Law in 2014

Pay Period from 10/27/2013 to 11/9/2013 |

Employee Name (Must print legibly): LAST | SMITH | FIRST | JOHN |

DayDate | Start Time | End Time | Total Hours | Work Location | On-Call LunchHoliday Sick / Vacation | |

SU27 | | | | | | TOTALSA. Total hrs worked for week =B. Hours worked over 40 (OT) =C. Hours worked on holiday =Total approved vac hrs used =Total approved sick hrs used =Breakdown of Reg hrs by Work Site: Site_____Commonwealth______Site_Devonshire_______________Site__Stonecreek____________Site_IHS_____________________Site_______________________Site_______________________ | 32.00 8 8.00 8.008.00 8.00 |

| | | | | | | |

M 28 | 2:00 | 10:00 | | Commonwealth | | | |

| PM | PM | 8 | | | | |

TU 29 | 2:00 | 10:00 | | Devonshire | | | |

| PM | PM | 8 | | | | |

W 30 | | | | Sick | 8 | | |

| | | | | | | |

TH 31 | 2:00 | 10:00 | | Stonecreek | | | |

| PM | PM | 8.00 | | | | |

F 1 | 2:00 | 10:00 | | IHS | | | |

| PM | PM | 8.00 | | | | |

SA 2 | | | | | | | |

| | | | | | | |

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DayDate | Start Time | End Time | Total Hours | Work Location | On-Call LunchHoliday Sick / Vacation | |

SU3 | | | | | | TOTALSA. Total hrs worked for week =B. Hours worked over 40 (OT) =C. Hours worked on holiday =Total approved vac hrs used =Total approved sick hrs used =Breakdown of Reg hrs by Work Site: Site___IHS__________Site____Broad_____________Site_______________________Site_______________________Site_______________________Site_______________________ | 47.50 7.50 39.508.00 |

| | | | | | | |

M 3 | 7:30 | 8:00 | | | | | |

| PM | AM | 12.5 | IHS | | | |

TU 4 | 2:00 | 10:00 | | IHS | | | |

| PM | PM | 8 | | | | |

W 4 | | | | | | | |

| | | | | | | |

TH 5 | 2:00 | 10:00 | | Broad | | | |

| PM | PM | 8 | |...