EFTA00143206



BP-A0369
JUN 10


OVERTIME AUTHORIZATION

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS

# MCC NEW YORK

# (Institution Location)



TO Rocco Lupo PP16



<table><thead><tr><th>AUGUST 17</th><th>2018</th></tr></thead></table>

[Name of Employee]

You are authorized to work overtime as follows:

<table border="1"><tr><td>Day of Week:</td><td>SEE ATTACHED</td><td>Date:</td><td>SEE ATTACHED</td><td>2018</td></tr></table>

Starting: VARIES

Approximate period: SEE ATTACHED minutes

Purpose: TO PERFORM ADMINISTRATIVE DUTIES CONSISTENT WITH THEE POSITION OF THE FSA.

Reasons work cannot be accomplished during regular tours of duty: NO OTHER STAFF AVAILABLE

82302145A1

Warden or Authorized Supervisor





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

Day of Week: SEE ATTACHED

Date: SEE ATTACHED 2017

Starting: SEE ATTACHED

Approximate period: SEE ATTACHED minutes

and request: Overtime Pay ___

Compensatory Time



(Signature of Employee)

Time verified ___ (supervisor's initial)

(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.

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EFTA00143207

BP-E369 (Continued)

*When employee signs he/she should indicate "P" for Overtime Pay or "C" for Com pensatory 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></td><td></td><td></td><td></td><td>VA</td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td>SE</td><td></td><td></td></tr><tr><td>ROCCO LUPO</td><td>08/10/2019</td><td>10:30 am</td><td>1:00 pm</td><td>C</td><td></td><td></td></tr><tr><td>ROCCO LUPO</td><td>08/12/2019</td><td>2:30 pm</td><td>5:30 pm</td><td>C</td><td></td><td></td></tr><tr><td>ROCCO LUPO</td><td>08/13/2019</td><td>2:30 pm</td><td>3:30 pm</td><td>C</td><td></td><td></td></tr><tr><td>ROCCO LUPO</td><td>08/14/2019</td><td>2:30 pm</td><td>6:00 pm</td><td>C</td><td></td><td></td></tr><tr><td>ROCCO LUPO</td><td>08/15/2019</td><td>2:00 pm</td><td>5:00 pm</td><td>C</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





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Prescribed by P3000