2015 Hourly Exempt Timesheet Template - California

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Employee a nd P .I. /Superv isor s ignatur e s are REQUIRED.
Employee Signature: Email/Phone: Date
PI/Supervisor Signature:
Print Name:
Date
Submit approved ti mesheets to : 197M Cory Hall (Mail Cod e #1774)
Account Fund Dept ID Prog Chartfield 1 Chartfield 2 Wkstudy Cd Distr #
Pay Period
May
Total Hours in Month 168
Timesheet Due Date
05/19/15
TOTAL
ACTUAL HOURS WORKED
(record daily actual hours to the nearest quar t er hour)
Weekl y Totals:
2015 Hourly Exempt Timesh eet
COE/CED /Team 2 Depar tments
University of California, Berkeley
READERS, TUTORS, and HOURLY EXEMPT EMPLOYEES
Employee ID #:
Department:
Employee Name:
(Print or Type Full Name)
Submit approved ti mesheets to : 197M Cory Hall (Mail Cod e #1774), or your department al
drop box.
*Late timesheet submissions will be paid
on the next av aila ble pay day .
Job Title:
Pay Date
06/01/15
ERSO Payroll Services Use Only
Titl e Code
Funding Sour c e Cha rtstring
Hourly Pa y
Rate
0.00
0.00
0.00
0.00
0.00
0.00
0.00
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