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 PAYMENTI AGENCY: NAME QF DEPARTMENT OF DESIGN AND CONSTRUCTION TRIOCONTRACTOR/SUBCONTRACT8R ASBESTOS REMOVAL CO F4-2'OESf29TH STREET COLLEGE POINT NY 11356 P(ONE;o. — PAYROLL No. CONTRACT REG No.1 JOB CODE I WEEK ENDING - DATE 4 PROJECT NAME AND LOCATION 20786 08/04/02 TAX I.D. No. 125 CEDAR 120 L 2) 11-2869540 LIST TRADE & 3) a1 DAY AND DATE 51 0' ASE 71 SUPPLEMENTAL BENEFITS 111 12) 13) EMPLOYEE'S NAME, CIRCLE WORK T MON TUE WED THU FRI SA SUN TOTAL RATE 81 91 10 ADDRESS, CLASSIF: TOTAL PAID T SOCIAL SECURITY No. JOURNEYPERSON M HELPERICE 729 730 731 801 802 80 804 HOURS PAY TOTAL RATE (Loc.I la TOTAL GROSS TAX AND A E PER PAVE PER it union PAID PAY NET HOUR HOUR is eh~ekl DEDUCTION POZNANSKA, EWA R PAY JOURNEYMAN 5. 5.5 23.15 UEO P11 AB-HANDLERS 0 78 162.06 142.18 1. 1.0 34.72 162.06 r 6.05 39.3 19.88 STOPA, JOZEF JOURNEYMAN R U E0 5. 5.5 23.15 PIS AB-HANDLERS 0 2. 2.5 34.72 214.14 U 78 214.14 151.22 T 6.05 48.4 62.92 R T U E 0

UEO

UEO

UEO

UEO

0 T

U E

I hereby certif ove i FALSIFICATION OF STATEMENT IS A PUNISHABLE OFFENSE rmation represents wages and supplemental F7062.ELX above proj during the pe benefits paid to all persons employed by my firm for construction own. understand that the Agency relies upon the work upon the undersign information as being complete and accurate in making payments to the C STO?hER SIGNA E NAME Print ~ITLE DATE

NYC-WTC 000108088