l Service Form No. 48 I Service Form No.

48

DAILY TIME RECORD DAILY TIME RECORD

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JAY ANN B. AMBOY JAY ANN B. AMBOY

(Name) (Name)
For the month of 2024 For the month of 2024
Official hours for arrival and Regular days 7-12:00 : 1-5:00 Official hours for arrival and Regular days 7-12:00 : 1-5:00
departure Saturdays As required departure Saturdays As required

Day A.M. P.M. UNDERTIME Day A.M. P.M. UNDERTIME

Arrival Departure Arrival Departure Hours Minutes Arrival Departure Arrival Departure Hours Minutes
1 1
2 2
3 3
4 4
5 5
6 SAT 6 SAT
SERVICES as REQUIRED SERVICES as REQUIRED
7 SUN 7 SUN
8 8
9 9
10 10
11 11
12 12
13 SAT 13 SAT
SERVICES as REQUIRED SERVICES as REQUIRED
14 SUN 14 SUN
15 15
16 16
17 17
18 18
19 19
20 SAT 20 SAT
SERVICES as REQUIRED SERVICES as REQUIRED
21 SUN 21 SUN
22 22
23 23
24 24
25 25
26 26
27 SAT 27 SAT
SERVICES as REQUIRED SERVICES as REQUIRED
28 SUN 28 SUN
29 29
30 30
31 31
Total Total

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

FRUCTUOSO
JAY ANN B.V.AMBOY
POLLO III JAY ANN B. AMBOY
VERIFIED as to the prescribed office hours: VERIFIED as to the prescribed office hours:

SALVASION S. ASENCION
SALVACION SALVACION S. ASENCION
In Charge In Charge

(See instruction on back) (See instruction on back)