| | |
| :--- | :--- |
| BP-A369.035 | |
| NOV 1991 | |

OVERTIME AUTHORIZATION

U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS

# MCC NEW YORK

# (Institution Location)

To

| 19 AUGUST | 2019 |

| :--- | :--- |

<font color="red">(Name of Employee)</font>

You are authorized to work overtime as follows:

<table border="1"><tr><td>Day of Week:</td><td>SATURDAY</td><td>Date:</td><td>10 AUGUST</td><td>2019</td></tr></table>

Starting: 10:00 AM

Approximate period: 420 10:00 AM TO 5:00 PM minutes

Purpose: DUE TO INSTITUTIONAL EMERGENCY

Reasons work cannot be accomplished during regular tours of duty: DUE TO INSTITUTIONAL EMERGENCY

Warden or Authorized Supervisor

In accordance with above authorization I certify I worked the following overtime:

Day of Week: SATURDAY

<table border="1"><tr><td>Date:</td><td>10 AUGUST</td><td>2019</td></tr></table>

<table><thead><tr><th>Starting:</th><th>10:00 AM</th><th>Approximate period:</th><th>420 10:00 AM TO 5:00 PM</th><th>minutes</th></tr></thead></table>

and request: Overtime Pay ___

Compensatory Time ___





(Signature of Employee)

<table border="1"><tr><td>Time verified</td><td>(supervisor&#x27;s initial)</td></tr><tr><td></td><td></td></tr></table>

(To be used where not authorized

Approved:

in advance by Warden)





Warden





Instructions:

(1) Where several employees authorized, use reverse side and insert in space for "name of employee" the words 'per names and periods on reverse side.'

(2) "Authorized Supervisor" in accordance with written delegation of authority at institutional level per regulations.

(3) To be prepared in Original only, processed in accordance with institutional regulations and filed in payroll folder.

EFTA00142417

BP-E369 (Continued)

*When employee signs he/she should indicate "P" for Overtime Pay or "C" for Compensatory time

<table><thead><tr><th>Name of Employee</th><th>Date</th><th>Time IN</th><th>Time OUT</th><th>P* C*</th><th>Signature of Employee</th><th>Supervisor&#39;s</th></tr></thead><tbody><tr><td>CAROLYN HALL</td><td>04/01/2010</td><td>4:00 pm</td><td>8:00 pm</td><td>10:</td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td>10:</td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr></tbody></table>

END FORM

EFTA00142418



Looking forward to any assistance I can offer. My intention is to be on site early Monday morning. Could you please email or text me the address to the warehouse where I could park the GOV. (Heard of the place last time I was there) I will be staying at the AC Hotel Thanks,

my personal email:

USP Allenwood

EFTA00142419