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PLEASE PRINT CLEARLY Sunday Monday Tuesday Wednesday Thursday Friday Saturday Date MM/DD/YY Time In / AC PC H AC PC H AC PC H AC PC H AC PC H AC PC H AC PC H C LPN RN C LPN RN C LPN RN C LPN RN C LPN RN C LPN RN C LPN RN Time Out Total Time Worked NOTE Time sheets must be signed AFTER the work is completed. Future time sheets will not be accepted. Total Weekly Hours Participant Initial and explain below if you were hospitalized for this time period. FLORIDA TIMESHEET Toll Free Phone...
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