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Contractor Signature Department Verification Carl Gutierrez, MD |
Contract Services Time Sheet
Los Alamos Medical Center
Los Alamos, NM
| Contractor Name: Carl Jay Gutierrez - |
For Dates: Beginning: Dec 11 Ending: Dec 15 Date Submitted: |
| Day | Date | Off | Regular | On Call | Callback | Callback | Regular Hours | Overtime Hours | Total Hours | |||
| In | Out | In | Out | In | Out | |||||||
| M | 12/11/ | N | 0700 | |||||||||
| T | 12/12 | N | 0700 | |||||||||
| W | 12/13 | N | 0700 | |||||||||
| T | 12/14 | N | 0700 | |||||||||
| F | 12/15 | N | 0700 | |||||||||
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Contractor Signature Department Verification Carl Gutierrez, MD |
