Page 8 - Knox County_Community Service Program Guide
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KNOX COUNTY CRIMINAL COURT

                                      COMMUNITY SERVICE PROGRAM TIME SHEET


                  Community Service Partner:

                  Contact Name:                                             Title:

                  Contact Telephone:


                  Name of Individual Performing Community Service:

                  DOB:

                  Docket/Case number(s):

                  Total Hours Assigned:                                 Date to be completed by:


                       Date        Time In     Time Out       Total      Subtotal    Supervisor  Participant’s
                                                             Hours        Hours        Initials      Initials


















                  I certify that the above record is a true representation of the number of hours worked for
                  above period.

                  Approved by:


                  Signature of Community Service Partner Representative


                  Signature of Program Participant Performing Community Service

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