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As421 (Louisiana State University)

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Rev 06/16
Louisiana State University
Office of Accounting Services
Payroll
204 Thomas Boyd Hall
LUMP SUM TIMESHEET AS421
I confirm that I have first-hand knowledge of the work performed by the above employees and that the above is an accurate representation of the work performed during the stated period.
I certify that approval has been obtained from the appropriate office (Students – Student Aid & Scholarships; Transient - HRM). Furthermore, for students, I certify that an updated job description
is on file for each title.
Approved by
_______________________________________________ _____________________________________ ______________________
Supervisor Printed Name Date
_______________________________________________ ______________________________________ ______________________
Department Printed Name Date
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
FOR ACCOUNTING SERVICES USE ONLY
Released by__________________________________________ Date ________________________________ Voucher # ___________________
Driving Worktag
Type of
Employee
Student Transient
Pay Period
Start
End
Department
Contact
Phone
E-mail
Position Nbr
Employee(Last/First)
Job Description
Workday
Earning Code
Amount
Total
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As421 (Louisiana State University)

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Completed 21 July 2020

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