Invoice for roof cleanup, 120 Liberty/125 Cedar, 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/SUBCONTR ACTOR DEPARTMENT OF DESIGN CONSTRUCTION TRIO ASBESTOS REMOVAL Co S PHONE No. 4205129TH STREET COLLEGE POINT YROLL No. CONTRACT REG No. NY 11356 ( ) - JOB CODE WEEK ENDING - DATE PROJECT NAME AND LOCATION 20766 07/14/02 125 CEDAR ST. X I.D. No 2) PII 1) LIST TRADE & 3) 4) DAY AND DATE 5) 6) 7) SUPPLEMENTAL BENEFITS 111 1: EMPL(YEE'S NAME CIRCLE WORK T MON TUE WED THU FRI SAT SUN 1D CLASSIF: TOTAL RATE 9) ADDRESS, OF PAID TO TOTAL SOCIAL SECURITY No. JOURNEYPERSON M 708 709 710 711 712 713 71 HOURS TOTAL TAX A APPRENTICE E PAY BASE 7AE (Local A TOTAL GROSS PER it Union PAID OTHER NET HELPER PAY __ ST0PA L TADEU$Z._._._._._._. R H UR W RK 8.0 P R AY HOUR

8.0 23.15 PAY 0check) uE o DEDUC PAY

P11 ._._._._._._._._._.. AB-HANDLERS O T T 34.72 185.20 U 78 185.20 138.34 6.05 48.4 46. R U E O T

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I hereby certify that ve informati on uO ppelerSTATEMEN IS dAo PUNISHABLE OFFENSE above project represents ALSIFICATaIONd ental s all F7062.ELX Ing the perio wn. I understand that the Agency relies upon loyed my firm r a e work upon the information as being scomplete and accurate in the undersigne t~, 7 making payments to the

NAME (Print) TITLE I DATE

NYC-WTC 000108070