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HOURS CLASSIFICATION (INPUT IN HOURS) <br />Other: <br />Hour Classification Subtotal <br />HOUR BREAKDOWN (INPUT IN HOURS) <br />Program/Class Subtotal #DIV/0! <br />Notes <br />SUMMARY for Period Ending: 6/26/2012 <br />Worker Signature Date <br />Worked Hours <br />I hereby certify that this time record was kept current by me and that I had at least the minimum break/meal periods prescribed <br />by law and that this record is correct. <br />Supervisor Signature <br />HOURS PAID <br />Date <br />Time Log <br />Name <br />No: <br />Classification <br />Payroll Pay Period ® to <br />5126/2012 <br />_ <br />Due On 612712012 <br />twmmr U—.. hn, <br />Next Next Next Next <br />Total <br />6/13 6/14 6/15 <br />6/16 <br />6/17 6/18 6/19 6/20 6/21 6/22 6/23 <br />6/24 6/25 6/26 Period Period Period Period <br />Hours <br />CLOCKED IN WORKED HOURS <br />WED THURS FRI <br />SAT <br />SUN MON TUE WED THURS FRI SAT <br />SUN MON TUE <br />Time In <br />Out for Lunch <br />In from Lunch <br />Time Out <br />Misc. Hours <br />Worked Subtotal <br />HOURS CLASSIFICATION (INPUT IN HOURS) <br />Other: <br />Hour Classification Subtotal <br />HOUR BREAKDOWN (INPUT IN HOURS) <br />Program/Class Subtotal #DIV/0! <br />Notes <br />SUMMARY for Period Ending: 6/26/2012 <br />Worker Signature Date <br />Worked Hours <br />I hereby certify that this time record was kept current by me and that I had at least the minimum break/meal periods prescribed <br />by law and that this record is correct. <br />Supervisor Signature <br />HOURS PAID <br />Date <br />