Overtime Use Report

Date:

Authorized By:(Signature Below)
Department:
Division:	Pay Period Ending:
Division/Activity Head:
Section:
Department Head:
Unit:
Page	of
Commissioner of Finance

1) Employee Name

2)Pos#	Salary

3)Range	Date of 4)Overtime	Time

5)Worked	Total

6)Hours	Specific Activity

7)Performed	Justification for use

8)of Overtime

9-1135A 11/94

Overtime Use Report

Lt. L.R. Gilbert

2000-02-17

Richard Clarke

Atlanta Police Department