PROCUREMENT SERVICES ASSOCIATES
"Value Added Services"TM
TIME SHEET
PLEASE COMPLETE AND FAX TO HEADQUARTERS OFFICE BY 12:00, NOON ON THE MONDAY FOLLOWING THE END OF THE PAY PERIOD. FAX TO PAYROLL AT: 925-227-1669
Employee Name: ________________________ Client Company: ______________________________ Supervisor: ____________________________
DATE START TIME LUNCH OUT LUNCH IN END TIME REGULAR HOURS OVERTIME HOURS COMMENTS
BI-WEEKLY TOTALS Employee Signature: ____________________________________ Supervisor Signature: ___________________________________
(REQUIRED FOR PAYMENT) For Accounting Use Only:
Date: ____________________ Date: ____________________
PAID:_______________ CHECK #:___________
BILLED:_______________ INVOICE#:___________
Employee's signature certifies that the information listed on this timesheet document represents the true and correct hours worked for the payroll period under penalty of perjury according to State law. This document is subject to the rules set forth in Employment Contract between Procurement Services Associates and employee, section 2, titled: 'Employee Time Records'.