Daily Time Record Daily Time Record: (NAME) (NAME)

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Civil Service Form 48 Employee No. ____________ Civil Service Form 48 Employee No.

____________

DAILY TIME RECORD DAILY TIME RECORD

(NAME) (NAME)

For the Month of _________________ For the Month of _________________

Official Hours for Reg. Days ____________________ Official Hours for Reg. Days ____________________
Arrival and Departure Saturdays _________________ Arrival and Departure Saturdays _________________
D A.M. P.M. OVERTIME D A.M. P.M. OVERTIME
A A
Y Arr. Dep. Arr. Dep. Arr. Dep. Y Arr. Dep. Arr. Dep. Arr. Dep.
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TOTAL _______________________ TOTAL _______________________

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

_______________________ ____________________________
Official or Employee Official or Employee

VERIFIED as to the prescribed hours. VERIFIED as to the prescribed hours.

CHITO R. VILLACAMPA CHITO R. VILLACAMPA


Teacher-In-Charge Teacher-In-Charge

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