Civil Service Form No.

48

DAILY TIME RECORD

-----o0o-----
Raña M. Montances
(Name)
For the month of OCTOBER 16-31,2018

Official hours for arrival and

Regular day
departure
Saturdays

A.M. P.M. Undertime

Day
Arrival Departure Arrival Departure Hours Minutes

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16 7:50 12:10 12:50 5:15
17 7:40 12:20 12:55 5:20
18 7:50 12:00 12:45 5:30
19 7:45 12:10 12:55 5:15
20 SAT
21 SUN
22 7:55 12:20 12:50 5:20
23 7:50 12:10 12:55 5:15
24 7:45 12:20 12:55 5:25
25 7:50 12:15 12:50 5:15
26 7:50 12:15 12:55 5:30
27 SAT
28 SUN
29 7:45 12:15 12:55 5:20
30 7:50 12:10 12:50 5:15
31 7:30 12:15 12:55 5:25

Total

I certify on my honor that the above is a true and correct report of the hours of work performed, record of which was made daily at the time of arrival and departure from office.

VERIFIED as to the prescribed office hours

DR. MARILOU A. TEJERO, MD

MHO

DR.EMILY ROSE CHICANO, MD

DMO