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["Weekly Time Sheet for Respite"]
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[]
[null,"Company Name:",{"$nulls":4},"Employee Name:"]
[null,"Company Contact:",{"$nulls":4},"Client's Name:"]
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[{"$nulls":6},"Client's  Address:"]
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[null,"Week Ending date:",null,null,"Basic","Advanced","Time in","Time out",null,"Total hours","Client's Signature"]
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[null,"By my signature, I certify that this client received these services and the above information is true and correct."]
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[{"$nulls":5},"Employee signature",{"$nulls":4},"Date"]
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[{"$nulls":5},"Supervisor signature",{"$nulls":4},"Date"]