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DAILY LABOR l II/IE SHEET NorthStar <br /> PROJECT �_" ___�C-r<o� JOB NO. /29522 DATE 12/25Zfl-ef <br /> DAY i M l tqi W l TH I F l SA / S DESCRIPTION OF WORK PERFORMED <br /> ( PREVAILING WAGE <br /> 1st Shift ❑ I s <br /> YES OR Q5 NO <br /> PAY WEEK ENDING d ,/Ci ; _�0 A ( <br /> 2nd Shift Q� ?/� I A C f { g PREVAILING WAG RATE <br /> MANDAYS THIS PAY PERIOD: 3rd Shit ❑ , I <br /> I CLASS <br /> r SOCIAL SEC.# EMPLOYEE TOTAL HOURS T"EMP <br /> EMPLOYEE NAME EMPLOYEE# (Last 4 Dlglts) SNATURE I TOT. I REG. On. DIr. INIT. <br /> 1 <br /> Q 1 i r <br /> -- ----- _ <br /> I I I <br /> r <br /> — I <br /> I i <br /> TOTAL <br /> Foreman/Superintendent Signature roja /Opera ons Manager Signature Client Authorization <br /> Whlto -Office Copy 'All employees are required to affix t eir Initials next to the total hours. <br /> Yellow-Field Book Copy By our 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 />