DEC-21-2000 15:36 FROM DEP LEGAL TO 912127883127 (
THE CITY OF NEW YORK
DEPARTMENT OF ENVIRONMENTAL PROTECTION
REQUESTED PERSONNEL ACTION
late Req.: , _ —_ /—_ I Bureau: Division: JConM No.:
LEGAL AFFAIRS
CURRENT DATA I CHANGED DATA
lame: BELOVIN HRATUP0
iess: 402 ' 5th STREET, AP'r" GF
Try: BROOKLYN stateNy Z
tleILevel:AGENCY AmmY ITT Tide Cade:
tle Entry Date: / /
xal Sec uity No.:— salary: $ 6 0o0 0 0
ovisiaNal:
n-
as: List No.: Provisiorgl: OS: List No.:
p.: _ Other Non Camp.: Other.
TYPE OF ACTION
New Appoinbnent ' __._ CIS. NWCost
Promotion — LWOP '• _ Reassignment .•
Merit , Demotion Dafeterttial "
Title Relltstatemem "
_ Title Change No/Coat — Termination •• ` OWflBudget Code Change
__ Retirement — DiBd$Sy
Level Change' , Other"
Transfer" Resignation .
_ BadcRl Far: HE
•
O Speofy Type:
undag Son: TI. "
IFA 001 Background Invesagatlon Req.: —_ YES NO
ective Date of Actlon: / /
irk Work ayroll
k: 0002 Lnption. 501
7DIst.No..: 0002
Budget LQ1 Paycycle (AJ
feet 0046 Line: 1445 x. 91-Weekly __ Weekly
tr City Service: .& .Yes _ No Prior Agency: From: To:
Date of Birth: 0 1 1 0 J/ 6 9 City SIM Date: O g /1 3 A 8
Agency Start Date: __/__i__
C/S Start Date: __/____
Ptooesssing ( )
Sex Highest Ed. Level JD
___Male X Female ( )
Ethnicity
Veteran Status
WHItE ( )
Pensbi No.
HeaW InL
Medical Req. Program ________________
Yes X No ( ) t.O Program
COMPLETE FOR NON-MANAGERIAL SEPARATIONS
Day Wodced: _ - I _ - / __ _
Last Day to be Paid:
9alartce: H M _ C/T Balance: H M -- S/L Balance: H M
-
_ -
N By
Signs
1ttSfl Approved B:
y
Signature
Dale: —
—
/—
—
Payroll EHecdve Date:
Pmcessed BY:
- _
/
- -
/
-
NYC-WTC 000137800
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NYC-WTC_000137800Source: NYC Law Department, mirrored locally