EMPLOYEE TIMESHEET For:

Pay periods are from 1st to 15th and 16th to end of month (please circle)
Timesheets due by 5pm on the 14thth and 29th or 30th of each month
Date
In
Out
Client
Activity
In Out

Santa Cruz Supported Living

Client

PO Box 3996, Santa Cruz, CA 95063

Barb Stymiest - 359-9101 Joe Shimpfky - 332-6529
Activity
In Out Client
Activity

1 16
2 17
3 18
4 19
5 20
6 21
7 22
8 23
9 24
10 25
11 26
12 27
13 28
14 29
15 30
31
Total Hours

Leonard Ross (electronic signature)

EMPLOYEE SIGNATURE

00/00/00
DATE

____________________________________
MANAGER SIGNATURE
DATE

______________

Total