EMPLOYEE TIMESHEET For:

Santa Cruz Supported Living

Leonard

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 Client
1

16

17

18

PO Box 3996, Santa Cruz, CA 95063

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

12PM

9AM

JP

19

9PM

12AM

JP

20

12AM

9AM

JP

21

9PM

12AM

JP

22

12PM

9AM

JP

23

12AM

9AM

JP

24

10

25

11

26

9PM

12AM

JP

12

27

12AM

9AM

JP

13

28

9PM

12AM

JP

14

29

12AM

PAM

JP

15

30

12AM

9AM

JP

9PM

9PM

12AM

12AM

12

JP

12

JP

31
Total Hours
(electronic signature)

Leonard M Ross

00/00/00
DATE

____________________________________
MANAGER SIGNATURE

______________
DATE

81