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DAILY BUSINESS LOG SHEET 10-99
Name:
Month of:
Day
of
Month
Hours
Worked
Per Day
INCOME RECEIVED
(Attach Sales Receipts,
Bank Deposits Slips, Etc.)
EXPENSES PAID OUT
(Attach Receipts)
Total Income
Per Day
Costs
Description of Items
Total Costs
Per Day
1
$
$
2
$
$
3
$
$
4
$
$
5
$
$
6
$
$
7
$
$
8
$
$
9
$
$
10
$
$
11
$
$
12
$
$
13
$
$
14
$
$
15
$
$
16
$
$
17
$
$
18
$
$
19
$
$
20
$
$
21
$
$
22
$
$
23
$
$
24
$
$
25
$
$
26
$
$
27
$
$
28
$
$
29
$
$
30
$
$
31
$
$
Total Hrs
Total Income for Month
$
Total Costs for Month
$
The above information is true and correct to the best of my knowledge and beliefs. I realize attempts to obtain assistance by means of
a willfully false statement or representation, or other fraudulent device, I may be subject to a fine or imprisonment or both.
Signature:
Date:
W-2