2440 Fulton Street Brooklyn, NY Tel :
718.922.9200, Fax : 718.922.9200
TIME AND ACTIVITY RECORD (DUE EVERY SATURDAY)
Pending Pre-billing Sheet
I certify that the
supplied information is accurate, the hours shown represent my total hours worked in this assignment
during the week and they are properly verified by the participant or authorised repsresentative.
Checks will not be released without completed and signed activity record!