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EASTLAKE HIGH SCHOOL - PAYROLL FORM
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 2024-2025
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BUS DUTY/SUPERVISION - SPECIAL EDUCATION DEPARTMENT
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Employee NameStudent Name
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MONTHM11:9/24/24-10/17/24MONTHM11:9/24/24-10/17/24
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DateServiceTIME IN:TIME OUT:Total EXTRA HoursDateServiceTIME IN:TIME OUT:Total EXTRA Hours
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10/7PD - NO STUDENTS
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10/8
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10/11
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10/17
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 TURN IN TIMESHEET TO KARINA NO LATER THAN 10/18/24
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CERTIFICATION
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I hereby certify that this report is an after-the-fact determination of actual extra-duty effort expended for the period indicated and that I have full knowledge of 100 percent of these activities.
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Employee Signature:Date:
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PSYCHOLOGIST Approval: Date:
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Pay Period01-650000-X-5760-1110-2103-220-111-46500
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M11:9/24/24-10/17/24
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IMPORTANT: This document must be retained for a period of 5 years and is subject to be audited by district staff. 2024-2025 K Campos
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FUNDING SOURCE and PAY RATES: All Bus Duty is paid using SPECIAL EDUCATION FUNDS. Classified Personnel is compensated at their HOURLY rate for up to 8 hours of the shift, then the rate will increase to OVERTIME (1.5).
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