DATE
HOURS WORKED
DATE
HOURS WORKED

NAME

SS#

DEPARTMENT

HOURLY RATE

CLASS TAUGHT

OZARKA COLLEGE

EXTRA HELP TIME SHEET

PAYPERIOD #

AMOUNT PAID

$

EMPLOYEE SIGNATURE

DATE

SUPERVISOR'S SIGNATURE

DATE

OmniForm Form

Earlene Martz

2000-11-06

Director of Computer Services

Ozarka Technical College