| Record # | |||
| Department | 385000000 | Position# | |
| FLSA | FTE |
| Name: Sherry Shiffdiff | SS#:________________________ | Unit Charged:________________ |
| Employee ID#:________________ | Pay Ending Date:______________ |
Week 1
| Earned | Sun | Mon | Tue | Wed | Thurs | Fri | Sat | Totals |
| 6/29 | 6/30 | 7/1 | 7/2 | 7/3 | 7/4 | 7/5 | ||
| REG SP1 | 8 | 8 | 8 | 8 | 32 | |||
| SCK | ||||||||
| VAC | ||||||||
| HDC | 8 | 8 | ||||||
| SF1 | 8 | 8 | 8 | 8 | 32 | |||
Week 2
| Earned | Sun | Mon | Tue | Wed | Thurs | Fri | Sat | Totals |
| 7/6 | 7/7 | 7/8 | 7/9 | 7/10 | 7/11 | 7/12 | ||
| REG SP1 | 8 | 8 | 8 | 8 | 8 | 40 | ||
| SCK | ||||||||
| VAC | ||||||||
| SF1 | 8 | 8 | 8 | 8 | 8 | 40 | ||
| 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 |