Texas Workforce Commission Labor Law Section Payday Documents on be lunged Claim No. 17059479-7 MD - Chapter: 1. Investigations 2. Spend 3. Commission Review 4. Collections 5. Iudicial Rfl'icw Type of Document: (:mk Stubs /I'2ymll Record Documents Company pong Manual Special Hearing Documems Conrxact/Agrcemcm on Pay Cummismon Documents Agmemem judicinl Review Documents Aulhunzzkion fm nedmom Other Description: 107m mam I 4) PM Tex-s Workforce Commission Labor Law Sectlon W'agc Claim No: 17-059479--7 c1 Name: Anny: Employer Account Number User - jurisdiction: Signed/Sum wc Date: 10.05.17 Information Search (check renewed) (Nnme 5cm.) Pa;day (Empluycr Nous) . . Texas Compuoller' As needcd Amounts Claimed: Regular 13 Vacation Dcducuons 0mm: 40hr: Sick Min. Commission Helm,- Orhcx Bonus Total Mind in Dispute: 973717 10 9.2247 Numbgr "r Huuxs ulspumd. - Employer Rnsponsc Information (Accordmg LL72): Employer Response Received? Claim Disputcd9Y Clalmaml'md?YD Rare of Pay: Method Cluck Cash Other Cm No. PM Attached: :1 Jam/Lb} (WIS) mam 4: PM Texas Workforce Commission Labor Law Missing Facts: DATE IN FORMATION 11-19-17 Vnify ifpaid/djm on and ER name Ind :ddrus 1-2--8 Upduled ER N0 inuk: emu. EEM Name, SSN, and Address Verificauons: Claimant's Legal Nan-m: Employer's Legal Name: Hill) 0: Number of Verificd By Informauon Search Prinloul Included: Ifyas, somcc: If nu, why not: Sale Pmpnelonhny Mcthud of Payment: Verified By Cnmacts Informed of Appeal Claimam: IXI Employer, JZI mm INFORMATION USER ID 12-19- 17 Called CL VM |o mum [he can bylZ-ZI-l7, Nerd In Ir claim is for GA ml San Bcnilo, or lnglesidc. TX. Na olhcr infomalion claim. TDI gmvidcd mo mulls |o choose from for Angel Marlin". 7 paid/dam on limeshcel. Mailed call in km. Need more Infonruuion on ER. Address on wage Called ER and Ixulonuch message slated no! mdabld FR has ml responded Iu EEM 12W l] Codes: INFORMATION USER ID CL 1: unpaid wdgu rm work perfumed m. 9-847 Iu 9--22.17 CL mm pamcipm and :ddllionnl Informnliull on ER. No mum "ml [in ER, InkmeI Search [or flu addxm lisled on was: cmm, mvidrs mum {or "drama in GA. TDI surch prov/Idea! loo many mm nos: ole. Immciem infanmlion avmlable Io calculale wists. Clam] dismissed EEM mom I 43 Texas Workforce Commission Labor Law Section Code 1'vpe N014 Amount Code '1'ype Amount Code ' I'vpe lmount Code 1't•pe Amount Code Type Amount Penalty Amount Amounts Awarded Computations: DATE INFORMATION 1-2-18 No amounts awarded. USER ID EEM Quarter/Year Quarter/Year Quarter/Year Quarter/Year / / / / $: $: $: Employer Styling ]ustification Employer A ccount No: 5 Registered Entity: Y ❑ N ® FOCP: Y ❑ N® Effective Date: End Date: Sole Proprietorship/General Partnership: Y ❑ N® 1 N FOR.%L-1TI ON DATE 1-2-18 UNKNOWN Penalty Warning Warranted: Penalty \x'arranted: Worksheet:\ttached: Bond Warning Warranted: Justification: DATE Y Y Y Y ❑ ❑ ❑ ❑ USER ID EEM N® N® N® N® INFORMATION USER ID Justification (:orrected Order (Prior to Mailing/Scanning): 1 N FORti4.\' I'I ON IDATh: LL-5001/LL-3 (0715) $: 1-2.;2018 1:43 PM USER ID I LE COPY DETERMINATION TEXAS WORKFORCE COMMISSION PRELIMINARY WAGE DETERMINATION ORDER Lahol Law January 6. 20l8 PAGE of PAGES CLAIMANT EMPLOYER uanow I rx um UNKNOWN An investigation having been completed. the following order is entered pursuant to Chapter 6| of the Texas Labor Code: FINDINGS AND CONCLUSIONS Vour wage claim cannot be accepted bacause there is insufficient information to establish and/or locate tne correct employer. Vou may file a new claim if you can provide accurate employer information. out it must be filed within 180 days from the date tile contested wages were due to be paid. ORDER Based on the FINDINGS AND EONCLUSIDNS shown above. the wane Hailn filed by EUILLERHD AHAVA . and naming (he employer UNKNOWN Is dismissed. Assigned RepresentatIve: - (SEE REVERSE SIDE FOR ADDITIONAL INFORMATION) LL-ZSD ([1333) APPEALS You have the right to appeal this determination order. Your appeal must be in writing. It must be filed no later than 21 days from the date this determination order was mailed in order to preserve administrative appeal rights. If you fax your appeal TWC must receive it no later than 21 days from the date the determination was mailed. TWC will use the date we receive the fax to determine whether your appeal is timely. If you file your appeal by fax, you should retain your fax confirmation as proof of transmission. If neither party files a timely appeal, this determination order becomes the FINAL ORDER of the Commission. Appeals should be mailed or faxed to: Special Hearings Texas Workforce Commission 101 East 15th Street Austin, Texas 78778-0001 Or You may appeal by TWC's online appeal form Go to www.texasworkforce.ore/aavdavaoueal Fax#: 512-463-9318 Please provide the Labor Law Section written notification of any change In your address. Texas Workforce Commission Labor Law Section 101 East 15th Street Austin, Texas 78778-0001 1-800 832-WAGE (9243) -- Fax#: 512-936-3364 --- -------- - --- - -- -- - ^-- -- - - --- ^ --- ---. _ ._.. .. ------ -------- For more information about the Texas Payday Law Law go to our web site at: http://www.twc.state.tx.us/ iobseekers/texas-navdav-iaw LL-25n-RK 1n9151 EDNA PARA El RECLAHANTE Texas Workforce Labor Law nupt. Room 101 East 15m Street TEXAS WORKFORCE COMMISSION Aultln. Tx 73773-0001 OHDEN DE DEYERMINACION PRELIMINAR DE SUELDO LEV LAEURAL January 8. 2013 RHO l1 AHAVA "an" I a: menus Numern a. ammnamn: Ru: Sual: 11 059475-7 Numaru a. iumnricacmn: -- UNKNOWN HabTendose complerada una Invesxiqacion, 5e asienta la siguiente orden conforme el Capitulo GI de la Ley Laboral dc Texas: HILLIIGOS CUNCLUSIDNES Su reclaim dc sueldas no puede ser aceptadu porque hay Tnformacicn insuficTente para establecer y/o localizar al patron correclo. Usted puede radicar un nuevo reclamo si es que puede pruporclanar informacinn veraz de su patron, pen: se tiene que radicar dentro de las 180 dis: a parlir de la fecha en que lo: sueldos an disputa se (enian qua haber pagado. unnzu Basado en los HALLAZGOS coucLusnouss mostrados arrxba. el reclama de suelda radicado par GUILLERHO AKAVA numbrando al patron/empleador UNKNOWN se desecha. Representate AsTgnado: - WEA EL HEVENSO PARA INFORMACION ADICIONAL) (0393' APELACIONES Usted tiene el derecho de apelar esta orden de determinaci6n. Debe apelar por escrito. Se tiene que radicar a no mas tardar de los 21 dias del la fecha en que esta determinaci6n fue enviada para preservar los derechos administrativas de la apelaci6n. Si mando su apelaci6n por fax. La TWC tiene que recibirla no mas de 21 dfas despues de que la resoluc16n fue enviada por correo. La TWC usara la fecha en que se recibi6 el fax para determinar si su apelac16n es oportuna. Si radica su apelaci6n por fax, debe usted conservar su confirmaci6n de fax como prueba de la transmisi6n. Si ninguna de las partes radica una apelacibn oportuna, esta orden de determinaci6n se convierte en la ORDEN FINAL de la Comisi6n. Las apelaciones se deben enviar por correo a: Audiencias Especiales Texas Workforce Commission 0 Usted puede apelar usando el formulario de apelacion en linea de TWC. Vaya a www.texasworkforce.or¢/paydayappeal 101 East 15th Street Austin, Texas 78778-0001 Fax#: 512-463-9318 Por favor proporcione aviso por escrito de cualquier cambio de domicilio al Seccion del Ley Laboral Labor Law Section Texas Workforce Commission 101 East 15th Street Austin, Texas 78778-0001 1-800 832-WAGE (9243) Fax#: 512-936-3364 LL-25D-BK (0913) Comisien dc La Fucrza Laboral de Texas do I Laboralcs 101 E. 15'" St. Room 314 Austin, TX 78778-0001 Man-mu dicicmbxe 19. 2017 RE: Numcm dc Reclamu 17705947977 Solicilud dc Informacibn del Reclamante Neceslmmos mfis Momma" 3n RECLAMO 5m . pot 'felefono on cuamo 10 posiblg. Mi numcm dc rclefonn din-cm as pucdc ham," a] -- Si no csloy pox favor dc do," un mcnsaic en 1. gmlxadu>> n. incluvcndo su nombre, numcm correo elecm'>> nico es mimclo de as -- Mb- hum dc oficina son de 7 AM ham: 1:5 3:30 d: Luncx a Nmesito mas sobre el pmpomom mm numcm dc Iclcfono non-Able dc cum-- pania. Pm favor ml . imd demo noricus dc uslcd antes dc esa fucha, Im ducrminauim Sufi bmada subr: la infum-mcien que (engo en su axchivu. and" par su cooperauen. Saludos Cordmles, Invcsugador dc Laborales 1m indivvaun pm mu'brl yrepasarla mromaen aw TWC :9qu can respects a no Indivimml "warm ml a-maila mmedSQM sxamx us a a Upon Roms, Rm 2M, 101 East sr. Auum, 1x 787750001 LL-8 (0617) Comisien de La Fuerza Laboral de Texas 5 5C5 een dc Leycs L'Ibomlcs 1 10] [115": Room 514 l. 1.30033279243 RECEIVED JAN 02 2mg Guillermo Maxuncz LABOR LAW 4 Fecha: 19, 2017 RE: Numern dc Reclamn Salami: 17705947977 Solicimd de Informacien del Reclamame mes a su RECLAMO SALARIAL 1'0: favor pox 'l'clefnno cum-Ito 12 posing numcm dc (cleiono cs--o pucde mm gm; 21-- 5. no csmy favor dc un mcnsajc en la gnbadn- m, mcluycndo su numero dc (ck-form. el dia la hora que llama. Mi dueccien de correo elecuer nico e. --. mime") :19 fax es-- MN horas dc ()ficln: son a. 7 AM hast: la '0 PM, dc Luncs a \1 |cmcs. mas information subxe el empleador. l'mpurcimla om: numcm dc [clcfono dc mm pnnia. Pot favor tesmnda a can soliciting denim d: In: 7 dig; 11: la indjgadg en est: cg. Si no re 30 noticins a: med antes dc m: dolem-umcidn semi basada sobrc la informauen quc tango en su Mchwo. Gmcins pm su coopcmcifin. Saludm (Imdialcs, Invcsugadm do cs Laboralcs Un mm aw TWCIlcoql con 7'<., U-24 :Um°OG°31^4 ` U.S P0.STAGE» PITNEY eOWES n O ^D o^ MMEMMe O o p IEN DMMEDD4^1 ^^'I ^9 TEXAS WORKFORCE COMMISSION 101 E 15TH ST AUSTIN TX 78778-0001 ZIP 7e7°' $ 000.46° 02 4YY 0000345721 DEC 19 2017 OFFICIAL BUSINESS RF,CErm JAN 02 2018 LAaoP, LAW 4 .NI.kI.'c 782 RC TJRiI 0812/29,!17 DE 1 TO SENDER INSUFFICIENT ADDRESS UNABLE TO FORWARD lei:} i ^.La^;y! S..h 78778>0001 SC:: i877$E*BQsT il1I1.r"Wlnl"l1 lsl,i^^nt IsLc14s-kitrsI.Y 0 s (I I Labor Law Translation Wage Claim No. Not Court - em! TEXAS WORKFORCE LABOR LAW, 101 EAST 15m STREET, AUSTIN, TEXAS Tolephonl flown-9m or 14000352959 (having impalmn) (PURSUANT TO TITLE 2, CHAPTER 61. TEXAS LABOR CODE) PLEASE WRITE CLEARLY IN INK. Nels: Sonlal securily Number Ls opllonal. Io Include II will delay of your claim, CLAIMANT INFORMATID INFORMATION ABOUT YOUR EMPLOYER: Basin": Nam: ANGEL MARTINEZ owners Name ANGEL MARTINEZ Amman Social Securily Number Hume Phuna Phnne Work laull'an PLEASE FOLLOWING EMPLOYMENT INFORMAYION: I. Wnauvurk am you peflolm? 2. Begnning time u! amyloymam 9/5/17 slams ml: Quitda'u E. om 9/22/17 mason (ar separallon: DID NOT PAY a. when Wale your rsgularly scheduled paydays? IRREGULAR PAYDAY M: wur Vale or paw [anmplesz 531nm. smash-mum. swam, Salsa. -EER HR mm was <> we, 621750 (ammo: an Ex" G 13. What was the scheduled payday(s) for these claimed wages? Date(s) 9/22/17 14. If claiming reguiar, overtime, andlor minimum wage, what were the dates you worked for which you received no wages? From 918/17 to 9/22/17 Please explain how you de- termined each amount claimed. (Example: 20 hours regular pay at $5 per hour and 5 hours overtime pay at $7.50 per hour. Example: 30 items at a piece rate of $0.75 per item.) 60 HRS @ Please attach the check stubs or earnings statement. 95., if claiming commission, what was the period in which the wages were earned? From 9/27/17 Indicate how you determined 9/8117 to the amount due (attach Information to support your claim, such as sales records, check stubs, etc.)., FOR HOURS WORKED 16. If claiming a bonus, was the bonus a part of your employment agreement or a casual gift? If based on performance, what was the period In which the bonus was earned? From to Please furnish details of the bonus agreement (include a copy). N/A 17. If claiming a covered fringe benefit, please explain which benefit(s) you are claiming and why you are entitled to the wages.. Please indicate how you determined the amount due and attach a copy of the employer's written agreement or policy concerning the type of fr€nge benefit(s) claimed N/A 18. If claiming deductions, did you sign any authorization for deductions other than regular payroll taxes? If yes, please explain (attach a copy) 19. Are you in bankruptcy? Chapter: p Yes N/A If yes, what is your bankruptcy filing date? p No Case No: Where filed? What is your bankruptcy attorney's name, address, and phone number? N/A 20, Are you aware of any agreement (such as arbitration, collective bargaining agreement, union contract, ERISA Service Contract act, etc.) that existed between you and the employer? ❑ Yes If yes, please attach a copy of the agreement, tp No N/A 21. Additional comments: I UNDERSTAND THAT THIS IS A SWORN WAGE CLAIM AND THAT I MAY BE ASSESSED AN ADMINISTRATIVE PENALTY IF THIS CLAIM IS FOUND TO BE BROUGHT IN BAD FAITH. (Your Wage Claim must be signed below and must be swom to before a Texas Workforce Commission Representative or a Notary Public.) Date 10/5/17 Claimant's Signature Clafmants signature Before me the undersigned authority, on this day personally appeared the above named claimant, who on oath states to have knowledge of the facts set Tonn in tnis wage ciaim, ana tnat tne matter ana racts set tortn trierein are to tne nest oi tne ciaimant's Knoweage true ana correct. or Texas Workforce Commission Representative Office No. Notary Public My commission Expires An individual may receive, review, and correct information that NIC collects about the individual by emai€ing to open.re_cor_ds@tw c.state.tx.us or writing to TWO, Information Release, Room 264, 101 East 15th Street, Austin, TX 78778-0001 mama": . RECLAMO SALARIAL DE LA FUERZA LABORAL DE aim LEYES LABORALES 101 EAST 15TH STREET AUSTIN. TEXAS 78718- 0001 2510 TDD (Servcho pm Surdos) 1430a (DE CONFORMIDAD CON ELTITULO 2r CAPITULO s1 DEL CODIGO LABORAL DE TEJAS) FAVOR DE CDN TINTAV EN FORMA LEGIELE. Nara: Es upxaflrivu annlarel Nfimam as Begum Suclar. para el hechn He no incrumn pueda causar un suasaen Ia namiracibn (19 au rmramo. DATDS DELIDE LA RECLAMANTE DATOS DEL PATRON Nomhre Apellido numerals! A :5 Mg '3 (SHEWIUD Hombre) (spawn) I Nomble dellde Ia prapieiavlo/a $8 13L 333:; k) Direccifin Apanamenlo if Direncien del comerclal crudau _Eataua 1x Cbu'rga Pasta scaduTfi Cecfigo Pdslal Telarann del pallen Uhicacibn del centre as naba me: in am) Telefonn de su Imbajo actual Celular INFORMACIDN LABORAL 1. am trabajn nacla us 7 we; M0\.i\ 90 L) 2. (En que techs empeze a trabajar? wual as susrruaclonlaboralahura. con respecloadicho palrfin? Sigolrahajendn Knanuncra arms flesp'dlb a! file must rug 5! molivn de su separacmn da ampleu7 i x} EA (043 3. icueles eran sus dlas regulars: de pago7 fax a 5, fig; GBP2 Rho [e calculaban su sa'ario? (per emplejo a 00 la hnra $1 000 mensualas, 50 centavns par pieza. 52 DO par ple DA. Lena! era 91 horarlu de lrabajo Xmas par ma _dlas par samana. arm slsraman 4. {,Que erase de acusrdo habla sobre el sarano? manual :1 (adlumnr com 5. Les salaries qua reclama. Llos gane en el estedo de Tales? El Nu En caso negauvo, Lse hlza el cuntrarn de rrabaro an er estada fie a No 5. 55a haulan deduccinnes a su salarin porcuncepm de rmpuesras7 a Sr Km 7. negucio as su palrbn signs sn operadones? RECEIVED LCuel es el dc! palm" su numem OCT 51017 a. gLa empresl este en qurabra? No LABOR LAW 6 9. Lcuel is ex numhre el relefunu de su supervisarra) duranle el perlada releridn an e! reclamo? 10. SI (Inna algim lam can a] pnlrell, favor dB Indicar e| parentasco. 11, LEI palrbn 19 dia a)gunarazen para no pagans? En uasu annuauvo, ravar d2 DE) (SIGUE AL DDRSO) LL--1s (0514) my. Na. 521775 Iumax 13--min. . .12. Selecclune mIegaIIa(s) da salaries anasados que meiorconesyandam) a las que Imam. lndicanda la suma del salarla atmsadn el impane d2] bmla que se Ia debe. NOTA: Na puede reclamarel reembolsc de lipD de asln, a ualns aslaa nu mnsxiluyan salafiav Tlempnexlras 133 50 Qe pagarS_--Sllirlo hfedoral TOTAL DE LDS SALARDS ATRASADOS QUE SE RECLAMAN - Les 12an pananeim admmalaa qua malamarsa ma aI-gulanxem page par vacuum: a dim: 79mins, par despidu pemlm par an/annedsd. parmls: para er "mas manores, mm Irbre alas mm pagoda: Pam pouarrsaramar, 95105 mamas 1mm qua habalse oIaIgada msdianle "Hz Zamm a palmu mm dilemploador. 13. LED que {ache debit hsbBIsa pagado a: salarlu qua as rauramen 14. En casu Ite Ieclamarun salano mgu I, salarlo par :1 mp0 extra, y/oZ salarln :cuales sun la fa: gen que ua. Irabaje 3m reclmr al warm MIL 2 ,2 I Favm de explicarndmo calculb Ias sumas qua reclama. (For eiampln 2n ham: a) mum regular 3 Iazon de 5 no par hnra . mas de Iiempo ema centavos pm plaza.) En cam da reclamarcumlsluges. wuranle que panoda sa ganIs 2| Salado qua :a reclama.Faverde calcum Ias suma LIE reclama. (agguma Infurmacle en apnyo de su {Enlama' tales Como mustanclas us Willis, wanes de cheques. eta), 3. A Aggfi BE 15' En aaso da rel-Jamar grauflcaclfin. lndiquasl esla celrespundla al awardo labural I) si era armpxe legalo, Si Va grauncaalan se pagaba a base as! desempenn aa su Imbajc. Ln uperiadu 55 gene? Del de al (Is Favnrde dar deIaKes de la graflficaden adlumar cupla. 17. En naso da reclamar cohertura par una prestaclen, lavur d2 lndI-rque praamlmas) hanefldoKs) mclama par que derechu a la! saxariu. Favnrde mlmlarcfimu mlculb la sums que se a magma: cnpla aw ammo esulxo ands! dal a] man as pleslaclemes) qua reclamfl. 18_ En case deducdnnes lndique si firmd alguna auxarlzaclan para deduwones apart: d5 las qua [manta se descuentan deI salal'ifl :1 SI a Na in Ease afrmallvu. favm de axpuaar (adluntar copla). 19. 2,5513 usted en quTebra? s: a Na quefechasemdim ed Iam'Ien dequiebva? 1 Capllulc: __C35a Lugar en que 52 mm daclarsnifin. 5 \ndlque e] Ia el lelefono del ahugado que la represenxa en su case de quisbraa 20. mane usxea canwmlanm d2 acuerdo (15) came athlrale awards as negodaddn selective Amlbn da Sewldu camrabadc. em) qua sa haya canaenada enue usla palrbn? SI Na En caso afirmalivu. slrvase adjumar pra de mam acuerdo. 21 Olras nbsawac'onss: 2a, Cumemallusadiclonales:"1AM 5' . ENTIENDO QUE EN CASO DE DETERMINARSE QUE ESTE RECLAMU FUE INICIADO DE MALA FE QUEDARE SUJETOIAA LA IMPDSICION DE UNA SANCION ADMINISTRATIVA. Paras" wilt/mm aihlial debare 5(1an uE fecha da nuclmlantn as manDeclare we pan: ds yun'uflo qua Ia Inrarmanlsn precedents as vard'adara comma Celebradu an el Cnndado d9 Eslafle as a Ldiasde :19 7'05} (Mn) unavaranw (l ammo: In rigour): mamas my mum a uvI 15m swarm, 1x nmmv. um. mm In l/n mucky a II I Imam" mm; Hausa Em [ l7:zS:53yfH ns-7an ^ .;d z 889977*1n , I=ormuiario Adiunto de Rectarna Salarial Pregunta Nro.14 - AnaIisis detallado de horas trabajadas por semana InstruccionesIngrese Ea fecha tiel'dia de comlenzo de ia primera semana de trabajo Ingrese el horarto de fnicio del primer dia en la tarjeta de aslstencia o Ingrese la hora de inicio en el columna Hora a Ingrese los minutos en el columna Min n Ingrese AM o PM en el columna AM/PM Ejemplo: Si empezo a trabajar a las 8:30 am, ingrese; Hora ArCin AMIPM 8 30 AM Ingrese el horario de interrupcion para un tiempo de descanso o periodo de comida en la secciQn Horarlo de Interrupcidn; siguiendo el ejemplo anterior Ingrese el horario de lnicio cuando regresci a trabajar despues de un tiempo de descanso o periodo de comida en ]a seccion Horario de Inicio 2 Ingrese el horario de terminaCldn en la seccian Horario de Terminacian Ingrese la cantidad total de horas que trabaj$ en ese dia Ingrese ia cantidad total de horas que trabajo en esa sernana completa Semat3a l Horarirs do Horarlo de Interru cl6n Horarlo de tnic[o 2 Terminaci6n Hora Min AMIPM Hora Min AM{PM Hora Min AM/PM r^ a^ ^^'^ '^ »% ^^Y...'^i^ s^^'iC ,^ : ^^, ^ .p ^.^^`• ^ '^ ^'^ WO M Horarlo de Iniclo Hore Min AM/PM Horas Traba adas ^: ^hL'di WON -^ F l., }..(t Y ^' .d:t ^l li ri.. '4t' ^ r^ °Y?a ^,^' ^ b?'1 P' . ^lr R+ ^'i N+ d.•^$ ^ ^ ' ^i . ^ t' .r^' ^ ri,..3 a' ^^v i-E ^ i =^^ ' > q vim, ,^i.^:^ri' .h ? .^y^ s^ k; c^Ni.. Total de horas sernanales SeCnatna 2 Horario de Interru clon Horarlo de Inicio Hora Min AM/PM .1 Y ' E 1": Hora G . Min AMlPM , 1 Horarlo do Terminacl6n Horarlo de InIclo 2 ` Hora Min AMIPM ^i'"^ , ^. ^,,.. ^'" r r«' f^^ ^ " ^ Y" Hora MinAM/PM :^ qu NO '.:css^ +,c^ [^}S'ny } ^S'^dh.`1{ ^"^ ^ p ry ! '^.. - 4^ F4}3^ E ^ 4 ^^. Horas Traba adas .x4 ^'• 0 a Y'+S" n:i w{.^^.'^^-' ^ ^"d,'. ^ `n • - n^ .«^ S'a! Total de horas semanale8 Pregunta Nro.1 5 y 16 -An6lisis detallado de Colnisiorses o Bonificaciones Favor de Incluir un an6fisis detailada e tnforrnacion que deje constancia de cornisionas o bonificaclones. Wemplo: dlentesjverrtos/cuerttas X 9o de corratslan/boniflcacidn'= comisik o bQntj7coclon por ventuJ Favor de incluir informacidn que deje constancla de m9iias recorridas, tal como hojas de ruta o registros de viajes de cludad a ciudad. '?'"s7 'c.' y,ra:^.:;7 ...c::, m:.✓s.^