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CS Form 48 _____________________________

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

____________________________
Signature

Verified as to the prescribed office hour

____________________________

DAILY TIME RECORD

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