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 (TO BE SUBMITTED WITH REQUISITION FOR PAYMENT) AGENCY: NAME OF CONTRACTOR/SUBCONTRACTOR DEPARTMENT OF DESIGN ANA CONSTRUCTION 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 ' I 3 PROJECT NAME AND LOCATION 20766 01128/02 125 CEDAR/ 120 L T K_.1,A Na._._._._._._. 1) LIST TRADE & 31 41 DAY AND DATE 5) 61 PII BASE T) SUPPLEMENTAL BENEFITS 11) 12) - 131 EMPLOYEE'S NAME, CIRCLE WORK T MON TUE WED THU FRI SAT SUN 10 CLASSIF: I TOTAL RATE 8) 9) ADDRESS, OF PAID To TOTAL ! SOCIAL SECURITY No. JOURNEYPERSON M 722 723 724 725 726 727 72 HOURS pOF TOTAL TAX AND APPRENTICE E RATE Itocal TOTAL GROSS BASE PER it Unio OTHER] PER PAID NET HELPER HR RK P R Y PA'Y HOUR 's check) PAY DEDUC kION HOUR I PAY AVILA, JUAN _ JOURNEYMAN R 8.1 8.0 8.0 8.0 32.0 23.15 UEO

PII AB-HANDLERS O 4. 1.0 4.0 2.5 21.5 34.72 1487.39 1013.03 _._._.......-._.....-.-.-.....-.-.....-.-.... T 1487.39 78 6.05 323.6 47436 BATISTA,SIXTg----.-,-,-„ JOURNEYMAN R 8.1 8.0 8.0 8.0 32.0 25.15 US O PII 954.46 1615.89 T U AD-HANDLERS O 4. 1.0 4.0 2.5 21.5 37.72 1615.89 78 T 6.05 323,61 661.43 BARRIOS, WALTER T JOURNEYMAN 8.C 8.0 8.0 24.0 23.15 U E O AB -HANDLERS O 4. U 729.23 540.55 1.0 5.0 34.72 729.23 78 PII T -----.----.----- 6.05 175.4 188.68 LITUMA, GASPAR _ JOURNEYMAN TR 8. 8.0 8.0 8.0 32.0 23.15 UE O P II AB-HANDLERS O U 1053.33 720.06 T .34.72 1053.33 78 6.05 248.0 333.27 MARTINEZ,LUIS_ JOURNEYMAN R 8.1 8.0 8.0 8.0 32.0 28.15 U E O

PII ----------------------- AB-SUPERVIS O T T 4. 1.0 4.0 9.0 42.22 1528.88 80 1528'88 1000.36

528.52 _MARIN,-__DIEGO _._._._._._._._ JOURNEYMAN R 8.1 8.0 8.0 8.0 8.0 40.0 23.00 PI I AB-12A HAND T O 4. 1 0 4 0 4 5 13.5 34.50 1385.75 uE O U 12 1385.75 881 49 T 6.20 331.7 504.26 R 8.0 8.0 16.0 23.00 u E O T

P11 AB-12A HAND O T 4.0 4.5 8.5 34.50 661.25 6.20 U 2 151.91 661.25 476.68

184.57 PARRA ,_._R_.AFAE.L_._._._._._._. JOURNEYMAN R 8.C 8.0 8.0 8.0 32.0 23.15 u E O T

PII AB-HANDLERS O 4. 1.0 4.0 2.5 21.5 34.72 ,487.39 U 78 1487.39 977.85 T 6.05 323.6 509.54 I hereby certif inf FALSIFICATION OF STATEMENT IS A PUNISHABLE OFFENSE 'on represents wages and supplemental benefits F7062.ELX above proje during the~tf own. paid to all persons employed by my firm for understand that the Agency relies upon the information construction work upon the undersign as being complete and accurate in making payments to the

NAME (Print) TITLE 1 DATE

NYC-WTC 000108062