NYC 9/11 Public Portal Document
THE CITY OF NEW YORK
OFFICE OF COMPTROLLER
BUREAU OF LABOR LAW PAYROLL REPORT
)TO BE SUBMITTED WITH REQUISITION FOR PAYMENT),
AGENCY:
NAME OF CONTRACTOR/SUBCONTRACTOR DEPARTMENT OF DESIGN AND CONSTRUCTION
TRIO ASBESTOS REMOVAL CO S
4-20S128TH STREET COLLEGE POINT NY 11356 PHONE No PAYROLL No.
CONTRACT PEG No.1 JOB CODE WEEK ENDING 4
DATE PROJ;:: , AND LOCATION
20766 08/04/02 125 20 L
3), DAY AND DATE
LIST TRADE & s), 61 ), SUPPLEMENTAL BENEFITS 11) 12- ----------
_._. ._._.
EMPLOYEE'S NAME, BASE
ADDRESS, CLASSIF:
SOCIAL SECURITY No. JOURNEYPERSON M
I 729 730 731 801 802 803 g0 HOURS OF PAID TO rorAL'
PAY TOTAL RATE Vocal A TAX q~NO
APPRENTICE E BASE TOTAL GROSS
HELPER PER PER 'I Union PAID OTHERI, NET
HOUR K P HOUR
PAY HOUR chack) PAY DEDUCTION
JOURNEYMAN RT PAY
Si 5.5 23.15 U E O
PII AB-HANDLERS p U 162.06 142. 18
1. 1.0 34.72 162.06 78
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6.05 39.3 19.'88
STQPA..._.JLOz.Ef_._._._._._._._._. JOURNEYMAN R
5. 5.5 23.15 UEO
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214.14 151,22
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I hereby certif he_
, abOve i FALSIFICATan
rmation represents wages OF fSTATEMENT IS A PUNISHABLE OFFENSE
above proje during the pe ' d supplemental l
F7062 . ELX
own, understand that the Agency d my work upon the
undersign d. relies upon the informationalas pbeing scomplete
e and ac curate in making payments to
the
NAME (Print) ---
ITLE
DATE
NYC-WTC 000108065
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000108065Source: NYC Law Department, mirrored locally