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<br /> ` 1 <br /> City of Eugene Time Record Form page 1 of 1 <br /> Public Works, Parks & Open Space Wetlands Summer Crew ' _ <br /> FLSA Period Work Schedule (hours per da) SSN (last 4 digits):~_ Employee No/~ <br /> ~ ~ ~r (~+n -sat) Mon Tues Wed Thurs Fri ,fi t <br /> Q varied sa,eaub 8 8 8 8 8 Name: ~ ~i ~ ty (Sf~M M-() N Divison: POS <br /> QX Temp <br /> ~ oa>er Pay Period: Q14, Star6'ng 06!11/06 Ending 06!24/06 <br /> FLSA Exempt <br /> Employee Record Number (for multiple jobs): <br /> Time In „v~ 7 ? <br /> ime Out 77o v <br /> Job Cost Code OT In - <br /> OT Out <br /> Pay <br /> Service Location Work Eam 11 6/12 6/13 6/14 6/15 8/16 Week 8ft 6/19 6/20 6/21 6/22 6f23 Week Period <br /> DV ID T T Sun Mon Tues Wed Thurs Fri $et Total - Sun:> Mon Tues Wed Thurs Fri 'Sat Total Total <br /> 93 4406 BLM Seed, Native Plant Materials Pro ram 793 WRK <br /> 93 4405 BLM Wetlands Ve etation Maintenance 793 WRK <br /> Mitigation Bank (O&M Phase) <br /> `9~i • 4301B Mitian Bank DAairrtettanoe ~ Monitoring, O ` 7$0 :WRK ' <br /> Mitigation Bank (Capital Phase) - <br /> Daily Totals _ <br /> Daily Overtime Totals <br /> TOTAL WEEK 1 TOTAL WEEK 2 U <br /> I hereby cerhly that all iMormation recoNed on this form is accurate. <br /> ~ 7 <br /> Fmrilnvca Bai~~ °2~--~ Total All Hours U U <br /> Supervisor. 22~ Date: ~ ~2--~ <br /> <br />