Invoice for roof cleanup, Asbestos Removal Corp, Aug 2002

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK OFFICE OF COMPTROLLER BUREAU OF LABOR LAW PAYROLL REPORT (TA P et in.A AGENCY: ENT) DEPARTMENT OF DESIGN AN CONSTRUCTION I lily ASBESTOS REMOVAL CO 4-20 5129TH STREET COLLEGE POINT NY 11356 PHONE ) o. — Pk YROLL No. CONTRACT PEG No. JOB CODE WEEK ENDING - DATE PROJECT NAME AND LOCATION 20766 07/14/02 125 CEDAR ST. TAX (.D. No. 1) LIST TRADE & 3) al DAY AND DATE 5) s) 11-2869540 BASE 7) SUPPLEMENTAL BENEFITS 11) 12) 131 EMPLOYEE'S NAME, CIRCLE WORK T MON TUE WED THU FRI SAT SUN 8) 10 ADDRESS, CLASSIF: TOTAL RATE 9) JOURNEYPERSON M 708 709 710 711 712 713 HOURS OF PAID T TOTAL SOCIAL SECURITY No. 71 PAY TOTAL RATE (local I TOTAL GROSS TAX a o APPRENTICE E HELPER PER BASE PER it Union PAID PAY OTHER NET H UR RK P AY HOUR HOUR is ch.ck) OEOUC ION PAY 8.0 UE 0 8.0 23.15 P II AB-HANDLERS o U 185.20 138.34 34.72 185.20 78 6.05 4s. i 46.86 R UEO T

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,°.,,°FALSIFICATION OF STATEMENT IS A PUNISHABLE QFFEnISF I hereby certify that-Abaabnve infnrmatin.s .... above pro ~~~••.~ -.aya* anu supplemental benefits paid to all .........

the perio h wn. I understand that the Agency relies persons employed by my firm for construction wbrk undersiane upon the information as being complete and upon the accurate in making payments to the

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NYC-WTC 000108059