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The employee is responsible to submit their time sheet. Work 6/9-06/20 due 6/20 for pay 7/10. Work 6/21-7/16 due 7/16 for pay 8/10. UKIAH UNIFIED SCHOOL DISTRICT
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SPECIAL EDUCATION EXTENDED SCHOOL YEAR
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CLASSIFIED TIME SHEET
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NAME:                                                                         PERIOD ENDING:                                                                                    
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ADDRESS:                                                                    EMPLOYEE SIGNATURE:                                                                     
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DATEHRSPROGRAMSAPPROVED
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POSITIONSCHOOL NAMEFUNDINGSIGNATURE
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Cirle One PositionCircle One SiteResourceSch *FunctionCircle one Program
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CCA MOD SEVEREPreschool VillageExtended School Year (ESY)
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PARA MOD SEVEREOak ManorESY Dates: 6/10 - 7/9
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PARA MS - BUS MONITORFrank Zeek
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PARA MILD MODERATEPomolitaExtra One Week
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PARA MM SPEECHUkiah High SchoolExtra 1 Week: 7/10 - 7/16
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PARA INERVENERCTP/Observatory
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BEHAVIOR TECHTransportation
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SECRETARYDistrict Wide
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MH COUNSELOR
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FOR BUSINESS OFFICE USE ONLY
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FUNDRESOURCEYROBJECTSCHOOLGOALFUNCTIONDIST DEFINEDRATE OF PAYDAY/HRSTOTALPROFILE
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01650002140000573111100005CCA Mod-Severe ESY
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01650002140000576111100005Para Mod Severe ESY
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01650002140000576111100005Para Intervener ESY
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01650002140000576111100005Behavior Tech ESY
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01650002140000576111200005Para Mild Moderate ESY
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01650002140000576111200005Para MM Speech ESY
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01650002460000501121000005Secretary ESY
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01650002240000576131100005MH Counselor ESY
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01260002140000112010000005CCA MS Extra
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01260002140000112010000005 Para Mod Sev. Extra
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01260002140000112010000005Para Intervener Extra
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01260002140000112010000005Behavior Tech - Extra
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01260002140000112010000005Para Mild Mod.. Extra
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01260002140000112010000005Para MM Spech Extra
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01260002460000000027000005 Secretary Extra
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01260002240000000031100005MH Counselor Extra
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01260002140000112010000005UHS Para Mild Mod.. Extra
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Please copy on GREEN only.GRAND TOTAL
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