EASTMONT SCHOOL DISTRICT NO. 206  
TIME SHEET  
 
Employee     Payroll Period
  Month/Year  
Month:  
 
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21
 
  Total Hours
22 23 24 25 26 27 28 29 30 31   Rate of Pay  
  Total Payment  
 
Position   School in which worked
 
I certify that the hours listed herein have been performed as listed, and that the claim is a due and unpaid obligation 
against the Eastmont School District.  
 
Employee                   Supervisor                
  Signature   Date   Signature   Date  

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