Name*
Date*
Holiday*
Multiplier*
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Confirmation Page

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{$52519527 ‪Name‬}

{$52519553 ‪Date‬}

{$52519564 ‪Day of Week‬}

{$52519601 ‪Holiday‬}

{$52532723 ‪Start Time‬}

{$52532762 ‪End Time‬}

{$52529975 ‪Total Hours‬}

{$52519684 ‪Multiplier‬}

{$52519772 ‪Reason for OT‬}

{$57757279 ‪Signature‬}

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