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SPED/Curriculum
Individual Extra Hours Pay Voucher

Pupil Services Center
1345 Ridgewood Dr
Chippewa Falls, WI 54729

Last Name:   First Name:   Email:
Event Type:
Please enter each day as a separate line item. Enter the date, hours, start time and purpose, then click Add Row to enter each line (limit 10 rows),
when finished check the box to indicate there are no additional rows to enter.
Date:
Hours:
Start:
Purpose:
 
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