Invoice for roof cleanup, Asbestos Removal Corp, Aug 2002

NYC 9/11 Public Portal Document

THE OF NEW OFFICETY OF COMPROLOLER BUREAU OF LABOR LAW PAYROLL REPORT AGENCY: (TO BE SUBMITTED WITH REQUISITION FOR NAME OF CONTRACTOR/SUBCONTRACTOR PAYMENT) DEPARTMENT OF DESIGN AND CONSTRUCTION TRIO ASBESTOS REMOVAL CO ADDRESS PHONE ;No. 4-20 129TH STREET - PAYROLL No. COLLEGE POINT NY 11356 CONTRACT REG No. JOB CODE WEEK ENDING - DATE 2 PROJECT NAME AND LOCATION 20766 07/21/02 TiKX I.D. No. 125 CEDAR ST. -._. _._._._. ._._. _._._.. 3) 4) DAY AND DATE ... >) L)IST TRADE & s) 7) SUPPLEMENTAL BENEFITS 111 12) EMPLOYEES NAME, CIRCLE WORK T MON TUE WED THU FRI SAT 'BASE 13) CLASSIF: SUN TOTAL RATE a) 91 10 ADDRESS, I 'CID T TOTAL' JOURNEYPERSON 715 716 717 718 719 720 721 HOURS OF TOTAL SOCIAL SECURITY No. APPRENTICE HELPER E PAY PER BASE RATE PER 'Local e II Unloa TOTAL PAID GROSS PAY Tax aN0 OTHER NET H W RK D P R PAY AY HOUR HOUR is check) DEDUC ION PAY JOURNEYMAN R 8.0 8.0 23.00 uE 0

P11 AB -12A HAND O 34.50 184.00 U 12 184.00 157.36 6.20 49.6 26,64 MAR_ IN, DIEGO . JOURNEYMAN R 8. 8.0 23.00 U E 0

PII AB-12A HAND p T T 4. 4.0 34.50 322.00 6.20 U 12 322.00 198.74

74.41 123.1,26 MEDINA,DIEG0 R T 8 .0 U E 0 8.0 23.00 PII AB-12A HAND T0 34.50 18 4.00 U 12 184.00 157.36 6.20 49.6 26.64 . PARRA. RAFAEI.._._._._._._. JOURNEYMAN R 8. 8.0 23.15 U E 0

PII ------ AB -HANDLERS 0 T 34.72 324.10 U 78 324.10 273.92 6.05 72.6 50.)18 R USO T

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I hereby certify th above information represents OFSTATEMENT IS A PUNISHABLE OFFENSE FT062Etx above s nd u ental paid to all persons uring the p 9°1 1 understand that the Agency relies upon the information as being employed by my firm for construction work upon the undersign complete and accurate in making payment's to the

SIGN NAME (Print) TITLE D TE

NYC-WTC 000108061