BRA369.035

BRA369.035 U.S. DEPARTMENT OF JUSTICE NOV 1991 OVERTIME AUTHORIZATION To (Name of Employee) MCC NEW YORK (Institution Location) FEDERAL BUREAU OF PRISONS 19 AUGUST 2019 You are authorized to work overtime as follows: Day of Week: SATURDAY Date: to AUGUST ≥019 Starting: 10:00 AM Approximate period: 420 10:00 AM TO 5:00 PM minutes Purpose: DUE TO INSTITUTIONAL EMERGENCY Reasons work cannot be accomplished during regular tours of duty: DUE TO INSTITUTIONAL EMERGENCY Warden or Authorized Supervisor In accordance with above authorization I certify I worked the following overtime: Day of Week: SATURDAY Date: 10 AUGUST Starting: 10:00 AM and request: Overtime Pay Compensatory Time 1019 Approximate period: 420)0:01 AM TO 5:00 PM minutes Time verified (supervisor's initial) (To be used where not authorized in advance by Warden) (Signature of Employee) Approved: Warden Instructions: (1) Where several employees authorized, use reverse side and insert in space for "name of employee' the words 'per names and periods on reverse side.' (2) "Authorized Supervisor' in accordance with written delegation of authority at institutional level per regulations. (3) To be prepared in Original only, processed in accordance with institutional regulations and filed in payroll folder. EFTA00142417 BP-E369 (Continued! 'When employee signs heshe should indicate "P" for Overtime Pay or "C" for Compensatory time Name ol Employee Date Time Time P' Signature ol Employee Supervisor's IN OUT C' 04/01/2010 4:00 pm S:00 pin 10: END FORM EFTA00142418