Civil Service Form No. 48

DAILY TIME RECORD

-----o0o-----

_____________________________________

(Name)

For the month of

Official hours for arrival
and departure
Regular days ___________________

Saturdays ___________________

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 office.



VERIFIED as to the prescribed office hours:



In Charge

Civil Service Form No. 48

DAILY TIME RECORD

-----o0o-----

_____________________________________

(Name)

For the month of

Official hours for arrival
and departure
Regular days ___________________

Saturdays ___________________

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 office.



VERIFIED as to the prescribed office hours:



In Charge

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