DTR XXXXXXXXXXX
DTR XXXXXXXXXXX
DTR XXXXXXXXXXX
48
(Name) (Name)
I certify on my honor that the above is a true and correct report of the 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 hours of work performed, record of which was made daily at the time
of arrival and departure from office. of arrival and departure from office.
VERIFIED as to the prescribed office hours: VERIFIED as to the prescribed office hours:
In Charge In Charge