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Employee #
<br />Employee Name
<br />DATE
<br />(s) (M) (r) (w)(r)
<br />Beginning
<br />Ending
<br />Accident Yes
<br />-
<br />No*.*_
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<br />Selland Construction, Inc.STABTTIME t'*r E,- Qt
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<br />Gallonsof Fuet, on-u*y
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<br />Lb37
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<br />Employee Signature Foreman Approval
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