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OCR Page 1 of 312-28-18 191-
WEEK ENDING
I, T. R. Co. Form No: 1212
62
No.
the manus
NAME
MORNING
MOON
NOON
NIGHT
EXTRA
EXTRA
IN
OUT
IN
OUT
IN
OUT
3
2702
100
3
3
2659
10
00
20
3
03
11
76
1600
28
I
12/1y
11
FR
27
1
12 1/2
N
S6622
38
SA504
t
XI
38
4/2
TOTAL TIME
HRS.
RATE
TOTAL WAGES FOR WEEK $
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