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 ITO ac CIIG...iTrrn ,.,. AGENCY: ENT) DEPARTMENT OF DESIGN ANO CONSTRUCTION ASBESTOS REMOVAL CO IK1U 4 -20 129TH STREET COLLEGE POINT NY 11356 PHONE No. PAYROLL No. CONTRACT PEG No. JOB CODE WEEK ENDING - DATE PROJECT NAME AND LOCATION 1 20766 07/14/02 125 CEDAR ST. TAX . .D._ .N.o_ ._._._._._ 2) LIST TRADE & 3) 41 DAY AND DATE 5) s) PII EMPLOYEES NAME, CIRCLE WORK T MON TUE WED THU FRI SAT TOTAL BASE 7) SUPPLEMENTAL BENEFITS 10) 11) 12) 131 ADDRESS, CLASSIF: SUN RATE 8) 9) TOTAL SOCIAL SECURITY No. I 708 709 710 711 712 71 71 HOURS JOURNEYPERSON OF P AY TOTAL RATE PAID TO Vocal + TOTAL GROSS TAX A D APPRENTICE HELPER E H UR RK P AY PER BASE PAS PER it Union PAID PAY DEDUC OTHER NET T 8.0 HOUR HOUR eo chick) ION PAY 8.0 23.15 UEO

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hereby certify that_tbs-above infnrmnf;, FALSIFICATION OF STATEMENT IS A PUNISHABLE OFFENCE ......ewe..._ ... ..aya' Of° supplemental Denefits paid to all above project Ing the perio b wn. I - understand "'" ""' that the Agency relies upon the information aspersons employed• by my firm for construction work upon the undersigne being complete and accurate in making payments to the 6 f 5 L#i C"eC,.,Z-1At ,•1 1 NAME (Print) TITLE 7TDATE

NYC-WTC 000108059