Civil Service Form No. 48 Civil Service Form No. 48 Civil Service Form No.

48

DAILY TIME RECORD DAILY TIME RECORD DAILY TIME RECORD

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(Name) (Name) (Name)

For the month of For the month of For the month of

Official hours for arrival Regular days Official hours for arrival Regular days Official hours for arrival Regular days
and departure Saturdays and departure Saturdays and departure Saturdays

A.M. P.M. Undertime A.M. P.M. Undertime A.M. P.M. Undertime

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

Employee’s Signature Employee’s Signature Employee’s Signature

Immediate Supervisor Immediate Supervisor Immediate Supervisor