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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_000158990
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

•PEP 187 4/82. D.E^. OVERTIME AUTHORIZATION FORM 1, Bureau X Location. X OUtrtftutiMi Humbw 4. Week Ending

X Weekly Attendance

8 M T W T . F 8 •This form Is to bo permanently filed in employee’s personnel folder at location and Bureau headquarters. It t II >1^ o 6. Nonna! Work Week Nours 7. Employee Name X Civil Service Title X Social Security No. __------- pii 10. 11. (X Total Overtime 5% Annual Salary Has Employee Exceeded Retirement Previous 12 Months In Hr^»r« 5%inO.T.? Eligibility: Hour* . (Yes/No) Monti?'Year

17. Time Allocation 14.Date(s) 15. Location(s}& 004*8/ IX Reason (s) 8Tn FREM COMP Job rs (if Applicable) j____ —-I____

-1

'll***) ^/zz/o/

OBBS IX Report Totals z->tasxKsxsasss. aaa 19. Explanation: Specify in the apace below the reason wdty this emcicyee was permitted to earn in exeesa of his/her salary.

Authi & Approval Sig

iW. Supervisor Date

21. Bureau annaCommissioner's Designee Approved □ Disapproved Date

LOCATION COPY PART 1

NYC-WTC_000158990

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NYC-WTC_000158990Source: NYC Law Department, mirrored locally

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