Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 12

ANNEX 4

DAILY TIME RECORD


Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
1 – 4 – 16 07:00 A.M. 07:00 P.M. 8 2 10
1 – 5 – 16 07:00 A.M. 05:00 P.M. 8 – 8
1 – 6 – 16 07:00 A.M. 06:00 P.M. 8 1 9
1 – 7 – 16 07:00 A.M. 08:00 P.M. 8 3 11
1 – 8 – 16 07:00 A.M. 05:00 P.M. 8 – 8
1 – 9 – 16 07:00 A.M. 06:00 P.M. 8 1 9
1 – 11 – 16 07:00 A.M. 05:00 P.M. 8 – 8
1 – 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
1 – 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
1 – 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
1 – 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
1 – 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
1 – 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
1 – 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
1 – 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
1 – 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
1 – 24 – 16 07:00 A.M. 10:00 P.M. 8 5 13
1 – 25 – 16 07:00 A.M. 05:00 P.M. 8 – 8
1 – 26 – 16 07:00 A.M. 05:00 P.M. 8 – 8
1 – 30 – 16 07:00 A.M. 09:00 P.M. 8 4 12
– – – 160 34 194

I certify that these hours are a true and accurate record of all time worked during the pay period.
DAILY TIME RECORD
Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
2 – 1 – 16 07:00 A.M. 07:00 P.M. 8 2 10
2 – 2 – 16 07:00 A.M. 05:00 P.M. 8 – 8
2 – 3 – 16 07:00 A.M. 06:00 P.M. 8 1 9
2 – 4 – 16 07:00 A.M. 08:00 P.M. 8 3 11
2 – 5 – 16 07:00 A.M. 05:00 P.M. 8 – 8
2 – 8 – 16 07:00 A.M. 06:00 P.M. 8 1 9
2– 9 – 16 07:00 A.M. 05:00 P.M. 8 – 8
2– 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
2 – 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
2 – 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
2 – 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
2 – 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
2 – 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
2 – 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
2 – 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
2 – 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
2 – 24 – 16 07:00 A.M. 10:00 P.M. 8 5 13
2 – 25 – 16 07:00 A.M. 05:00 P.M. 8 – 8
2 – 26 – 16 07:00 A.M. 05:00 P.M. 8 – 8
2 – 27 – 16 07:00 A.M. 09:00 P.M. 8 4 12
– – – 160 34 194

I certify that these hours are a true and accurate record of all time worked during the pay period.
DAILY TIME RECORD
Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
3 – 1 – 16 07:00 A.M. 07:00 P.M. 8 2 10
3 – 2 – 16 07:00 A.M. 05:00 P.M. 8 – 8
3 – 3 – 16 07:00 A.M. 06:00 P.M. 8 1 9
3 – 4 – 16 07:00 A.M. 08:00 P.M. 8 3 11
3 – 5 – 16 07:00 A.M. 05:00 P.M. 8 – 8
3 – 8 – 16 07:00 A.M. 06:00 P.M. 8 1 9
3– 10 – 16 07:00 A.M. 05:00 P.M. 8 – 8
3 – 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
3 – 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
3 – 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
3 – 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
3 – 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
3 – 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
3– 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
3– 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
3– 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
3– 24 – 16 07:00 A.M. 10:00 P.M. 8 5 13
3– 25 – 16 07:00 A.M. 05:00 P.M. 8 – 8
3– 26 – 16 07:00 A.M. 05:00 P.M. 8 – 8
3– 30 – 16 07:00 A.M. 09:00 P.M. 8 4 12
– – – 160 34 194

I certify that these hours are a true and accurate record of all time worked during the pay period.
DAILY TIME RECORD
Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
4 – 1 – 16 07:00 A.M. 07:00 P.M. 8 2 10
4 – 2 – 16 07:00 A.M. 05:00 P.M. 8 – 8
4 – 3 – 16 07:00 A.M. 06:00 P.M. 8 1 9
4 – 4 – 16 07:00 A.M. 08:00 P.M. 8 3 11
4 – 5 – 16 07:00 A.M. 05:00 P.M. 8 – 8
4 – 8 – 16 07:00 A.M. 06:00 P.M. 8 1 9
4– 9 – 16 07:00 A.M. 05:00 P.M. 8 – 8
4 – 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
4 – 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
4 – 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
4 – 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
4 – 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
4 – 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
4 – 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
4 – 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
4 – 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
4 – 24 – 16 07:00 A.M. 10:00 P.M. 8 5 13
4 – 25 – 16 07:00 A.M. 05:00 P.M. 8 – 8
4 – 26 – 16 07:00 A.M. 05:00 P.M. 8 – 8
4 – 30 – 16 07:00 A.M. 09:00 P.M. 8 4 12
– – – 160 34 194

I certify that these hours are a true and accurate record of all time worked during the pay period.
DAILY TIME RECORD
Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
5 – 2 – 16 07:00 A.M. 07:00 P.M. 8 2 10
5 – 3 – 16 07:00 A.M. 05:00 P.M. 8 – 8
5 – 4 – 16 07:00 A.M. 06:00 P.M. 8 1 9
5 – 5 – 16 07:00 A.M. 08:00 P.M. 8 3 11
5 – 6 – 16 07:00 A.M. 05:00 P.M. 8 – 8
5 – 8 – 16 07:00 A.M. 06:00 P.M. 8 1 9
5– 9 – 16 07:00 A.M. 05:00 P.M. 8 – 8
5– 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
5– 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
5– 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
5– 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
5– 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
5– 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
5– 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
5– 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
5– 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
5– 24 – 16 07:00 A.M. 10:00 P.M. 8 5 13
5– 25 – 16 07:00 A.M. 05:00 P.M. 8 – 8
5– 26 – 16 07:00 A.M. 05:00 P.M. 8 – 8
5– 30 – 16 07:00 A.M. 09:00 P.M. 8 4 12
– – – 160 34 194

I certify that these hours are a true and accurate record of all time worked during the pay period.
DAILY TIME RECORD
Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
6 – 1 – 16 07:00 A.M. 07:00 P.M. 8 2 10
6 – 2 – 16 07:00 A.M. 05:00 P.M. 8 – 8
6 – 3 – 16 07:00 A.M. 06:00 P.M. 8 1 9
6 – 4 – 16 07:00 A.M. 08:00 P.M. 8 3 11
6 – 5 – 16 07:00 A.M. 05:00 P.M. 8 – 8
6 – 8 – 16 07:00 A.M. 06:00 P.M. 8 1 9
6– 9 – 16 07:00 A.M. 05:00 P.M. 8 – 8
6– 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
6– 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
6– 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
6– 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
6 – 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
6 – 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
6 – 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
6 – 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
6 – 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
6 – 24 – 16 07:00 A.M. 10:00 P.M. 8 5 13
6 – 25 – 16 07:00 A.M. 05:00 P.M. 8 – 8
6 – 26 – 16 07:00 A.M. 05:00 P.M. 8 – 8
6 – 30 – 16 07:00 A.M. 09:00 P.M. 8 4 12
– – – 160 34 194

I certify that these hours are a true and accurate record of all time worked during the pay period.
DAILY TIME RECORD
Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
7 – 1 – 16 07:00 A.M. 07:00 P.M. 8 2 10
7 – 2 – 16 07:00 A.M. 05:00 P.M. 8 – 8
7 – 3 – 16 07:00 A.M. 06:00 P.M. 8 1 9
7 – 4 – 16 07:00 A.M. 08:00 P.M. 8 3 11
7 – 5 – 16 07:00 A.M. 05:00 P.M. 8 – 8
7 – 8 – 16 07:00 A.M. 06:00 P.M. 8 1 9
7– 9 – 16 07:00 A.M. 05:00 P.M. 8 – 8
7– 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
7– 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
7– 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
7– 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
7– 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
7– 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
7– 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
7– 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
7– 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
7– 24 – 16 07:00 A.M. 10:00 P.M. 8 5 13
7– 25 – 16 07:00 A.M. 05:00 P.M. 8 – 8
7– 26 – 16 07:00 A.M. 05:00 P.M. 8 – 8
7– 30 – 16 07:00 A.M. 09:00 P.M. 8 4 12
– – – 160 34 194

I certify that these hours are a true and accurate record of all time worked during the pay period.
DAILY TIME RECORD
Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
8 – 1 – 16 07:00 A.M. 07:00 P.M. 8 2 10
8 – 2 – 16 07:00 A.M. 05:00 P.M. 8 – 8
8 – 3 – 16 07:00 A.M. 06:00 P.M. 8 1 9
8 – 4 – 16 07:00 A.M. 08:00 P.M. 8 3 11
8 – 5 – 16 07:00 A.M. 05:00 P.M. 8 – 8
8 – 8 – 16 07:00 A.M. 06:00 P.M. 8 1 9
8– 9 – 16 07:00 A.M. 05:00 P.M. 8 – 8
8– 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
8– 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
8 – 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
8 – 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
8 – 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
8 – 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
8 – 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
8 – 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
8 – 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
8 – 24 – 16 07:00 A.M. 10:00 P.M. 8 5 13
8 – 25 – 16 07:00 A.M. 05:00 P.M. 8 – 8
8 – 26 – 16 07:00 A.M. 05:00 P.M. 8 – 8
8 – 30 – 16 07:00 A.M. 09:00 P.M. 8 4 12
– – – 160 34 194

I certify that these hours are a true and accurate record of all time worked during the pay period.
DAILY TIME RECORD
Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
9 – 1 – 16 07:00 A.M. 07:00 P.M. 8 2 10
9 – 2 – 16 07:00 A.M. 05:00 P.M. 8 – 8
9 – 3 – 16 07:00 A.M. 06:00 P.M. 8 1 9
9 – 4 – 16 07:00 A.M. 08:00 P.M. 8 3 11
9 – 5 – 16 07:00 A.M. 05:00 P.M. 8 – 8
9 – 8 – 16 07:00 A.M. 06:00 P.M. 8 1 9
9– 9 – 16 07:00 A.M. 05:00 P.M. 8 – 8
9– 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
9 – 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
9 – 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
9 – 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
9 – 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
9 – 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
9 – 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
9 – 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
9 – 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
9 – 24 – 16 07:00 A.M. 10:00 P.M. 8 5 13
9 – 25 – 16 07:00 A.M. 05:00 P.M. 8 – 8
9 – 26 – 16 07:00 A.M. 05:00 P.M. 8 – 8
9 – 30 – 16 07:00 A.M. 09:00 P.M. 8 4 12
– – – 160 34 194

I certify that these hours are a true and accurate record of all time worked during the pay period.
DAILY TIME RECORD
Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
10 – 1 – 16 07:00 A.M. 07:00 P.M. 8 2 10
10– 2 – 16 07:00 A.M. 05:00 P.M. 8 – 8
10 – 3 – 16 07:00 A.M. 06:00 P.M. 8 1 9
10– 4 – 16 07:00 A.M. 08:00 P.M. 8 3 11
10– 5 – 16 07:00 A.M. 05:00 P.M. 8 – 8
10– 8 – 16 07:00 A.M. 06:00 P.M. 8 1 9
10– 9 – 16 07:00 A.M. 05:00 P.M. 8 – 8
10 – 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
10– 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
10 – 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
10– 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
10 – 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
10 – 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
10 – 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
10 – 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
10 – 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
10– 24 – 16 07:00 A.M. 10:00 P.M. 8 5 13
10– 25 – 16 07:00 A.M. 05:00 P.M. 8 – 8
10 – 26 – 16 07:00 A.M. 05:00 P.M. 8 – 8
10 – 30 – 16 07:00 A.M. 09:00 P.M. 8 4 12
– – – 160 34 194

I certify that these hours are a true and accurate record of all time worked during the pay period.
DAILY TIME RECORD
Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
11 – 1 – 16 07:00 A.M. 07:00 P.M. 8 2 10
11 – 2 – 16 07:00 A.M. 05:00 P.M. 8 – 8
11 – 3 – 16 07:00 A.M. 06:00 P.M. 8 1 9
11 – 4 – 16 07:00 A.M. 08:00 P.M. 8 3 11
11 – 5 – 16 07:00 A.M. 05:00 P.M. 8 – 8
11 – 8 – 16 07:00 A.M. 06:00 P.M. 8 1 9
11– 9 – 16 07:00 A.M. 05:00 P.M. 8 – 8
11 – 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
11 – 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
11 – 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
11 – 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
11 – 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
11 – 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
11 – 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
11 – 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
11 – 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
11 – 24 – 16 07:00 A.M. 10:00 P.M. 8 5 13
11 – 25 – 16 07:00 A.M. 05:00 P.M. 8 – 8
11 – 26 – 16 07:00 A.M. 05:00 P.M. 8 – 8
11 – 30 – 16 07:00 A.M. 09:00 P.M. 8 4 12
– – – 160 34 194

I certify that these hours are a true and accurate record of all time worked during the pay period.
DAILY TIME RECORD
Employee: JOSE CARLOS

Employee ID: 123456

Supervisor: THOMAS LOPEZ

Date: Start Time: End Time: Regular Overtime Total Hours:


Hours: Hours:
12 – 1 – 16 07:00 A.M. 07:00 P.M. 8 2 10
12– 2 – 16 07:00 A.M. 05:00 P.M. 8 – 8
12 – 3 – 16 07:00 A.M. 06:00 P.M. 8 1 9
12 – 4 – 16 07:00 A.M. 08:00 P.M. 8 3 11
12– 5 – 16 07:00 A.M. 05:00 P.M. 8 – 8
12 – 8 – 16 07:00 A.M. 06:00 P.M. 8 1 9
12– 9 – 16 07:00 A.M. 05:00 P.M. 8 – 8
12 – 12 – 16 07:00 A.M. 09:00 P.M. 8 4 12
12 – 13 – 16 07:00 A.M. 07:00 P.M. 8 2 10
12– 15 – 16 07:00 A.M. 07:00 P.M. 8 2 10
12 – 16 – 16 07:00 A.M. 06:00 P.M. 8 1 9
12 – 17 – 16 07:00 A.M. 05:00 P.M. 8 – 8
12 – 18 – 16 07:00 A.M. 08:00 P.M. 8 3 11
12 – 19 – 16 07:00 A.M. 08:00 P.M. 8 3 11
12 – 20 – 16 07:00 A.M. 06:00 P.M. 8 1 9
12 – 21 – 16 07:00 A.M. 07:00 P.M. 8 2 10
12 – 22 – 16 07:00 A.M. 10:00 P.M. 8 5 13
12 – 23 – 16 07:00 A.M. 05:00 P.M. 8 – 8
- - - 144 27 174

I certify that these hours are a true and accurate record of all time worked during the pay period.

You might also like