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100 Cummings Center
Suite 206L                                                                                          Week ending:                      8/13/2006
Beverly, MA 01915

Weekly Work Schedule                                                                                 Consultant: Shawn Boike


                    Monday              Tuesday               Wednesday            Thursday            Friday             Saturday              Sunday
                    8/7/2006            8/8/2006                8/9/2006           8/10/2006         8/11/2006            8/12/2006            8/13/2006

  Time In                    Total    8:00 AM     Total       7:00 AM      Total            Total               Total                Total                Total


 Time Out                    0.00    12:15 PM     4.25        12:00 PM     5.00             0.00                0.00                 0.00                 0.00

MEAL BREAK

  Time In                    Total    1:00 PM     Total        1:00 PM     Total            Total               Total                Total                Total
                                                                                                                                                                    Total
                                                                                                                                                                   Hours
 Time Out                    0.00     4:45 PM     3.75                     0.00             0.00                0.00                 0.00                 0.00     Worked

    Total             0.00                 8.00                     5.00             0.00                0.00                 0.00                 0.00              13.00




                  Is Assignment Complete?                     Yes          No         If Yes, Last Day Worked was:


     Consultant Name:                        Shawn Boike                               Consultant's signature certifies that this form is a true and accurate summary of
                                             (please print)                            all hours worked, reflecting Consultant's own record of each day's starting time,
                                                                                       ending time and break times. In addition, Consultant's signature certifies that
Consultant Signature:                                                                  the Consultant sustained no injuries on the assignment.




          Client Name:                                                                 Client Representative signature certifies that the Client Representative is
                                             (please print)                            authorized by the client to approve this Consultant timesheet. In addition, the
                                                                                       signature certifies that the Client Representative has reviewed this timesheet,
      Client Signature:                                                                the timesheet has been properly and accurately completed, and the Consultant
                                                                                       has satisfactorily worked the hours reported.



Weekly Per Diem Documentation (If Applicable)

Maximum number of days of Per Diem allowed                               n/a           Consultant Signature:
each week per the "Per Diem Agreement":
                                                                                       Consultant's signature certifies that for every Per Diem day claimed, the Consultant
Number of Days claimed (as limited by the "Per                           n/a           was overnight away from their permanent home and was in compliance with the terms
Diem Agreement") for week ending shown above:                                          terms of the "Per Diem Agreement" and the "Certification of Per Diem Eligibility"
                                                                                       agreement between the Consultant and Oxford Global Resources, Inc.




FAX TO: 1-800-203-9186                                                                                      The original form and confirmation should be kept by the
                                                                                                            Consultant for their own records.
                                                                                                            Please call 1-800-628-2104 if you have any diffuculty faxing
To: Oxford Payroll                                                                                          this form.
Date: ____________________ Time: __________________
Faxed From Telephone # :_______________________                                                             Assignment #:
Work/Contact Telephone # :______________________                                                            Customer #:


                                                                                                            Customer Name:
 Consultant is required to:                                                                                 Consultant #:
  x Complete and sign Consultant timesheet
   x Obtain client signature                                                                                Consultant Name:
     Give client representative a copy
     Fax this form to Oxford any time on Monday                                                             Oxford Dept #:
     Save the fax confirmation with copy of timesheet



                                     It is the goal of Oxford to maintain the highest possible standard of employee safety.
                              All Oxford employees are expected to obey safety rules and exercise caution in all work activities.
                                                                 Safety is everyone's responsibility.

More Related Content

Boike timesheet (8 13-06) sunday

  • 1. 100 Cummings Center Suite 206L Week ending: 8/13/2006 Beverly, MA 01915 Weekly Work Schedule Consultant: Shawn Boike Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8/7/2006 8/8/2006 8/9/2006 8/10/2006 8/11/2006 8/12/2006 8/13/2006 Time In Total 8:00 AM Total 7:00 AM Total Total Total Total Total Time Out 0.00 12:15 PM 4.25 12:00 PM 5.00 0.00 0.00 0.00 0.00 MEAL BREAK Time In Total 1:00 PM Total 1:00 PM Total Total Total Total Total Total Hours Time Out 0.00 4:45 PM 3.75 0.00 0.00 0.00 0.00 0.00 Worked Total 0.00 8.00 5.00 0.00 0.00 0.00 0.00 13.00 Is Assignment Complete? Yes No If Yes, Last Day Worked was: Consultant Name: Shawn Boike Consultant's signature certifies that this form is a true and accurate summary of (please print) all hours worked, reflecting Consultant's own record of each day's starting time, ending time and break times. In addition, Consultant's signature certifies that Consultant Signature: the Consultant sustained no injuries on the assignment. Client Name: Client Representative signature certifies that the Client Representative is (please print) authorized by the client to approve this Consultant timesheet. In addition, the signature certifies that the Client Representative has reviewed this timesheet, Client Signature: the timesheet has been properly and accurately completed, and the Consultant has satisfactorily worked the hours reported. Weekly Per Diem Documentation (If Applicable) Maximum number of days of Per Diem allowed n/a Consultant Signature: each week per the "Per Diem Agreement": Consultant's signature certifies that for every Per Diem day claimed, the Consultant Number of Days claimed (as limited by the "Per n/a was overnight away from their permanent home and was in compliance with the terms Diem Agreement") for week ending shown above: terms of the "Per Diem Agreement" and the "Certification of Per Diem Eligibility" agreement between the Consultant and Oxford Global Resources, Inc. FAX TO: 1-800-203-9186 The original form and confirmation should be kept by the Consultant for their own records. Please call 1-800-628-2104 if you have any diffuculty faxing To: Oxford Payroll this form. Date: ____________________ Time: __________________ Faxed From Telephone # :_______________________ Assignment #: Work/Contact Telephone # :______________________ Customer #: Customer Name: Consultant is required to: Consultant #: x Complete and sign Consultant timesheet x Obtain client signature Consultant Name: Give client representative a copy Fax this form to Oxford any time on Monday Oxford Dept #: Save the fax confirmation with copy of timesheet It is the goal of Oxford to maintain the highest possible standard of employee safety. All Oxford employees are expected to obey safety rules and exercise caution in all work activities. Safety is everyone's responsibility.