Invoice for roof cleanup, 120 Liberty/125 Cedar, Aug 2002

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK OFFICE OF PAYROLL COMPTROLLER BUREAU OF LABOR LAW REPORT AGENCY: (TO BE SUBMITTED WITH REQUISITION FOR PAYMENT) Q ~~~~~ pp QQ DEPARTMENT OF DESIGN AND CONSTRUCTION NAMETRIO ASBESTOS OS REMOVALCpR ADDRESS PHONE No. — PAYROLL No. 29TH STREET COLLEGE POINT NY 113561 CONTRACT REG No. JOB CODE WEEK ENDING - DATE 1 PROJECT NAME AND LOCATION 20766 07/14/02 125 CEDAR ST . TAX I.D. No. 1) 21 3) a) 11-2869540 LIST TRADE & DAY AND DATE 5) 6) SUPPLEMENTAL BENEFITS 11) BASE ~) 12) 13) EMPLOYEE'S NAME, CIRCLE WORK T MON TUE WED THU 1FRIE SAT SUN TOTAL RATE 8) 9) 10 ADDRESS, CLASS IF: OF PAID TI TOTAL SOCIAL SECURITY No. JOURNEYPERSON M 708 709 710 711 712 71.3 71 HOURS PAY TOTAL RATE I GROSS TAX AND APPRENTICE E ILUCAI TOTAL PER PAYE PER i1 Unien PAID PAY OTHER NET HOUR is chick) DEDUCTION HOUR PAY R g 0 8.0 23.15 U E O

P11 _._._._._._._._._._._.. AB-HANDLERS 0T T 34.72 185.20 U 78 185.20 138.34 6.05 48. 46.86 R U E 0

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I hereby certify that FALSIFICATION OF STATEMENT IS A PUNISHABLE OFFENSE ve information represents P7062.ELX wages and supplemental above project Ing the perio wn. I understand that the Agency relies uponbenefits paid to all persons employed by my firm for construction work upon the information as being complete and accurate in making payments to the the undersigns CHZSTOPHER HORAN ~ff SI NAME (Print) TITLE DATE

NYC-WTC 000108082