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Emptoyee #a94o <br />Ernployee Name <br />DA'IE IQ <br />(s) (M) ffl (w)(F) (sA) <br />Begin nlng sb <br />Ending adr^rrc, 753tJ- <br />Accidens Yes-* No { <br />Selland Construction, Inc.srnnrrruu d-rQP <br />TOTAL <br />I t-:7 <br />Gallonsof Fueh on-Hwy J*,? Off-HwY <br />tfAccidentwasTruck/Trailerloaded: Yes-* tlo X - <br />STOPT oo <br />DOWN <br />T'ME <br />HOURS <br />i...-: -: : J <br />: .:.' <br />.. ,r..,..:j,,,,: <br />';,, .: <br />..'.';1. ' <br />oBwtN6 <br />9mz <br />TRAILERfiACJA& <br />THvt6 <br />ti.: <br />'.!. i, <br />'";i- <br />"t <br />t <br />''' --...: r.r ,t. <br />it-t. i:.: f.i:l: <br />:-j;'.t.:.'-" <br />::l:..-'.,:: <br />TOIAL <br />ltouFs <br />....i . <br />i,{ i; , <br />-.,.1." t, ". <br />':: ':.' i <br />PAYRATE <br />:.i 1.' .. ' . <br />,.., .i !.,... tl. - -lr- <br />loA05MATg,frIALHAULTO <br />C*a".| Dtr* <br />kaSo /{r*t e4" <br />.1.:,;...,1.-,;, <br />:'". ..J <br />l;': :i':n:'"i:::.;',1.:," <br />j.r ; . .:i. <br />:":'.1'.Ii','..' <br />iil*,.,-:l? <br />',i1 .;i...:: . <br />" <br />t./: ij': rr <br />JOsNAMEtoB # <br />1t5p-76 <br />Employee Signature ( at.*. '{k^ A Foreman Approval