NYC 9/11 Public Portal Document
THE CITY OF NEW YORK
OFFICE OF COMPTROLLER
BUREAU OF LABOR LAW
PAYROLL REPORT AGENCY:
(TO BE SUBMITTED WITH REQUISITION FOR PAYMENT)
NCMC nc rnpdrwnrnn,e, DEPARTMENT OF DESIGN AND CONSTRUCTION
TRIO VASBESYOSREMOVALCOQ ADDRESS
4-20 129TH STREET PHONE No. PYROLL No.
COLLEGE POINT NY 11356 ( ) - 2
CONTRACT REG No. JOB CODE WEEK ENDING - DATE PROJECT NAME AND LOCATION
TAX I.D. No.
20766 07/21/02 125 CEDAR ST. ; ------ - - - - - - -
1) 21
LIST TRADE & 3i al DAY AND DATE 51 6) 7) SUPPLEMENTAL BENEFITS In 121
t3 Pll
BA SE
EMPLOYEE'S NAME, CIRCLE WORK T MON TUE WED THU FRI SAT SUN TOTAL
RATE 8) 9) 10)
ADDRESS, CLASSIF: TOTAL
I HOURS OF PAID TO
TICS N M 715 716 717 718 719 72 721 TAX AI
SOCIAL SECURITY No. JOURNE PAY TOTAL RATE (lots N TOTAL GROSS E D
AHELPERICE PER PAYE PER it ch cn PAID PAY NET
R Y HOUR HOUR -s ch-O oEDUCtIoN PAY
AVILA, JUAN JOURNEYMAN R UEO
------- ------- T 23.15
PII AB- HANDLERS O 12. 12.0 34.72 416.70
U
78
416.70 255.24
T
6.05 72.6 161.46
BATI_S_ TA, SIX_T_0 JOURNEYMAN R 8.0 UEO
8.0 23.15
PII T
AB-HANDLERS O
34.72 185.20
U
78
185.20 157.78
--- --- --- --- - T 6.05 48.4 27.142
_._._._._._._._._._.._._._._._0 JOURNEYMAN R
T 25.15 1.35O
PII AS -HANDLERS O
T 12. 12.0 37.72 452.70
U
78
452.70 ! 230.43
6.05 72.6 222.'27
BARRIOS, WALTER JOURNEYMAN R
T 8. 8.0 23.15 UEO
PII AS-HANDLERS O U 324.10 273.93
324.10 78
_._._._._._._._. T 6.05 72.61 50.17
CARRASCO, MONICA JOURNEYMAN R 8.0 uE O
T
8.0 23.15
AS-HANDLERS U 185.20 160.82
--------
PII
-------
o 34.72 185.20 78
6.05 48.4i 24.38
LITUMA, - GASPAR ----- JOURNEYMAN R
T 8. 8.0 23.15 U E O
PII AB-HANDLERS O 4. 4.0 34.72 324. 10
U
78
324.10 260.15
--- T 6.05 72.61 63.95
MARTINEZ,LUIS JOURNEYMAN R
T 8 .0 8.0 28.15 UBO
PII AB-SUPERVIS O 2.0 2.0 42.22 370.15 80
370.15 235.69
134.46
- ---- ---- JOURNEYMAN R vE o
T 28.15
PII AB-SUPERVIS O 12. 12.0 42.22 579.30
U
80
579.30 312.38
T 266.92
FALSIFICATION
I hereby certify theLthe-abovR infnrmnf;n.. .e...e__s ...____ OF STATEMENT IS A PUNISHABLE OFFENSE F7062 ELx
above project • r• ana supplemental Denetlts paid to all persons employed by my firm for
ring the understand that the Agency relies upon the information as being construction work upon the
undersigne complete and accurate in making payments to the
}r_' ask
i 14; j1 J I
NAME (Print) TITLE i DATE
NYC-WTC 000108071
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