Spreadsheet: 02b679f3-cbcb-4983-b365-c23cd462203f
Sheet: Sheet1

Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | Unnamed: 3 | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | Unnamed: 8 | Unnamed: 9 | Unnamed: 10 | Unnamed: 11 | Unnamed: 12 | Unnamed: 13 | Unnamed: 14 | Unnamed: 15 | Unnamed: 16 | Unnamed: 17 | Unnamed: 18 | Unnamed: 19 | Unnamed: 20 | Unnamed: 21 | Unnamed: 22 | Unnamed: 23 | Unnamed: 24 | Unnamed: 25 | Unnamed: 26 | Unnamed: 27 | Unnamed: 28 | Unnamed: 29 | Unnamed: 30 | Unnamed: 31 | Unnamed: 32 | Unnamed: 33 | Unnamed: 34 | Unnamed: 35 | Unnamed: 36 | Unnamed: 37 | Unnamed: 38 | Unnamed: 39 | Unnamed: 40 | Unnamed: 41
[NAME] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | CLASSIFIED TIME REPORT
IF THE ACCOUNT NO. IS THE SAME FOR EACH NAME ON THIS PAGE, PLEASE ENTER ACCOUNT INFORMATION BELOW: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | DEPT.
ACCT. NO.: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | FOR FIRST TIME PAY, ENTER AUTHORIZING BOARD REPORT DATE: |  |  |  |  |  |  |  |  |  |  | PERIOD FROM
1)   Name & Social Security No. |  |  |  |  |  |  |  |  |  | (ENTER MONTH) |  |  |  |  |  | (ENTER MONTH) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | TOTAL HOURS
2)  Account Number |  |  |  |  |  |  |  |  |  | 26 | 27 | 28 | 29 | 30 | 31 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25
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THIS TIME REPORT IS DUE IN THE PAYROLL OFFICE NO LATER THAN 5 P.M. ON THE FIRST WORKING DAY AFTER THE 25TH OF EACH MONTH. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | I HEREBY CERTIFY THAT THE ABOVE IS CORRECT AND [NAME] |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | FOR OFFICE USE ONLY
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | VERIFIED BY:
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | PAY CYCLE:
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | DEPARTMENT HEAD |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | DATE: