Time Sheet / Invoice
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Time Sheet / Invoice
Name: SS#: XXX-XX-
Program: Supervisor:
|Date |Services Provided |Time In |Lunch |Time Out |Hours |
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Total Regular Hours: _________ Total Overtime Hours: _________
Regular Rate of Pay: _________ Overtime Rate of Pay: _________
Total: _________ Total: _________
Total Amount of Pay: _________
__________________________________ __________________________________
Service Provider Signature Date Supervisor Signature Date
***********************************************************************************
Submit to Supervisor for Approval rev. 8/2011 jab final
For 15th payroll by 25th of Previous Month)
For 30th payroll by 10th of Current Month
-----------------------
***For Office/Billing Use***
Account #_____________________________________
Account #_____________________________________
Pay Cycle_______________Date__________________
Posted________________________________________
***Billing Information (If Applicable)***
Student Name/Dist_________________________________________
Student Name/Dist_________________________________________
Student Name/Dist_________________________________________
Student Name/Dist_________________________________________
Student Name/Dist_________________________________________
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