Employee Time Report Form, DEP Box 32, Dec 1994

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ENTRY EVENT DAIt I ENTRY EVEICTTIME AGEr«:Y TYPE MONTH I I DAY I I YEAR I TYPE HOURS 1:1 MIN DATA REPORTING CATEGORY 1 J I 1*11 SALARY DIFF DOtXARS ~T ] [ SUPH. PAY no

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PREPARER MANAGER/SUPERVISOR KEY ENI RY OPERATOR I CERTIFY THAT THE ADJUSTMENTS ARE I CERTIFY THAT I HAVE REVIEWED TH^ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY NTATJON on FILE ADJUSJMOfrFRANS/^ION / / INTOPMS *•

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