Texas Department
Work Overtime. Receive Gratuities ... Claim Number: Weeks Worked Month/Day/Year. Total Regular and Overtime Hours Worked. Regular Hourly Rate. 1. X = 2. X = 3. X = 4. X = 5. X = 6. X = 7. X = 8. X = 9. X = 10. X = 11. X = 12. X = 13. X = Total: $ รท by 13 weeks = $ 14. X = 15. X = 16. X = 17. X = 18. X = 19. X = 20. X = 21. X = 22. X = 23. X ... ................
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