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I hereby certify, on my honor, that the above is true and I hereby certify, on my honor, that the above is true and
correct report of hours of work performed, record of which was correct report of hours of work performed, record of which was
made daily at the time of arrival and departure from the office. made daily at the time of arrival and departure from the office.
Verified as to the prescribed office hours. Verified as to the prescribed office hours.
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I hereby certify, on my honor, that the above is true and I hereby certify, on my honor, that the above is true and
correct report of hours of work performed, record of which was correct report of hours of work performed, record of which was
made daily at the time of arrival and departure from the office. made daily at the time of arrival and departure from the office.
_______________________________ _______________________________
Employee's Signature Employee's Signature
Verified as to the prescribed office hours. Verified as to the prescribed office hours.
I hereby certify, on my honor, that the above is true and I hereby certify, on my honor, that the above is true and
correct report of hours of work performed, record of which was correct report of hours of work performed, record of which was
made daily at the time of arrival and departure from the office. made daily at the time of arrival and departure from the office.
Verified as to the prescribed office hours. Verified as to the prescribed office hours.
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I hereby certify, on my honor, that the above is true and I hereby certify, on my honor, that the above is true and
correct report of hours of work performed, record of which was correct report of hours of work performed, record of which was
made daily at the time of arrival and departure from the office. made daily at the time of arrival and departure from the office.
Verified as to the prescribed office hours. Verified as to the prescribed office hours.