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r _ sy~ ~ ylwMl yr~!:- CUI CII HOURS HOURS.' <br />'. REO.HOU~'!:'.:. <br />SE ~~tl~,Elyl : ~ ., SYnday <br />ENP~L-OINENT ~S'.~~RY1C~-Ef <br />! <br />,: OU -. ~.S - ... <br />P.O.. Boz 712501 •. Eugen§, OR 97401;._, ~_ , , OC) ~., - .~ ~~. " ~. ~: <br />'.,..p ., <br />PRINT ~ . „ :; ,7 -„- " ; ..,. ~...':, EMPL <br /> <br /> <br />•+••`Y EMPL NAME '3 ~ <br />" <br />'. Tuesday i./1 <br />~,VV <br />~ <br />ll~l <br />,a~ ^--~ <br />!r~ ~ r ceraly WI ae haYR sham reprefe r W r <br />week ane tnmm wra PrePerM wafieaW ae coati orlH en amhp~maa <br />er~ W SeleBlemp <br />YMe van ~o <br />mlealn <br />ik <br />~ <br />n <br />~ ~ ,, I~ _. -. R <br />e AI <br />erN wa <br />V <br />Npiaemmi <br />l <br />al lryury erx2Reb MxYUmellan. <br />¢I tln Ome <br />r Q ~ <br />'SOCIAL SE URITV NUMBER <br />~ ~Yeaneptlay "~ f ~ ~, .~~" D ~. x ~//` ~ ~~ <br />' <br />~~ <br />... <br />~ ~V.. - ' SgnemRd mgM*e <br />~: <br />COMPANY M o <br />`} <br />~ ~ ` TnuRmy <br />~, "'~:~O ~•(~,j r.h S ~:~ - ~- CLIENT ~~ <br />f <br />~ <br />~ <br />O <br />~ o our <br />We reahzel~I m Irensl@r one of SeWdar4p'e ampl@Yeee <br />' <br />J9 RE ME ANDIOR # <br />g <br />S <br />- <br />~ ~ <br />' Frlday 1 <br />~;(, (~ <br />~ ~ (~~ <br />~ <br />i ~ <br />~ '~~ ayrop requlias a 6e81emenl. Se <br />Rereby cat Ihaf Nq saws Mu e revape 10( Yurther Inlwrjielbn. I <br />are cOnecl ~ - <br />~ <br />\ <br />{ <br />1.\ <br />~ t <br />X <br />/~'~ <br />- <br />'~ <br />f- <br />~ <br />- <br />+NEEK NDINGDAjE Sawmsy ~ $ ~ ~ - <br />e <br />r <br />-.. j L <br />~~ ~ J ~ .~ ~ 9' ~ <br />jai <br />TOTAL Edna u <br />p <br />a <br />. . <br />or <br />s <br />rdwr ~.,. <br />~. <br />~ ' <br />. ~ <br />.. f.1 <br />T L Z~- (c~.. <br />I~{l~vrl ~~S~nJ <br />~~ ~ <br />ASSIGNMENT COMPLETED -RETURNING NEXTWEEK~ .; Haire to nearest quarter hour. <br />~ Q ~m ` <br />Clue <br />~ ~ <br />~ <br />~ <br />HAVE YOU HAD AN ON THEJ091WURV TFfIS WEEK? ~ " - ~ '' <br />~~ ~ ~ <br />' <br />" <br />^ YES IF YES, NOTIFY SELECTEMP IMMEDIATELY ,. ~, <br />.0 N0 .. -. ~ <br />E ~ .. <br />' <br /> ' CUSTOM R COPY .~ <br />- <br />--t^~--r, p'Tt~ c ~ na.,'~t < .. ., n ,.. ..-. r v ~'O~FOR CL iI56FONLY <br />Q <br /> '4ES8 REG OVF,RTINE ~ <br />c 8TA{i] STOP LUNCH HOURS HOURS': 'REG HOURS '~ OT HOURS. <br />~ ~~ <br />~E ~ ~ SIP ~~ <br />~ 5~~ , _ <br /> _ <br />~ , .r <br /> <br />~ ~ <br />'~~ <br />f;d~ LO`YNE NT 3~ 1191(ES..' <br />~ OR 97401~t" t <br />e <br />E y~ Monday ~ ~Q 3 ~r(1 ~ ~' a ~ ~ ~ d `~ <br />~ <br />~ ' <br />r <br />, <br />ug <br />PO. Boz71250 <br />. <br />PLEAS PRINT.''. ~ ~ <br /> <br />~ <br />,i v <br />z!, 13 <br />f <br />t - <br />EMPLOYEE <br />Nel Hw hoeR enaaT, repmepl my io{yl Iwur{werked aurln0.8m <br />I canH <br />NA <br />" TueS~ ~y <br />Alf <br />A ~rJV ~ <br />6 <br />r ~': •r ~ y <br />week erb fiatmeyr@r@PmpeM w'hnaab/me nlemwJN an .Ylnurizea <br />~~ <br />EMPI <br />j 7 <br />' y rePmeerXaYue::AUa, epy,WQik ' H1etl fnlurree tie e'r`epbribtl m 941eimmp <br />~~~ <br />/ <br />~ p(fnluYy.Sh rhrtMeri Qn, <br />el the tune <br />.l <br />.~- . <br />L <br />St7G~L~E,G~1 NUMBER.. Wednaaaey r ,_ » <br />•. <br /> I .. ~ 1 Slpnfllure Pnj(Iplayee <br />COMP Y N E <br />/^ S` <br />„ ~ <br />Nn <br />~ <br />~ '7huRaP/ ~e~p ~ 3Tl ~ ~` <br />+~ <br />~ <br />.CLIENT ~~ <br />~ <br />~i <br />'!~,l)C. <br />`~ 1 ~ ~ <br />: + <br />}~ - - W@ realrze Inez Ia panslerane oYSdedempl, amplaybe8 W our. <br />Saeuauara br IurThar mbrmalion I <br />l <br />We <br />1" <br />Hli <br />S <br />yL(1BSITEWIIMEAND/OR PO <br />I <br />y'~ 1\ <br />~ Frleay .li'~ ~rV~ '~ .`j ~.~ an <br />. <br />p <br />da n <br />ayroll reg <br />a <br />~eRM u~tl `:that lne above na_ R rec?rrOCl '. <br />~ <br />~ <br />~ <br />l <br />4 <br />l ~ <br />~ V <br />c..t <br />"..._- <br />~~ <br />~EE ENDING'-0ATE .'SaturQay ~ <br />r~lpie d5igervTwr <br />~ <br /> . .. .~R TOTAL iu(iJ 3 '~ /c~' . <br />ktd~ayl - <br />ASSIGNMENT OOMPLETED SC~RETURMNG NEXT WEEK- ~ .!loon to nearest quarter hour 1 - tole : I oam ' <br />HAVE IL7U.HAD AN ON THE JOB INJURY THIS WEEK? -'' '. ~' ~ _ `. ' , <br />^ YES IF YES,-NOTIFY SEL F;GTEMPIMMEDIATELV ~ ~ - <br />NO _ .. .. , ruerni~eo rnow ' _. <br /> <br />