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DEPARTMENT OF HOMELAND SECURITY a.m..B,ft.166"17 <br /> FEDERAL EMERGENCY MANAGEMENT AGENCY PAGE OF Expires December 31,20'11 <br /> FORCE ACCOUNT LABOR SUMMARY RECORD <br /> APPLICANT PA ID NO, PROJECT NO, DISASTER <br /> LOCATIONtSITE CATEGORY PERIOD COVERING <br /> DESCRIPTION OF WORK PERFORMED <br /> NAME DATES AND HOURS WORKED EACH WEEK COSTS <br /> TOTAL <br /> JOBTITLE DATE HOURLY <br /> TOTAL HOURLY BENEFIT TOTAL <br /> HOURS RATE RATE)HR RATE COSTS <br /> NAME <br /> REG. <br /> JOB TITLE <br /> O.T. <br /> NAME <br /> REG. <br /> JOBTITLE <br /> O.T. <br /> NAME <br /> REG. <br /> JOBT17LE <br /> O.T. <br /> NAME <br /> REG. <br /> JOBTITLE <br /> O.T. <br /> ------------------ ----------------------------- <br /> TOTAL COSTS FOR FORCE ACCOUNT OR REGULAR TIME $ <br /> TOTAL COST FOR FORCE ACCOUNT OR OVERTIME <br /> I CERTIFY THAT THE INFORMATION ABOVE WAS OBTANED FROM PAYROLL RECORDS,INVOICES,OR OTHER DOCUMENTS THAT ARE AVAILABLE FOR AUDIT, <br /> CERTIFIED <br /> TITLE DATE <br /> FEMA Form 90-123,FEB 09 <br />