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DAILY LABOR TIME SHEET No ,#-hStar <br /> PROJECT_(�� 'v``'/�t'��— JOB NO. ��v/.S�� DATE !�G / <br /> DAY ,• M / T r 6�/ TH / F / SA / S DESCRIPTION OF WORK PERFORMED <br /> r —r— --T- <br /> 1St Shift ❑i i 1 I PREVAILING WAGE <br /> PAY WEEK ENDING_L/ �l i ! i ( i YES ORNO <br /> 2nd Shift ❑ ' l� I 1 j '� u: <br /> PREVAILING WAGE RATE <br /> MANDAYS THIS PAY PERIOD: 3rd Shifa ❑ I — <br /> CLASS .--- <br /> MPLOYEE NAME EMPLOYEE# SOCIAL SEC.# EMPLOYEE f I TOTAL HOURS 'EMP <br /> 4 (Last 4 Digits) SIGNATURE ( I I i TOT. I REG. O/T. I DIT. INIT., <br /> i <br /> I i <br /> j I - <br /> ( <br /> i <br /> 4Pct <br /> Foreman/Superintendent Signature eratio Manager Signature Clief�t Authorization <br /> White -Office Copy 'All employees are required to affix their Initials ext to the total hours. <br /> Yellow-Field Book Copy By your initials you are attesting to the hours to be paid,and that all authorized breaks and rest periods have been provided, <br /> and you have not suffered any work related injury on this day. <br />