DAILY TIME RECORD
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DAILY TIME RECORD
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(Name)
(Name)
For the month of
For the month of
Official hours for Regular days
arrival and departure Saturdays Official hours for Regular days
arrival and departure Saturdays
Day A.M. P.M. UNDERTIME
Arrival Departure Arrival Departure Hours Minutes Day A.M. P.M. UNDERTIME
Arrival Departure Arrival Departure Hours Minutes
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
10
10
11
11
12
12
13
13
14
14
15
15
16
16
17
17
18
18
19
19
20
20
21
21
22
22
23
23
24
24
25
25
26
26
27
27
28
28
29
29
30
30
31
31
Total
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 I CERTIFY, on my honor, that the above is a true and correct report
the time of arrival and departure from office. of the hours of work performed, record of which was made daily at
the time of arrival and departure from office.
Name and Signature
Name and Signature
VERIFIED as to the prescribed office hours.
VERIFIED as to the prescribed office hours.