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CASUAL LABOR FORM
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The following hours of labor are submitted for payment to the Brookville Board of Education
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Building:
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Name & SignatureExplanation of Labor/EventDateHour(s)RateAmount
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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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$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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Grand Total:$0.00
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Principal / Department Head / Superintendent Signature
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*Updated 7/1/15
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