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Document / 11 pages

Invoice for roof cleanup, 120 Liberty/125 Cedar, Aug 2002

Machine-extracted title · confidence 95%

Asbestos Removal Corp invoice dated August 6, 2002, detailing charges for asphalt and gravel roof cleanup at 120 Liberty and 125 Cedar.

NYC-WTC_000108066–000108076
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Scanned page image, NYC-WTC_000108076
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NYC-WTC_000108076 THE CITY OF NEW YORK OFFICE OF COMPTROLLER PAYROLL REP ORT AGENCY: BUREAU OF LABOR LAW (TO BE SUBMITTED WITH REQUISITION FOR PAYMENT) DEPARTMENT OF DESIGN AND CONSTRUCTION NAME_OF CONTRACTOR/SUBCONTRACTOR ADDRESS PHONE No. FAYROLL No. TRIO ASBESTOS REMOVAL CO 4-20 129TH STREET COLLEGE POINT NY 11356) ( ) - 4 CONTRACT REG No.| JOB CODE] WEEK ENDING - DATE] PROJECT NAME AND LOCATION TAX 1.D. No. 08/04/02 125 CEDAR/120 & 11-2869540 2) mM 12) 1) List tRape a | 24 DAY AND DATE 5) 6) 7) SUPPLEMENTAL BENEFITS 13) BASE ' EMPLOYEE'S NAME CIRCLE WORK MON| TUE WED /THU | FRI SAT} SUN TOTAL| RATE 3} 9) 10) TOTAL HOURS] _OF TOTAL Pal TO TAX AND RINE YP RATE | ftocat #| TOTAL GROSS SOCIAL SECURITY No. JOURNEYPERSON| y4| 728) 730) 731/ 801| 802 209 804 PAY Base | RATE [fess #] TOT A ROSS | oraer NET PER . i} fT HELPER HOURS WORKED PER DAY HOUR PAY | HOUR | is check) EDUCTION| PAY POZNANSKA, EWA JOURNE YMAN 5.9 §.5/23.45 VEO U 162.06 142.18 1.4 4.0134.72 | 162.06 78 6.05 39.34 19.88 5.§ §.5|23.15 VEO T) 214.14 151.22 2.49 2.5134.72 | 214.14 78 6.05 48 .4¢ 62.92 Rr-Sw fer AB-HANDLERS or STOPA, JOZEF | JOURNE YMAN AB-HANDLERS er] Orfar {Or VEO er {Or wee! Of far UEO Or] ar] Or VEO xr] Or . FALSIFICATION OF STATEMENT IS A PUNISHABLE OFFENSE | F7062.ELx ! hereby certif : e~abo fon represents wages and supplemental benefits paid to all persons employed by my firm for construction work upon the p i understand that the Agency relies upon the information as being complete and accurate in making payments to the mire HORAMS “ ; CPESTOPNES | L, Cd NAME (Print) ” DATE SIGNATURE NYC 9/11 Public Portal Document

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NYC-WTC_000108076Source: NYC Law Department, mirrored locally

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NYC-WTC_000108055 · Box DEP Box 38

Asbestos Removal Corp invoice dated August 6, 2002, detailing charges for asphalt and gravel roof cleanup at 120 Liberty and 125 Cedar.

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