Civil Service Form No.

48

DAILY TIME RECORD (Name)

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

VERIFIED as to the prescribed office hours:

VERIFIED as to the prescribed office hours:

In Charge
In Charge

Civil Service Form No. 48

DAILY TIME RECORD

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