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n v: .................

B phn: .............

Mu s: 01b-LTL
(Ban hnh theo Q s 15/2006/Q-BTC
ngy 20/03/2006 ca B trng BTC)
S..............
BNG CHM CNG LM THM GI
Thng... nm ....

S
TT

H v tn

Ngy trong
thng
1 2

...

1 2

...

Cng gi lm thm

Ngy
Ngy th
Ngy l,
lm vic by, ch nht
tt
31
32
33
34
31

Lm m
35

Cng
K hiu chm cng
NT: Lm thm ngy lm vic (T gi..... n gi......................)
NN: Lm thm ngy th by, ch nht (T gi..... n gi......)
NL: Lm thm ngy l, tt (T gi..... n gi...........................)
: Lm thm ngy bui m (T gi..... n gi........................
Ngy...... thng..... nm....
Xc nhn ca b phn (phng ban) c
Ngi chm cng
Ngi duyt
ngi lm thm
(K, h tn)
(K, h tn)
(K, h tn)

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