| Record # | |||
| Department | 385000000 | Position# | |
| FLSA | FTE |
| Name: Carl Callback | SS#:________________________ | Unit Charged:________________ |
| Employee ID#:________________ | Pay Ending Date:______________ |
Week 1
| Earned | Sun | Mon | Tue | Wed | Thurs | Fri | Sat | Totals |
| 1/26 | 1/27 | 1/28 | 1/29 | 1/30 | 1/31 | 2/1 | ||
| REG SP1 | 8 | 8 | 8 | 8 | 7 | 39 | ||
| SCK | ||||||||
| VAC | ||||||||
| CBN | 1 | 1 | ||||||
| CBP | 1 | 1 | ||||||
| OVT | 1 | 1 |
Week 2
| Earned | Sun | Mon | Tue | Wed | Thurs | Fri | Sat | Totals |
| 2/2 | 2/3 | 2/4 | 2/5 | 2/6 | 2/7 | 2/8 | ||
| REG SP1 | 8 | 8 | 8 | 8 | 8 | 40 | ||
| SCK | ||||||||
| VAC | ||||||||
| CBN | 1 | 1 | ||||||
| CBO | 1 | 1 | ||||||
| Codes for leave used and hours worked other than regular hours can be found at the HRS Web Site: (click on Payroll Information, then Reporting Time Worked & Leave Taken, then Earnings Codes) |
The following is a true statement of hours worked in the period indicated.
| _____________________________________ | _____________________________________ |
| Employee Signature | Authorized Signature |