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 PAYMENT) AGENCY: NAME_ DEPARTMENT OF DESIGN AND CONSTRUCTION CONTRACTOR/S BC NTRACT R TRIO ASBESTOS REMOVAL CU ADDRESS 4-20 129TH STREET COLLEGE POINT NY 11356 PHONE No. PAYROLL No. CONTRACT REG No. ( ) - JOB CODE WEEK ENDING - DATE PROJECT NAME AND LOCATION 20766 0721 14 02 125 CEDAR ST. T >x_.in JJ _._._._.. 1) LIST TRADE & 4) DAY AND DATE 5) 81 P11 3) 7) SUPPLEMENTAL BENEFITS 11) 12) ASE 13) EMPLOYEE'S NAME, CIRCLE WORK T MON TUE WED THU FRI SAT SUN TOTAL RATE 8) 9) 10) ADDRESS, CLASSIF: TOTAL JOURNEYPERSON M 708 709 710 711 712 713 HOURS OF PAID TO SOCIAL SECURITY No. 71 PAY TOTAL RATE Itocel / TOTAL GROSS TAX AND APPRENTICE E OTHER HELPER PER BASE PAY PER ii Ul1I PAID PAY NET HOUR HOUR is ~n.~W DEDUCTION PAY 8.0 23.15 UEO P II AB-HANDLERS p U 185.20 138.34 34.72 185.20 78 _._._._._._._._._._._._._._.. T 6.05 48.4 46.86 R UEO T

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I hereby certify that the_ahn.,e s..cn....,.: ,.. ____ FALSIFICATION OF STATEMENT IS A PUNISHABLE nFFFNAF .a„ia wages ana supplemental benefits paid F70Q7 F. r to all Ind that the Agency relies upon the information aspersons eipToye'W by my firm for construction work upon the being complete and accurate in making payments to the CHk5TQPHER HORAN f NAME (Print) TITLELthJ DATE

NYC-WTC 000108082