Please Print or Type
Lock Haven University        
    Student's Name 
Student Time Sheet        
    SAP PerNr No:  
           
           
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  Pernr_______________
   
   
  ONLY FOR GRADUATE ASSISTANTS &
  STUDENT RESIDENT ASSISTANTS
   
   In accordance with the official letter on file in
   the Student Payroll Office for ________ I certify
   that the above mentioned has performed the
   duties required (biweekly pay period) from
   _________________ to ______________ and
   should be paid appropriately.
   
   _____________________________
   Supervisor Signature
           
Student's Signature________________________________________  
           
           
   By signature below, the supervisor certifies that the student has worked the hours reported
   on this time sheet, and that the work was performed in a satisfactory manner.
           

   Supervisor's Signature______________________________________
           

   Cost Center Name / Number _Computing and Instructional Technology Center__ / __5011212101__
           
           
   Note: Please make certain all items are     
   complete and legible.        
           
          Timekeeper Code_________
           
   Rev 8/04