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FY 24
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December 2 to December 15, 2023
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Time Distribution Report
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Last Name:
First Name:
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Full Time:Part-Time %xFTE %45Flex Time:Y/N
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Flex Schedule:9 / 9 hr days4 / 10 hr days
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Day of WeekSaSuMTWTHFSaSuMTWTHFHours
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2345678910111213141580
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Holiday (Must fill in hours for Holiday)0.00
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Annual Leave0.00
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Sick Leave 0.00
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Funeral Leave0.00
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Other (Describe)0.00
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Leave Total:0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Funding Source
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0.00
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0.00
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0.00
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0.00
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0.00
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0.00
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0.00
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0.00
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0.00
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0.00
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0.00
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0.00
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0.00
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0.00
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0.00
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Daily Total:0%0%0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
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Notes:
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I certify that the hours shown herein are a complete and accurate record of time worked each day and
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for the reporting period. All leave taken and/or overtime earned or taken as time off was approved and
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reported. I also certify that my actual % worked in the various account names is accurate. If the %
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reflected in the actual column is different from the projected Time Memo column, than an adjusting
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entry will be processed to reflect the changes necessary. Due to part-time or flexible schedules,
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hours each day, week, or month may vary but any full two week period (10 Consecutive working
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days) represents the required hours to be worked.
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Employee Signature
Date
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Supervisor Signature
Date
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Please note: If any part of your salary is charged to a Federal Grant, and your
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Supervisor is not the project Director, please have the Project Director sign as well.
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Project Director Signature
Date
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