 7 8 9 10

I certify that
the hours
reported
above
LeaveareTime
a
true
TOTAL 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
representatio
n of work
performed.

Employee signature Date

Immediate Supervisor signature Date

OMB Circurlar A-87 states, "At least quarterly, comparisions of actual costs to budgeted distributions based on the monthly acitivity report
of the activity actually performed may be recorded annually if the quarterly comparisons show the differences between budgeted and act
11 12 13 14 15 16 17 18 19 20 21 22 23 24

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

n the monthly acitivity reports are made. Costs charged to Federal awards to reflect adjustments made as a result
s between budgeted and actual costs are less than ten percent..."
25 26 27 28 29 30 31 Total %

0.00 #DIV/0!
0.00 #DIV/0!
0.00 #DIV/0!
0.00 #DIV/0!
0.00 #DIV/0!
0.00 #DIV/0!
0.00
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 #DIV/0!

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