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 PAYMENTI vc1-1V1cNt or lON AND CONSTRUCTION NAME QF CONTRACTOR/SUBCONTRACTOR I ADDRESS TRIO ASBESTOS REMOVAL CO PHONE No. PAYROLL No. 4-20 129TH STREET COLLEGE POINT NY 11356 ( ) - 3 CONTRACT PEG No. JOB CODE WEEK ENDING - DATE PROJECT NAME AND LOCATION J 'IAX I.D. No, 20766 072128/02 125 CEDAR 120 L 3) DAY AND DATE 5) 6) PII LIST TRADE & 4) 7) SUPPLEMENTAL BENEFITS 11) t2) 1'31 '------- ' MON TUE BASE EMPLOYEE'S NAME, CIRCLE WORK T WED THU FRI SAT SUN 81 91 10) CLASSIF: TOTAL RATE ADDRESS, JouRNEYPERsoN IM 722 723 724 725 726 727 72 HOURS OF PgID TO TOTAL TAX AND SOCIAL SECURITY No. APPRENTICE E PAy PER TOTAL PAYE RATE PER hotel M TOTAL i Unlon GROSS NET PAID PAY H UR W RK DFDUC?ION PAY P R Y HOUR HOUR s check) WOMOCZYL.c. _._IREUEU52._, ._._._ JOURNEYMAN T 8.0 8.0 28.15 U O PII AB-SUPERVIS O 5.0 5.0 42.22 514.98 U 80 514.98 458.32 _._._._._._._._._._._._._._._._._._._._._._._._ T 56 66 R U E O T

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1 tie.e1.., .e.. ._ FALSIFICATION OF STATEMENT IS A PUNISHARLF f1FFFNCF F7062ELX ~-. ~o••••T s• a rnror on represents wages and supplemental benefits paid to all persons above project ring the per' employed by my firm for construction work upon the wn. I understand that the Agency relies upon the information as undersigns . being,-complete and accurate in making payments to the

t SIG NAME (Print) TITLE ATE

NYC-WTC 000108074