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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_000158995
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

• O2P'167 - ‘ 4/82 D.LP. OVERTIME AUTHORIZATION FORM . 1.Bureau 2.Laeatinn 4xZ 7~.C. , g ptytrthuHan Miimhar 4. Week Ending /O

X Weekly Attendance

8 . M T W T . F S •This form is to be permanently filed in employee’s personnel folder at location and Bureau headquarters. 13 IZ tz O /3 /X 6. Normal Work Week 3 5"

7. Employee Name . B. Civil Service Title 9. Social SecurityNo, PH 10. 11. 12. tx Total Overtime 5% Annual Salary Kas Employee Exceeded Retirement Previous 12 Months in Mnttra. 5%inO.T.? EliSibiiity: Hntiin . (Yes/No) Month "rear

17. Time Allocation 14.Date(s) IS. Locationts) SCO’S/ 16. Reason (s) STR PREM COMP Job rs (If Applicable}

OJ >r. C, /

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18. Report Totals 11 BBS X.»RS 19. Explanation: Specify in the space below the reason why this employee was permitted to earn in excess of 5% of his/her salary.

»

3 & Appro'

Supervisor O Disapproved Approved Si. Bureau Chiet/Commissioner's Desipnee pate

LOCATION COPY PART 1

NYC-WTC_000158995

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NYC-WTC_000158995Source: NYC Law Department, mirrored locally

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