Call 701-774-9056 or Fax 701-774-3158 Email
2419 9th Ave West   Williston, ND   58801 Email
Submit Hours

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First Name:
Last Name:
Date worked in MMDDYY (example) 08 22 04
Date Worked: Month Day Year
Hours worked in quarter hours (example) .75 or 1.25
Hours Worked:
Please provide a brief description of work performed
Work Performed: