Fidelity National Information Solutions - MLS Division

Time Sheet / Benefit Record

Employee: Your Name

Employee # : 1111111 County / Dept.: Somewhere MLS Host Application Support
Pay Period
Ending: 5/31/2005

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
✘ EXEMPT NON-EXEMPT
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday

Friday 5/16/2005 X x

Saturday 5/17/2005

Sunday 5/18/2005

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 5/19/2005 X x

Tuesday 5/20/2005 X x

Wednesday 5/21/2005 X x

Thursday 5/22/2005 x Vacation 8.00

Friday 5/23/2005 x Sick 8.00

Saturday 5/24/2005

Sunday 5/25/2005

Total Week #2 - - 8.00 8.00 -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 5/26/2005 x Holiday - Memorial Day 8.00

Tuesday 5/27/2005 X x

Wednesday 5/28/2005 X x

Thursday 5/29/2005 x Personal Holiday 8.00

Friday 5/30/2005 X x

Saturday 5/31/2005

Sunday

Total Week #3 - 16.00

Grand Total 8.00 8.00 16.00

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 1/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday 1/1/2009 x Company Holiday New Years Day 8.00

Friday 1/2/2009 x x

Saturday 1/3/2009

Sunday 1/4/2009

Total Week #1 - - - - 8.00

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 1/5/2009 x x

Tuesday 1/6/2009 x x

Wednesday 1/7/2009 x x

Thursday 1/8/2009 x x

Friday 1/9/2009 x x

Saturday 1/10/2009

Sunday 1/11/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 1/12/2009 x Psoriasis treatment 8.00

Tuesday 1/13/2009 x Psoriasis treatment 8.00

Wednesday 1/14/2009 x x

Thursday 1/15/2009 x x

Friday

Saturday

Sunday

Total Week #3 - 16.00

Grand Total 16.00 8.00

Employee signature:Richard Shide 1/15/2009 Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 1/31/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
✘ EXEMPT NON-EXEMPT
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday

Friday 1/16/2009 x x

Saturday 1/17/2009

Sunday 1/18/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 1/19/2009 x Martin Luther King Day 8.00

Tuesday 1/20/2009 x x

Wednesday 1/21/2009 x x

Thursday 1/22/2009 x x

Friday 1/23/2009 x x

Saturday 1/24/2009

Sunday 1/25/2009

Total Week #2 - - - - 8.00

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 1/26/2008 x x

Tuesday 1/27/2008 x x

Wednesday 1/28/2008 x x

Thursday 1/29/2008 x x

Friday 1/30/2008 x x

Saturday 1/31/2008

Sunday

Total Week #3 -
Grand Total 8.00

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 2/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday 2/1/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 2/2/2009 x x

Tuesday 2/3/2009 x x

Wednesday 2/4/2009 x x

Thursday 2/5/2009 x x

Friday 2/6/2009 x x

Saturday 2/7/2009

Sunday 2/8/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 2/9/2009 x x

Tuesday 2/10/2009 x x

Wednesday 2/11/2009 x x

Thursday 2/12/2009 x x

Friday 2/13/2009 x x

Saturday 2/14/2009

Sunday 2/15/2009

Total Week #3 -
Grand Total

Employee signature:richard shide 2/13/2009 Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 2/28/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 2/16/2009 x Presidents Day 8.00

Tuesday 2/17/2009 x x

Wednesday 2/18/2009 x x

Thursday 2/19/2009 x x

Friday 2/20/2009 x x

Saturday 2/21/2009

Sunday 2/22/2009

Total Week #1 - - - - 8.00

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 2/23/2009 x x

Tuesday 2/24/2009 x x

Wednesday 2/25/2009 x x

Thursday 2/26/2009 x x

Friday 2/27/2009 x x

Saturday 2/28/2009

Sunday

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Total Week #3 -
Grand Total 8.00

Employee signature: Date: Manager signature: Date:

Richard Shide 2/27/2009

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 3/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday 3/1/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 3/2/2009 x x

Tuesday 3/3/2009 x x

Wednesday 3/4/2009 x x

Thursday 3/5/2009 x doctor visit x 4.00

Friday 3/6/2009 x x

Saturday 3/7/2009

Sunday 3/8/2009

Total Week #2 - - 4.00 - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 3/9/2009 x x

Tuesday 3/10/2009 x doctor visit x 4.00

Wednesday 3/11/2009 x x

Thursday 3/12/2009 x surgery 8.00

Friday 3/13/2009 x x

Saturday 3/14/2009

Sunday 3/15/2009

Total Week #3 - 12.00

Grand Total 16.00

Employee signature: Date: Manager signature: Date:

Richard Shide 3/15/2009

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 3/31/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 3/16/2009 x x

Tuesday 3/17/2009 x x

Wednesday 3/18/2009 x x

Thursday 3/19/2009 x x

Friday 3/20/2009 x x

Saturday 3/21/2009

Sunday 3/22/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 3/23/2009 x x

Tuesday 3/24/2009 x x

Wednesday 3/25/2009 x x

Thursday 3/26/2009 x x

Friday 3/27/2009 x x

Saturday 3/28/2009

Sunday 3/29/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 3/30/2009 x x

Tuesday 3/31/2009 x x

Wednesday

Thursday

Friday

Saturday

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Richard Shide 3/31/2009

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 4/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday 4/1/2009 x x

Thursday 4/2/2009 x x

Friday 4/3/2009 x x

Saturday 4/4/2009

Sunday 4/5/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 4/6/2009 x x

Tuesday 4/7/2009 x x

Wednesday 4/8/2009 x x

Thursday 4/9/2009 x x

Friday 4/10/2009 x x

Saturday 4/11/2009

Sunday 4/12/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 4/13/2009 x x

Tuesday 4/14/2009 x x

Wednesday 4/15/2009 x x

Thursday

Friday

Saturday

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Richard Shide 4/15/2008

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 4/30/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday 4/16/2009 x x

Friday 4/17/2009 x x

Saturday 4/18/2009

Sunday 4/19/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 4/20/2009 x x

Tuesday 4/21/2009 x x

Wednesday 4/22/2009 x x

Thursday 4/23/2009 x x

Friday 4/24/2009 x x

Saturday 4/25/2009

Sunday 4/26/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 4/27/2009 x x

Tuesday 4/28/2009 x x

Wednesday 4/29/2009 x x

Thursday 4/30/2009 x x

Friday

Saturday

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Richard Shide 5/1/2009

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 5/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday

Friday 5/1/2009

Saturday 5/2/2009

Sunday 5/3/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 5/4/2009

Tuesday 5/5/2009

Wednesday 5/6/2009

Thursday 5/7/2009

Friday 5/8/2009

Saturday 5/9/2009

Sunday 5/10/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 5/11/2009

Tuesday 5/12/2009

Wednesday 5/13/2009

Thursday 5/14/2009

Friday 5/15/2009

Saturday

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 5/31/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday 5/16/2009

Sunday 5/17/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 5/18/2009

Tuesday 5/19/2009

Wednesday 5/20/2009

Thursday 5/21/2009

Friday 5/22/2009

Saturday 5/23/2009

Sunday 5/24/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 5/25/2009 x Memorial Day 8.00

Tuesday 5/26/2009

Wednesday 5/27/2009

Thursday 5/28/2009

Friday 5/29/2009

Saturday 5/30/2009

Sunday

Total Week #3 - 8.00

Grand Total 8.00

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 6/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 6/1/2009

Tuesday 6/2/2009

Wednesday 6/3/2009

Thursday 6/4/2009

Friday 6/5/2009

Saturday 6/6/2009

Sunday 6/7/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 6/8/2009

Tuesday 6/9/2009

Wednesday 6/10/2009

Thursday 6/11/2009

Friday 6/12/2009

Saturday 6/13/2009

Sunday 6/14/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 6/15/2009

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 6/30/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday 6/16/2009

Wednesday 6/17/2009

Thursday 6/18/2009

Friday 6/19/2009

Saturday 6/20/2009

Sunday 6/21/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 6/22/2009

Tuesday 6/23/2009

Wednesday 6/24/2009

Thursday 6/25/2009

Friday 6/26/2009

Saturday 6/27/2009

Sunday 6/28/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 6/29/2009

Tuesday 6/30/2009

Wednesday

Thursday

Friday

Saturday

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 7/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday 7/1/2009

Thursday 7/2/2009

Friday 7/3/2009 x 4th of July 8.00

Saturday 7/4/2009

Sunday 7/5/2009

Total Week #1 - - - - 8.00

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 7/6/2009

Tuesday 7/7/2009

Wednesday 7/8/2009

Thursday 7/9/2009

Friday 7/10/2009

Saturday 7/11/2009

Sunday 7/12/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 7/13/2009

Tuesday 7/14/2009

Wednesday 7/15/2009

Thursday

Friday

Saturday

Sunday

Total Week #3 -
Grand Total 8.00

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 7/31/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday 7/16/2009

Friday 7/17/2009

Saturday 7/18/2009

Sunday 7/19/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 7/20/2009

Tuesday 7/21/2009

Wednesday 7/22/2009

Thursday 7/23/2009

Friday 7/24/2009

Saturday 7/25/2009

Sunday 7/26/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 7/27/2009

Tuesday 7/28/2009

Wednesday 7/29/2009

Thursday 7/30/2009

Friday 7/31/2009

Saturday

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 8/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday 8/1/2009

Sunday 8/2/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 8/3/2009

Tuesday 8/4/2009

Wednesday 8/5/2009

Thursday 8/6/2009

Friday 8/7/2009

Saturday 8/8/2009

Sunday 8/9/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 8/10/2009

Tuesday 8/11/2009

Wednesday 8/12/2009

Thursday 8/13/2009

Friday 8/14/2009

Saturday 8/15/2009

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 8/31/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1 8/16/2009
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 8/17/2009

Tuesday 8/18/2009

Wednesday 8/19/2009

Thursday 8/20/2009

Friday 8/21/2009

Saturday 8/22/2009

Sunday 8/23/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 8/24/2009

Tuesday 8/25/2009

Wednesday 8/26/2009

Thursday 8/27/2009

Friday 8/28/2009

Saturday 8/29/2009

Sunday 8/30/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 8/31/2009

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 9/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday 9/1/2009

Wednesday 9/2/2009

Thursday 9/3/2009

Friday 9/4/2009

Saturday 9/5/2009

Sunday 9/6/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 9/7/2009 x Labor Day 8.00

Tuesday 9/8/2009

Wednesday 9/9/2009

Thursday 9/10/2009

Friday 9/11/2009

Saturday 9/12/2009

Sunday 9/13/2009

Total Week #2 - - - - 8.00

Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 9/14/2009

Tuesday 9/15/2009

Wednesday

Thursday

Friday

Saturday

Sunday

Total Week #3 -
Grand Total 8.00

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 9/30/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday 9/16/2009

Thursday 9/17/2009

Friday 9/18/2009

Saturday 9/19/2009

Sunday 9/20/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 9/21/2009

Tuesday 9/22/2009

Wednesday 9/23/2009

Thursday 9/24/2009

Friday 9/25/2009

Saturday 9/26/2009

Sunday 9/27/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 9/28/2009

Tuesday 9/29/2009

Wednesday 9/30/2009

Thursday

Friday

Saturday

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 10/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday 10/1/2009

Friday 10/2/2009

Saturday 10/3/2009

Sunday 10/4/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 10/5/2009

Tuesday 10/6/2009

Wednesday 10/7/2009

Thursday 10/8/2009

Friday 10/9/2009

Saturday 10/10/2009

Sunday 10/11/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 10/12/2009

Tuesday 10/13/2009

Wednesday 10/14/2009

Thursday 10/15/2009

Friday

Saturday

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 10/31/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday

Friday 10/16/2009

Saturday 10/17/2009

Sunday 10/18/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 10/19/2009

Tuesday 10/20/2009

Wednesday 10/21/2009

Thursday 10/22/2009

Friday 10/23/2009

Saturday 10/24/2009

Sunday 10/25/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 10/26/2009

Tuesday 10/27/2009

Wednesday 10/28/2009

Thursday 10/29/2009

Friday 10/30/2009

Saturday 10/31/2009

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 11/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday 11/1/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 11/2/2009

Tuesday 11/3/2009

Wednesday 11/4/2009

Thursday 11/5/2009

Friday 11/6/2009

Saturday 11/7/2009

Sunday 11/8/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 11/9/2009

Tuesday 11/10/2009

Wednesday 11/11/2009

Thursday 11/12/2009

Friday 11/13/2009

Saturday 11/14/2009

Sunday 11/15/2009

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 11/30/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 11/16/2009

Tuesday 11/17/2009

Wednesday 11/18/2009

Thursday 11/19/2009

Friday 11/20/2009

Saturday 11/21/2009

Sunday 11/22/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 11/23/2009

Tuesday 11/24/2009

Wednesday 11/25/2009

Thursday 11/26/2009 x Thanksgiving Day 8.00

Friday 11/27/2009 x Day after Thanksgiving 8.00

Saturday 11/28/2009

Sunday 11/29/2009

Total Week #2 - - - - 16.00

Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 11/30/2009

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Total Week #3 -
Grand Total 16.00

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 12/15/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday 12/1/2009

Wednesday 12/2/2009

Thursday 12/3/2009

Friday 12/4/2009

Saturday 12/5/2009

Sunday 12/6/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 12/7/2009

Tuesday 12/8/2009

Wednesday 12/9/2009

Thursday 12/10/2009

Friday 12/11/2009

Saturday 12/12/2009

Sunday 12/13/2009

Total Week #2 - - - - -
Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 12/14/2009

Tuesday 12/15/2009

Wednesday

Thursday

Friday

Saturday

Sunday

Total Week #3 -
Grand Total

Employee signature: Date: Manager signature: Date:

Fidelity National Information Solutions - MLS Division
Time Sheet / Benefit Record

Employee: Richard Shide

Employee # : 6000087 County / Dept.: Minneapolis MLS Division
Pay Period
Ending: 12/31/2009

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #1
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday

Tuesday

Wednesday 12/16/2009

Thursday 12/17/2009

Friday 12/18/2009

Saturday 12/19/2009

Sunday 12/20/2009

Total Week #1 - - - - -

Hours
Regular

Hours
Overtime

Sick

Vacation

Other
WEEK #2
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 12/21/2009

Tuesday 12/22/2009

Wednesday 12/23/2009

Thursday 12/24/2009

Friday 12/25/2009 x Christmas Day 8.00

Saturday 12/26/2009

Sunday 12/27/2009

Total Week #2 - - - - 8.00

Hours
Regular

Hours
Overtime

Sick

Vacation

Other

WEEK #3
Explanation of Benefit payments and
Day Date In Out
adjustments to hours worked

Monday 12/28/2009

Tuesday 12/29/2009

Wednesday 12/30/2009

Thursday 12/31/2009

Friday

Saturday

Sunday

Total Week #3 -
Grand Total 8.00

Employee signature: Date: Manager signature: Date: