CIVIL SERVICE FORM No. 48

DAILY TIME RECORD

_______________________________________(Name)

For the month of_____________________________, 2010Official hours for arrival 7:00am-1:00pmand departure 11:30am-5:00pm (Saturdays)______

Day

A.M. P.M.

UNDERTIME

ArrivalDepar-ture Arrival

Depar-ture Hrs Mins

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

TOTAL: _______________________________I CERTIFY on my honor that the above is true

and correct report of number of hours of work performed, record of which was made daily at the time of arrival and at departure from office._______________________________________

Verified to Prescribed Office Hours

ADELINA G. REGANITDistrict Supervisor

CIVIL SERVICE FORM No. 48

DAILY TIME RECORD

_______________________________________(Name)

For the month of_____________________________, 2010Official hours for arrival 7:00am-1:00pmand departure 11:30am-5:00pm (Saturdays)______

Day

A.M. P.M.

UNDERTIME

ArrivalDepar-ture Arrival

Depar-ture Hrs Mins

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

TOTAL: _______________________________I CERTIFY on my honor that the above is true

and correct report of number of hours of work performed, record of which was made daily at the time of arrival and at departure from office._______________________________________

Verified to Prescribed Office Hours

ADELINA G. REGANITDistrict Supervisor

LEONIL A. ESTAÑO

LEONIL A. ESTAÑO