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[Company Name]
Employee Name:
[Address 1]
[Address 2]
[City, State ZIP]
[Phone]
Supervisor Name:
Week of: 1/5/2015
Regular
Hrs
Day of Week
Overtime
Hrs
Sick
Vacation
Holiday
Unpaid
Leave
[42]
Other
Mon 1/5
TOTAL
Hrs
0.00
Tue 1/6
8.00
0.43
8.43
Wed 1/7
0.00
Thu 1/8
0.00
Fri 1/9
0.00
Sat 1/10
0.00
Sun 1/11
0.00
Total Hrs:
8.00
0.43
0.00
0.00
0.00
0.00
0.00
Rate/Hour:
15.00
23.00
15.00
15.00
15.00
0.00
0.00
Total Pay:
120.00
9.89
0.00
0.00
0.00
0.00
0.00
8.43
129.89
Employee Signature
Date
Supervisor Signature
Date
8.43
$ 129.89
[Company Name]
Employee Name:
[Address 1]
[Address 2]
[City, State ZIP]
[Phone]
Supervisor Name:
Week of: 1/5/2015
Regular
Hrs
Day of Week
Overtime
Hrs
Sick
Vacation
Holiday
Unpaid
Leave
[42]
Other
Mon 1/5
TOTAL
Hrs
0.00
Tue 1/6
8.00
0.43
8.43
Wed 1/7
0.00
Thu 1/8
0.00
Fri 1/9
0.00
Sat 1/10
0.00
Sun 1/11
0.00
Mon 1/12
0.00
Tue 1/13
0.00
Wed 1/14
0.00
Thu 1/15
0.00
Fri 1/16
0.00
Sat 1/17
0.00
Sun 1/18
0.00
Total Hrs:
8.00
0.43
0.00
0.00
0.00
0.00
0.00
Rate/Hour:
15.00
23.00
15.00
15.00
15.00
0.00
0.00
Total Pay:
120.00
9.89
0.00
0.00
0.00
0.00
0.00
8.43
129.89
Employee Signature
Date
Supervisor Signature
Date
8.43
$ 129.89
[Company Name]
Employee Name:
[Address 1]
[Address 2]
[City, State ZIP]
[Phone]
Day of Week
Supervisor Name:
Week of: 1/5/2015
Regular
Overtime
Sick
Vacation
Holiday
[h]:mm
[h]:mm
[h]:mm
[h]:mm
[h]:mm
Unpaid
Leave
[42]
Other
TOTAL
[h]:mm
[h]:mm
Mon 1/5
Tue 1/6
0:00
8:00
2:00
10:00
Wed 1/7
0:00
Thu 1/8
0:00
Fri 1/9
0:00
Sat 1/10
0:00
Sun 1/11
0:00
Total Hrs:
8:00
2:00
0:00
0:00
0:00
0:00
0:00
Rate/Hour:
15.00
23.00
15.00
15.00
15.00
0.00
0.00
Total Pay:
120.00
46.00
0.00
0.00
0.00
0.00
0.00
10:00
166.00
Employee Signature
Date
Supervisor Signature
Date
10:00
$ 166.00
[Company Name]
Employee Name:
[Address 1]
[Address 2]
[City, State ZIP]
[Phone]
Day of Week
Supervisor Name:
Week of: 1/5/2015
Regular
Overtime
Sick
Vacation
Holiday
[h]:mm
[h]:mm
[h]:mm
[h]:mm
[h]:mm
Unpaid
Leave
[42]
Other
TOTAL
[h]:mm
[h]:mm
Mon 1/5
Tue 1/6
0:00
8:00
2:00
10:00
Wed 1/7
0:00
Thu 1/8
0:00
Fri 1/9
0:00
Sat 1/10
0:00
Sun 1/11
0:00
Mon 1/12
0:00
Tue 1/13
0:00
Wed 1/14
0:00
Thu 1/15
0:00
Fri 1/16
0:00
Sat 1/17
0:00
Sun 1/18
0:00
Total Hrs:
8:00
2:00
0:00
0:00
0:00
0:00
0:00
Rate/Hour:
15.00
23.00
15.00
15.00
15.00
0.00
0.00
Total Pay:
120.00
46.00
0.00
0.00
0.00
0.00
0.00
10:00
166.00
Employee Signature
Date
Supervisor Signature
Date
10:00
$ 166.00