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Get ME Me. B-9.3 2010-2024

Mployee’s Name: _________________________________________________ SSN: __________________________ Payroll or Calendar Week: Beginning Date _______________________ Ending Date ______________________ 1. Gross Earnings $____________________ 2. Holiday Bonus Total Hours Worked ________________ $__________________ 4. Employee’s Usual Schedule: Full Time Part Time Normal No. of Hours Worked per Week Î 5. Reason worked part time this week: Lack of Work or Other reasons: (please explain) 3.

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