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