____________________
Civil Service Form 48 Emp. No.6085488 In Charge
DAILY TIME RECORD Civil Service Form 48 Emp. No. 6085488
DAILY TIME RECORD
For the Month of ______________
Official Hours for Reg. Days: 8:00-12:00 / 1:00-5:00
Arrival and Departure for Saturdays: As Required For the Month of _________________
Official Hours for Reg. Days: 8:00-12:00 / 1:00-5:00
Arrival and Departure for Saturdays: As Required
D A. M. P. M. UNDERTIM
A E D A. M. P. M. UNDERTIM
Y A E
Arr. Dep. Arr. Dep. Min-
Hours utes Y
Arr. Dep. Arr. Dep. Min-
Hours
1 utes
2 1
3 2
4 Sat. 3
5 Sun. 4 Sat.
6 5 Sun.
7 6
8 7
9 8
10 9
11 Sat. 10
12 Sun. 11 Sat.
13 12 Sun.
14 13
15 14
16 15
17 16
18 Sat. 17
19 Sun. 18 Sat.
20 19 Sun.
21 20
22 21
23 22
24 23
25 Sat. 24
26 Sun. 25 Sat.
27 26 Sun.
28 27
29 28
30 29
31 30
31
T O T A L _____________________
I certify on my honor that the above is a true and correct T O T A L ____________________
report of the hours of work performed, record of which was I certify on my honor that the above is a true and correct
made daily at the time of arrival and departure from office. report of the hours of work performed, record of which was
made daily at the time of arrival and departure from office.
_________________
Official or Employee __________________
VERIFIED as to the prescribed hours: Official or Employee
VERIFIED as to the prescribed hours:
_____
In Charge