DAILY TIME RECORD DAILY TIME RECORD

NAME NAME

MONTH MONTH
Official hours for arrival Regular days Official hours for arrival Regular days
and departure Saturdays and departure Saturdays
A.M. P.M. UNDERTIME A.M. P.M. UNDERTIME
DAY Arrival Departure Arrival Departure Hours Minutes DAY Arrval Departure Arrival Departure Hours Minutes
1 1
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
11 11
12 12
13 13
14 14
15 15
16 16
17 17
18 18
19 19
20 20
21 21
22 22
23 23
24 24
25 25
26 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 I CERTIFY on my honor that the above is a true and correct report of
report of the hours of work perform, record of which was made
daily at the time of arrival and departure from office. the hours of work perform, record of which was made daily at the time of

Verified as to the prescribed office hours. Verified as to the prescribed office hours.

In Charge In Charge