Civil Service Form No.

48

DAILY TIME RECORD (Name)

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For the month of
Official hours for arrival Regular days
(Name) and departure Saturdays

For the month of A.M. P.M. Undertime

Official hours for arrival Regular days Day Depar- Depar- Min-
Arrival Arrival Hours
and departure Saturdays ture ture utes
1
A.M. P.M. Undertime 2
Day Depar- Depar- Min-
Arrival Arrival Hours 3
ture ture utes
4
1
5
2
6
3
7
4
8
5
9
6
10
7
11
8
12
9
13
10
14
11
15
12
16
13
17
14
18
15
19
16
20
17
21
18
22
19
23
20
24
21
25
22
26
23
27
24
28
25
29
26
30
27
31
28
Total
29
30 I certify on my honor that the above is a true and correct report of the
31 hours of work performed, record of which was made daily at the time
Total of arrival and departure from office.

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 time
VERIFIED as to the prescribed office hours:
of arrival and departure from office.

In Charge
VERIFIED as to the prescribed office hours:

In Charge

Civil Service Form No. 48

DAILY TIME RECORD

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