LEADS TIME AND ATTENDANCE SHEET

Employee ID Number: 2971 Location: Marysville Center

Fernanda Duran Head Start-Early Head Start Assistant Teacher

(Employee Name) PLEASE PRINT (Program) (Position) PAY TOTAL
Activity PROG ELEM Code Code Hours
08/21/23 Thru 9/3/2023
(Pay Period Dates) 100.00% 355306 RT 63.50

TIME CLAIMED AND NOT WORKED 0.00% 0 0.00

Leave Leave
TIME Hours Hours Leave
WORK DAY DATE TIME IN TIME OUT TIME IN TIME OUT TIME IN TIME OUT WORKED Claimed Leave Code Claimed Code 0.00% 0 0 0.00
Monday 8/21 8:00 AM 12:30 PM 1:00 PM 4:00 PM 7.50 1 LP 0.00% 0 0 0.00
Tuesday 8/22 8:00 AM 12:30 PM 1:00 PM 4:00 PM 7.50 1 LP 0.00% 0 0 0.00
Wednes. 8/23 8:00 AM 12:30 PM 1:00 PM 5:00 PM 8.50
Thurs. 8/24 8:00 AM 12:30 PM 1:00 PM 4:00 PM 7.50 1 LP
Friday 8/25 0.00 0 0 0.00
Sat. 8/26 0.00 0 0 0.00
Sun. 8/27 0.00 0 0 0.00
Monday 8/28 8:00 AM 12:30 PM 1:00 PM 4:00 PM 7.50 1 LP 0 0 0.00
Tuesday 8/29 8:00 AM 12:30 PM 1:00 PM 5:00 PM 8.50 0 0 0.00
Wednes. 8/30 8:00 AM 12:30 PM 1:00 PM 5:00 PM 8.50 0 0 0.00
Thursday 8/31 8:00 AM 12:30 PM 1:00 PM 4:30 PM 8.00 0.5 LP 0 0 0.00
Friday 9/1 0.00 0 0 0.00
Sat. 9/2 0.00 995900 LP 4.50
Sun 9/3 0.00 0 0 0.00

TOTAL HOURS CLAIMED 63.50 4.50 0.00 0.00 0.00 TOTALS 1351206 68.00
LEAVE TAKEN CODES PAY CODES
I hereby affirm that this record is a true I hereby certify that the entries on this record represent an accurate 995100 AL Annual RT Regular time
and complete statement of my hours statement of time and activity and authorize the hours reported to 995200 SL Sick OT Overtime
and work activities. be processed for payment and the above activities to be charged. 995300 HL Holiday
995400 PL Personal
995500 JS Jury Duty Service
Employee Immediate Supervisor Date 995600 FL Funeral Leave
995700 EW Emergency Weather
995800 US Military Service
Date 995900 LP Leave W/O Pay
LEADS TIME AND ATTENDANCE SHEET
Program Director Date 996100 WS Winter/Spring Break v-11-2016
 LEADS ACTIVITY REPORT

Employee: Fernanda Duran ID#: 2971

Pay Period: August 21, 2023 to September 3, 2023 Position: Assistant Teacher

Date HS EHS CACFP CSBG Housing

Total Hrs.
Description of Activities
Worked 100.00% 0.00% 0.00% 0.00% 0.00%

8/21 7.50 7.50 Classroom set up

8/22 7.50 7.50 Classroom set up, Home visits(BJ, DR)
8/23 8.50 8.50 Child Abuse Training
8/24 7.50 7.50 Classroom Set-up, HV (CD,ZB,RW)
8/25 0.00
8/26 0.00
8/27 0.00
8/28 7.50 7.50 Classroom set up, HV (FF, CD, AC)
8/29 8.50 8.50 Classroom Set up, HV (BC, GH)
8/30 8.50 8.50 Classroom, HV (EC, IJ, BW)
8/31 8.00 8.00 Classroom, file paperwork
9/1 0.00
9/2 0.00
9/3 0.00
Totals 63.50 63.50 0.00 0.00 0.00 0.00
#VALUE!
#VALUE!
TRAVEL EXPENSE RECORD LEADS MONTH: Aug, 2023 TO Sep, 2023 Amount per mile: 0.655
159 Wilson Street FROM: 8/21/2023 TO 9/3/2023
Newark, Ohio 43055 OFFICE: Marysville Center

Mileage Breakdown
ODOMETER TOTAL HS EHS Mileage Breakdown
DATE FROM TO Remarks AMOUNT
START FINISH MILES 100.00% 0.00% Justification

8/22/2023 MV Center- 111 Morey drive BJ-223 W. Ottawa street HV 191,977 191,998 21 21.00 $13.76
BJ HV Richwood Richwood
MV return 191,998 192,014 16 16.00 $10.48
MV Center- 111 Morey drive CD HV-210 woodcrest drive HV
8/24/2023 marysville 192,170 192,173 3 3.00 $1.97
CD woodcrest dive MV center return 192,173 192,176 3 3.00 $1.97
MV Center- 111 Morey drive XB 207 windsor drive marysville HV
192,176 192,178 2 2.00 $1.31
XB 207 windsor drive MV Center return 192,178 192,179 1 1.00 $0.66
MV Center- 111 Morey drive RW w. 5th stree HV
192,179 192,181 2 2.00 $1.31
MV Center- 111 Morey drive FF harriott road HV
8/28/2023 192,333 192,344 11 11.00 $7.21
FF harriott road MV center return 192,344 192,355 11 11.00 $7.21
MV Center- 111 Morey drive CD kenny lane HV
192,355 192,356 1 1.00 $0.66
CD kenny lane MV center return 192,356 192,357 1 1.00 $0.66
MV Center- 111 Morey drive BC dogwood drive HV
8/29/2023 192,403 192,405 2 2.00 $1.31
BC dogwood drive MV center return 192,405 192,406 1 1.00 $0.66
MV Center- 111 Morey drive GH- dog leg road HV
192,405 192,412 7 7.00 $4.59
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
0 $0.00
TOTALS: 82 82.00 0.00 $53.71

SIGNED:
APPROVED:
 Expense Reimbursement

Period Covering: 8/21/2023 to 9/3/2023 Location: Marysville Center

Employee # 2971 Name: Fernanda Duran Total Amt:$ 53.71

2 4 5 Amount
1 Program Description 3 Trans Description
Element Code
355306 Head Start 53000 Mileage $ 53.71
0 $ -

Totals 355306 53000 $ 53.71

1 Enter Program element #: Prepared By: Fernanda Duran

If Asset or Liability use 9970 Approved for Payment:

If Fringe Benefit Pool use 9980
If Indirect cost Pool use 9990-9999 Date of Payment:

2 Description of Program Element Check Number:

3 Enter Transaction Code
4 Description of Transaction Code