Bldg. Room #
Pay Period Beginning: Ending:
(Enter Beginning Date Only--Other Dates are Formula-Driven)
Thu.
Fri.
Sat.
Sun.
Mon.
Tue.
Wed.
Thu.
Fri.
Sat.
Sun.
Mon.
Tue.
Wed.
1.
2.
3.
4.
5.
Date
Record Hours 'In' and 'Out' Daily
(Format: In: 9:15 A Out: 12:30 P)
Out
Employee: Complete ALL blanks, sign and submit to your supervisor when you finish work for the pay period. Late time sheets cannot be paid
until the following pay period.
Day
Supervisor's Signature
H
R
OutIn
Y
Total Hours Worked:
I certify that the days and hours worked as recorded above are correct.
I certify that the days and hours indicated above represent time
worked by the employee including any holiday hours noted and
initialed by me, and that the employee is entitled to payment
thereof.
Weekly Total
Employee's Signature Date
Out
Hours
Worked
(Exclude
Lunch)
Weekly Total
Dates
In
Total Amount $
Supervisor: Review time sheet for accuracy, initial all approved holiday work and corrections made on the time sheet, sign certification and
submit only the original copy to the Payroll Office for payment. See "Pay Schedule" issued by Payroll Office for due dates.
Office Phone Number:
Record hours "in" and "out" daily. Hours worked must be recorded in quarter hour units (e.g. 9:15 A, 12:30 P) in ink.
A work period cannot extend beyond six hours without taking a lunch break of at least one-half hour, which must be shown on the time
ht
All hours worked on a holiday or hours which have been adjusted must be initialed by the supervisor before payment can be made.
In
Employee Name:_____________________________
Hourly Rate:_________________________________
Line Item No:________________________________
College of Agriculture and Technology
PAYROLL OFFICE - Knapp Hall 123
HOURLY TEMPORARY
PAYROLL VOUCHER
Department Account Number:______________________________________
Department or Office:____________________________________________
click to sign
signature
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signature
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