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 AGENCY: (TO BE SUBMITTED WITH REQUISITION FOR PAYMENT) DEPARTMENT OF DESIGN AND CONSTRUCTION T1tI0 vASBESTOS~REMO\!AL~COn ADDRESS PHONE No. 4-20 129TH STREET PAYROLL No. COLLEGE POINT NY 11356 ( ) - i 2 CONTRACT REG No. JOB CODE WEEK ENDING - DATE PROJECT NAME AND LOCATION 20766 07/21/02 125 CEDAR ST. T?X.J..12,_.Ni1.._._._._._ P11 1) LIST TRADE & 3) 4) DAY AND DATE 51 61 71 SUPPLEMENTAL BENEFITS 11) 12) 13) EMPLOYEE'S NAME, CIRCLE WORK T MON TUE WED 81 9) 10) CLASSIF: I TOTAL HOURS RATE ADDRESS, OF PAID T TOTAL SOCIAL SECURITY No. JOURNEYPERSON M 715 716 717 T~71972 PAY TOTAL RATE Itocal 11 TOTAL TAX AND GROSS OTHER AHELPERICE E PER PER if Union PAID PAY NET H R RKE PAVE DEDUC4ION P R AY HOUR HOUR is chock) PAY JOURNEYMAN R 8.0 8.0 23.00 U E O PII AS-12A HANDI U 184.00 157.36 34.50 184.00 12 T 6.20 49.61 26164 MARIN, DIEG_0 JOURNEYMAN R UEO 8.1 8.0 23.00

PII AB-12A HAND Tp T 4. 4.0 34.50 322.00 6.20 U 12 322.00 198.74 74.4 123.26 MEDINA,.DIEGo ..............._ R UE O T 8.0 8.0 23.00 PII AB-12A HAND O 34.50 184.00 U 12 184.00 157.36 _ T 6.20 49.6 26.64 PARRA, RAFAEL JOURNEYMAN R T 8.1 8.0 23.15 U E o AB-HANDLERS p U 324. 10 273.92 P 1 324.10 78 ................................... T 6.05 72.6 50.18 R UEO T

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I hereby certify thaithe above infnrm2+*,mn FALSIFICATION OF.___ _ . . . STATEMENT IS A PUNISHABLE OFFENSE F7062.ELX -- ...... .e...e.e.. ........... ...____ __ a ..ayo3 ai auppiemensal oenefits paid to all persons employed by my firm for above proje wring the p . I understand that the g construction work upon the Agency relies upon P the information as being complete and accurate in making payments to the undersign y P ii SIGN NAME (Print) TITLE n re

NYC-WTC 000108072