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 AGENCY: ITO BE SUBMITTED WITH REQUISITION FOR PAYMENT 1 DEPARTMENT OF DESIGN AND CONSTRUCTION NAME OF CONTRACTOR/SUBCONTRACTOR TRIO ASBESTOS REMOVAL CO ADDRESS 4-20 129TH STREET COLLEGE POINT NY 11356 P(ONEjo. _ P YROLL No. CONTRACT REG No. JOB CODE WEEK ENDING . DATE 2 PROJECT NAME AND LOCATION 20766 07/21/02 125 CEDAR ST . TX 1.0. No. 1) LIST TRADE & 3) 4) DAY AND DATE 5) 61BASE 11-2869540 71 SUPPLEMENTAL BENEFITS 111 12) 13V EMPLOYEE'S NAME, CIRCLE WORK T MON TUE WED THU FRI SAT SUN 8) 91 10 CLASS IF: TOTAL RATE ADDRESS, PAID TO TOTAL SOCIAL SECURITY No. JOURNEYPERSON 1 715 716 717 718 719 72 721HOURS PAY OF OF TOTAL TAX AHD APPRENTICE M RATE ILocal A TOTAL GROSS BASE PER if Union hec OTHER NET HELPER E PER PAID PAY H RK D P R AY HOUR HOUR Is check) DEDUCTION PAY JOURNEYMAN R 8 .0 8.0 23.00 uE 0 P11 AB-12A HAND D U 184.00 157.36 T 34.50 184.00 12 6.20 49.6 2664 JOURNEYMAN 8.( 8.0 23.00 UEO P11 AB-12A HAND ~0- U 322.00 198.74 4- T4.0 34.50 322.00 12 6.20 74.4 123.,26 MEDINA,DIEGO UE0 8 .0 8.0 23.00 P11 AB-12A HAND U 184.00 157.36 _._._._._._._._._._._._._._._._._._._._._._._._. - 34.50 184.00 12 6.20 49.6 26:64 JOURNEYMAN 8.1 8.0 23.15 UE o P11 AB-HANDLERS 324.10 U 78 324.10 273.92 6.05 72.61 50.18 IJEO ,

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I hereby certify th FALSIFICATION OF STATEMENT IS A PUNISHABLE above information represents F SIFI wages anONu OFFENSE F7062.ELX above Pro"e 1 urin9 the p I understand that the Agencypp paid to all persons employed by my firm undersign relies upon the formation as being complete and accurate informaking construction work upon the payments to the / SIGN r ~!;~. j' .~ f Jr~ NAME (Print) TITLE 7 D TE

NYC-WTC 000108061