Folder_0046

NYC 9/11 Public Portal Document

NYC DEP EWPC Fax:7185955037 Jan 8 '01 13:46 P.02 THE CITY OF NEW YORK DEPARTMENT OF ENVIRONMENTAL PROTECTION ocnimetcn ococnuuct ACTtt]N

Division: E2WIBL*IME iTAL Control No.: Date Req.: 11 / 27- 1 OO Bureau: WASET ANTER TRFAM4 NT AFFAIRS

CURRENT DATA CHANGED DATA

KE4T ' MARY L. Name: (M.I.) Address: ~._._._._. PII

City PII state: -.?"_= zip:.. iii__ 12627 ADAIINISTRATIVE STAFF ANA TieeiLevel: ASSOC- STAFF ANALYST Title. Code:

Title Entry Date: _03 / Q./ 93

Social Security No.: [IIIii ' iilllli Salary: 50,377 X CIS: — 69.521 Ust No.: Provisional: X CIS: Ust No.: — Provisional: Non-Comp.: Otter: _ Non-Comp.: Other: TYPE OF ACTION

_— LWOP " _ Reassignment New Appointment CIS - No/Cost — Demotion _ Differential X Promotion ' Merit DisliBudget Code Change — Termination — Title Change Reinstatement " _— Disciplinary Other Trpe Change NoiCost _ Retirement Level Change ' _ Transfer " -- Resignation

Back?ill For: " Specify Type: 001 Background Investigation Req.: _ YES NO Funding Source: TL IFA

Elective Date of Action: — _/

Work Work Payroll Unit: 1025 Location: Dist. No.: 1025 1025 1025

Budget Budget (D) Pay Cycle j] Code: 8261 Line. 1320 BI-Woekly Weekly 8261 1171

Prior Agency: From: To: Prior City Service: — Yes _ No

Date of Birth: I — I -- City Start Date: --/--'--

Agency Start Date: I I G/S Start Date: — _/ —1— —

Processsing ( ) Highest Ed. Level (X) Sex Male Female ( ) Pension No. Ethnicity ~HfIITE (X) Veteran Status ( ) Blood Program Medical Req. Yes No ( ) I.D. Program

COMPLETE FOR NON-MANAGERIAL SEPARATIONS

Last Day Worked: r - -I-- Last Day to be Paid: -- l -- I—_

AIL Balance: H M C/T Balance: H M _ S/L Balance: H — M ——

Remarks: "CL- !;~ j cy/✓ n9 Approved By: _ Date: — — / — _ Requested By: I Signature Signature

Payroll Elective Dale: r —/—— Processed By; -

PAYROLL

NYC-WTC 000137508