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_____________________________
DAILY TIME RECORD (NAME)
For the month: ,2024
____________123214451543645313232131513231 Official hours for Regular Days:
232_________________
Arrival: 7:30 A.M.-1:00 P.M.
(NAME)
Departure: 12:00 P.M.-5:00P.M.
For the month: ,2024 Saturdays: As Required
Official hours for Regular Days: A.M. P.M. UNDERTI
Arrival: 7:30 A.M.-1:00 P.M. DA ME
Departure: 12:00 P.M.-5:00P.M. Y Arriva Depar Arriva Depar HR MIN
Saturdays: As Required l ture l ture S
A.M. P.M. UNDERTI
DA ME 1
Y Arriva Depar Arriva Depar HR MIN 2
l ture l ture S 3
4
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28 Total
29 I certify on my honor that the above is true and correct of
30 the hours of works performed, records of which was made
31 daily at the time of arrival and departure from office.
Total
I certify on my honor that the above is true and correct of Signature
the hours of works performed, records of which was made
daily at the time of arrival and departure from office. Verified as to the prescribed office hour
Signature ____________________________
____________________________