Civil Service Form No.

48
Civil Service Form No. 48
DAILY TIME RECORD
-----o0o----- DAILY TIME RECORD
-----o0o-----

(Name)
(Name)
For the month of
Official hours for Regular days For the month of
arrival and departure Saturdays Official hours for Regular days
arrival and departure Saturdays
A.M. P.M. Undertime
Day Depar- Depar- Min- A.M. P.M. Undertime
Arrival Arrival Hours Day
ture ture utes Depar- Depar- Min-
Arrival Arrival Hours
1 ture ture utes

2 1
3 2
4 3
5 4
6 5
7 6
8 7
9 8
10 9
11 10
12 11
13 12
14 13
15 14
16 15
17 16
18 17
19 18
20 19
21 20
22 21
23 22
24 23
25 24
26 25
27 26
28 27
29 28
30 29
31 30
Total 31
Total
I certify on my honor that the above is a true and correct report of
the hours of work performed, record of which was made daily at the I certify on my honor that the above is a true and correct report of
time of arrival and departure from office. the hours of work performed, record of which was made daily at the
time of arrival and departure from office.

VERIFIED as to the prescribed office hours:

VERIFIED as to the prescribed office hours:

In Charge
In Charge