Fillable SPSA ACTION / PG# Completed By Employee For

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SPSA ACTION / PG# Completed By Employee For

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FOR THE PERIOD ENDING _________________________________________________ FISCAL YEAR ________________
EMPLOYEE NAME _______________________________________________________ EMPLOYEE REF # ________________________________ SCHOOL SITE/DEPT
_________________
SPSA
DATE DESCRIPTION/PROGRAM # EXTRA HRS OVERTIME HRS
ACTION / PG#
FUND - RESOURCE - PY - OBJECT - SCHOOL - GOAL - FUNCTION - LOCAL 1 - LOCAL 2
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School Site/Department Superviosr Approval Date
Employee Signature Date Administrator/Program Manager Approval Date
Submission of a fraudulent time sheet is prohibited under District Board
Policy and Administrative Regulation 4218.
Completed By Employee For Office Use Only
NATOMAS UNIFIED SCHOOL DISTRICT
CLASSIFIED TIMESHEET
To be completed for any extra hours, overtime, or summer school work beyond normal salary agreement.
20/21
0.00
0.00
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SPSA ACTION PG Completed By Employee For

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Completed 22 March 2021

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