帮忙看看这个怎么填写
联盟补发支票 让额填写一个表格：I, _____________________________, understand that check # _____________ dated ______________, in the amount of $_____________ was mailed to me in payment of work at ______________________________ on week ending _______________ for __________ hours.
on week ending _______________ for __________ hours. 这个位置填写什么？
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