Atch E - Timesheet for Contract Service.xlsx

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Attached to
Orthopedic Surgeon Services at WRSU
Solicitation number
RFP-23-PHX-10
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Atch G - IHS IEE Representation Form.pdf PDF
Atch B - Business Associate Agreement.pdf PDF
Atch F - Wage Determination 2015-5477 dtd 27 Dec 2022.pdf PDF

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Sheet1

WHITERIVER SERVICE UNIT
STANDARD TIMESHEET FOR CONTRACT SERVICES
Contract Number:_____________________________
PRINTED CONTRACTOR'S NAME:____________________________________DEPT/SERVICE__________________________________________

"I hereby certify that the hours worked during the weeks noted below are correct and are in accordance to the terms of the contract"

SIGNATURE OF CONTRACTOR: _________________________________________________ DATE SIGNED: ____________________________

WEEK OF _________________________________________
WeekdayDateTime InLunchTime OutTotal HoursDescription of Hours
Week of _________________________________
WeekdayDateTime InLunchTime OutTotal HoursDescription of Hours

"I hereby certify that the contract services provided in this timesheet are correct and are in accordance to the terms of the contract"

VERIFIED BY Department Receiving Official (Printed Name/Signature):_______________________________________________________________________

Contracting Officer Representative (Printed Name/Signature):________________________________________________________________________________

Sheet2

Sheet3

File details come from the government source that posted it. Updated .