Print Full Name Agency/Division/Office Phone Initials Time In Time Out F, rtS NY /9 r igne111n Mira ____ _ - g- -Zr' cis Milin :3( ! o Por 1 A./rso . I v.00102017 SONY GM 00169174 _ _ EFFA_00192779 EFTA01304013 cAsEID# 31E-NY- 30;17-5 ADMINISTRATIVE WORKSHEET DATE: TIME & DATE OF ARR