TimeBook Payroll
TimeBook Payroll
TimeBook Payroll
7(A)
Revised August, 1948
NO.
NAME
WAGES
Occupation
1
9 10 11 12 13 14 15
16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
NO. OF
RATE
DAYS
PER
WORKE
DAY
D
DEDUCTIONS
TOTAL
AMOUNT
Term
Insurance
Medicare
SIGNATURE OR
Total
Deductions
Net
Amount
RESIDENCE CERTIFICATE
Place of
THUMB MARK
NUMBER
DATE
Issue
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
TOTAL
0.00
3. I CERTIFY on ,my official oath that I have this_________day
appears hereon rendered service for the time and at the rates stated,
on the bove roll, the amount set opposite his name, he having
presented himself, established his identify, and fixed his signature\
or thumb mark on the space provided therefore. Unpaid services
are indicated by red ink through the column "Amount Paid"
NOTE: - Where thumb mark is to be used in place of signature and the space available is not sufficient the thumb mark may be impressed on the back hereof with
proper indication of the corresponding laborer's number and on the corresponding line on the payroll a remark "see thumb mark on the back" should be written.
uses of
1
2
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