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DEP overtime authorization form

Machine-extracted title · confidence 95%

Department of Environmental Protection overtime authorization form with redacted employee details.

NYC-WTC_000158989–000158995

Folder label: “WTC

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Scanned page image, NYC-WTC_000158989
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

•0EP16Z 4/82’ O.E.P. OVERTIME AUTHORIZATION FORM 1. Bureau fy/C/ 2. Location. X Distribution Number... ., 4. Week Ending

5. Weekly Attendance 8 . M T W T . F s •This form is to be permanently filed In employee’s pera -nnel 0“ folder at location and Bureau headquarters. 7- /7 /& 6. Normal Work Week 7. Employee Name Ta. Civil Service Title 9. So.clalSecurltyNft I C-o/n**r<JN/Vy C00C.P {Aj Pll ,2^ ia 11. 13. Total Overtime s% Annual salary Has Employee Exceeded Retirement Previous 12 Months InMmim S%inO.T.7 Eligibility: ______ Hours . (Yes/No) Month Year 17. Time Atloeation 14.Date(s) 15.Location{s)&CC*'S/ 16. Reason (s) STR PREM COMP Job «*S (if Applicable)

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18. Report Totals r/ asssaB.rae« 19. Explanation: Specify in the space below the reason v^y this emplcyee was permitted to earn in excess of 5% of hP/her salary.

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Autherflsd &j|lpproval Sig^tureCsT^ So.Sup^Mr —— XJate/

Si. Bureau Chiel/Commissioner's Oeslpnee Approved □ Disapproved Date

LOCATION COPY PART 1

NYC-WTC_000158989

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NYC-WTC_000158989Source: NYC Law Department, mirrored locally

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