Payroll adjustment form for asbestos removal work, 2001

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT ADJUSTMENT DOCUMENT NO. SOCIAL SECURITY NO. CD JSN WORK UNIT

I I 11 I I I Pll 1 0ZEH 0 I7I □ LAST NAME FIRST Ml

03333KEErnznir] @ZH3332faHZnin I ENTRY I I type I [ [ E^^NTDATE I I PAY I I YEAR I I i entry TYPE I I r [ EVENT TIME 1 J I I AGENCY I I I I REPOniNQ CATEGORY I | I [m SALARY DIFF. DOLLARS n ] rassn EzzaJ I PAY BO I

rm 03T330I1 EEHS 0303 □ ] [ □ onn u □ I NEW I [00011071 [70371 [70’03 n ] [ n nrrn n □ |0|lll7l?l|o|/l IzIyMoI □ ] [ □ Ml I I I □ I NEW 1 @1L03021 [7033 @30° □ ] [ □ nrrn OLD ] 0103 0303 □ ] L □ nnn □ I NEW i 0333 0303 0 ] r n nrrn □ .[^ [O0W07] [7003 @>0£] □ ] [ □ Eon □ I NEW I iohii2IviIo|/I i/[t[>i<’i @303 n ] [ □ nrrn □ PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR ‘ I CERTIFY THAT THE ABOVE ADJU^ENTS ARE I CERTIFY THAT I HAVE REVIEWED, I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCUMENTATteWON RLE,-, ADJUSTMENT, INTOPMS

;W; SKMATURE SIGNATURE SKMATURS

DATE DATE DATE

NYC-WTC_000159002