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Republic of the Philippines Province of Leyte Municipality of Palo -o0o- DAILY TIME RECORD NAME: ____GILES EDGAR B. DAYA_____________________ For the month of: ______________________________________ Official Hours: _______________ Reg. Days: _______________ Arrival & Departure Saturdays: ___________________________ DAY A.M. P.M. REMARKS IN OUT IN OUT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 I HEREBY CERTIFY on my honor that the above statements are correct that the services rendered were applied to public service. _____ __________________________ ____ Signature I CERTIFY on my honor that the record of hours of work was made daily at the time of arrival & departure. _____________________________ In – Charge Approved: REMEDIOS L. PETILLA Municipal Mayor Republic of the Philippines Province of Leyte Municipality of Palo -o0o- DAILY TIME RECORD NAME: ____GILES EDGAR B. DAYA_____________________ _ For the month of: ______________________________________ Official Hours: _______________ Reg. Days: _______________ Arrival & Departure Saturdays: ___________________________ DAY A.M. P.M. REMARKS IN OUT IN OUT 1 2 3 4 5 6 7 8 9 10 11 S U N D

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S U N D A YRepublic of the PhilippinesProvince of LeyteMunicipality of Palo-o0o-DAILY TIME RECORDNAME: ____GILES EDGAR B. DAYA_____________________For the month of: ______________________________________Official Hours: _______________ Reg. Days: _______________Arrival & Departure Saturdays: ___________________________DAYA.M.P.M.REMARKS

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I HEREBY CERTIFY on my honor that the above statements are correct that the services rendered were applied to public service.

___________________________________ SignatureI CERTIFY on my honor that the record of hours of work was made daily at the time of arrival & departure.

_____________________________In Charge

Approved:

REMEDIOS L. PETILLA Municipal Mayor

S U N D A YRepublic of the PhilippinesProvince of LeyteMunicipality of Palo-o0o-DAILY TIME RECORDNAME: ____GILES EDGAR B. DAYA______________________For the month of: ______________________________________Official Hours: _______________ Reg. Days: _______________Arrival & Departure Saturdays: ___________________________DAYA.M.P.M.REMARKS

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I HEREBY CERTIFY on my honor that the above statements are correct that the services rendered were applied to public service.

___________________________________ SignatureI CERTIFY on my honor that the record of hours of work was made daily at the time of arrival & departure.

_____________________________In Charge

Approved:

REMEDIOS L. PETILLA Municipal Mayor

S U N D A YRepublic of the PhilippinesProvince of LeyteMunicipality of Palo-o0o-DAILY TIME RECORDNAME: ______________________________________________For the month of: ______________________________________Official Hours: _______________ Reg. Days: _______________Arrival & Departure Saturdays: ___________________________DAYA.M.P.M.REMARKS

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I HEREBY CERTIFY on my honor that the above statements are correct that the services rendered were applied to public service.

___________________________________ SignatureI CERTIFY on my honor that the record of hours of work was made daily at the time of arrival & departure.

_____________________________In Charge

Approved:

REMEDIOS L. PETILLA Municipal Mayor

S U N D A YRepublic of the PhilippinesProvince of LeyteMunicipality of Palo-o0o-DAILY TIME RECORDNAME: ______________________________________________For the month of: ______________________________________Official Hours: _______________ Reg. Days: _______________Arrival & Departure Saturdays: ___________________________DAYA.M.P.M.REMARKS

INOUTINOUT

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I HEREBY CERTIFY on my honor that the above statements are correct that the services rendered were applied to public service.

___________________________________ SignatureI CERTIFY on my honor that the record of hours of work was made daily at the time of arrival & departure.

_____________________________In Charge

Approved:

REMEDIOS L. PETILLA Municipal Mayor