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• Clty of Eugens Time Record Fornl <br /> Plennlnq b Daveavpmsnt, BuTldinp Pemr1l Servic~ea Drv1sJ <br />PtsAhded Erdar pay pgrfod and daaea wits aPP~ <br />rarlailn-s.y PAY PERIC?D ~ ~~ ~ <br /> ZQ'~~ <br />v.ded adlsduN Beein Date - <br />Sun Mon Tues Wed Thins Fd 8at <br />Tert~ End Date OZ ~ 8 8 $ 8 8 <br />ours <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />bCnelCOde ~•: <br /> <br />?f:i•: <br />:•n. <br />- :•o-: <br />•:e :~1:: <br />.2•i=:. s. t. : <br />.I <br />••i • }•~ <br /> <br /> <br /> <br />::: <br />.~i=: <br />%•1•. <br />'% : 1: <br />:=i <br />%:i:'c= i i'% <br />i•::•i%i <br />N . 4' F' t• <br />: <br />s <br />. <br />~ <br /> . <br />• . . <br />.. . <br />.1. <br />.•1: <br />2; <br />1: 1 1 <br />~ <br />S8rYi0e Wank . <br />, <br />:::•.t, <br />Eam <br />V ID Lcc Type Type Surt Mon Tues Wed Thura Frl Sal '• <br />'~i~;!_!'• 5un Mon Tues Wed <br /> , <br /> <br />~3 <br />. 6~~5 <br /> 0 <br />5Sr1(last 4 dlylis):. Employee No: ~ . ~ <br /> _ H <br />Nams: ~ n, <br /> <br />Emplay~sfieooMNum'bklEornwlUplrloD~r () -'`~, <br />•' ii- N <br />~X FLBACowred <br /> <br /> . ~.. <br />:_•• <br />:_ <br /> <br /> <br /> <br /> <br /> <br /> <br />`.~~_ <br />:-:. Y`y <br />y1: <br />-_• <br />ic'! <br />~E i=ii <br />'%:4~1 fF: <br />'1 :.~~_ <br /> <br /> <br />~ <br />l <br />~0 <br /> <br />I <br />'-: i:. <br /> <br />i=2=% <br />:•:_: <br />:=1=1=i~ <br />:!%: :S.i <br />'.:2.: <br /> <br />~~ <br />:. <br />i'a <br />1~E <br />~ ~1 <br /> <br /> <br /> <br /> <br /> <br /> <br />W2L~d0 <br />f <br />i . <br />.K7. <br />%:€~•: <br /> <br />IP <br />;., _ '°';;!;__ = Houdy Dept ID P~ ciea• ~ ~ <br />Thum Fri Sal •?E~`:!~"•i'= <br />!~'' Fta6e Fund (oV81N? (Acm7-~j (a~a+~tl 00 <br />. <br />::=°i=~==' ~jE <br />i <br />ii <br />: <br />i o~ <br />i <br />% <br />i <br />E o <br /> <br />:%i <br /> <br />Post-tt• Fax Note 7671 ~~{ 2 pages- 'Z- <br />70 ~` ,~ From <br />~~.P,. axv,' co. Pt ~ <br />Phone Y Ptwne N <br />Fax ~ $ 2 ~O (Q <br />r Fax;Y Z ~ <br />i <br />.~1 <br />-. <br />.,1 <br />1 <br />...: <br />°~ z <br />b <br />_ H <br />=:'-~ <br /> <br /> <br /> <br />~i <br /> <br />~ <br /> <br /> <br />• 3~ <br />.: <br />:% <br />• <br />~ <br />i• ` <br />•` ~ti <br />~_ } <br />:• <br />.i. t. <br /> <br />:%i,:.• <br />.i.=.- <br />((~~~ <br />i~i•. <br />~ <br />~~ <br /> <br />} <br /> <br />_ i <br />•_ <br />. <br />M <br />• <br />Daly TolaU ~ <br />:.~Li', 9 . "1 • ~ }s:: <br />•/k <br />Daf( Ovarlfine Tdal % %' ?:•: i:(%iii%i5i= <br />Y :.i•:}: :.%iE _ .:_::: <br /> <br />ToL1All Haus <br />lbagitae~fyYWed /Rtnded :=T:6f~'11tstllll~`K~~:= Z. ~•`t'1~'~'21It~1~fEFlt:~': . <br />~~ ~ <br />Employee: Dale• `~ OZ 5uparvieor: ~~t~-`t 1~ ', f~,••,~ . <br />pate• V / f ~ a'2 ~ <br /> ~y~ o <br />0 <br /> r <br />