EMPLOYEE TIME SHEET NAME SS NUMBER DEPT POSITION CODES FOR MISCELLANEOUS: MONTH D = DEATH IN FAMILY H = HOLIDAY P = PERSONAL J = JURY DUTY MISCELLANEOUS DAY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 TOTAL HOURS WORKED VACATION SICK 0 0 0 CODE HOURS TOTAL 0 0 I hereby certify that, to the best of my knowledge and belief, this time sheet is complete and correct. SUPERVISOR SIGNATURE EMPLOYEE SIGNATURE Hourly Rate of Pay: Budget Account No.