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NYC Payroll Management System employee time report form

Machine-extracted title · confidence 95%

Department of Environmental Protection employee time report form for recording work hours and adjustments.

NYC-WTC_000159003–000159006

Folder label: “WTC

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Scanned page image, NYC-WTC_000159003
OCR text

OCR status: ok · source: pdftotext

z z THE CITY OF NEW YORK ■<

o > PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT SS

nSAFORUPMSF 13(t2«4) ADJUSTMENT "□ c '2 2 o'

□ o DOCUMENT NO. SOaAL SECURITY NO. CD JSN WOf«UNIT o ■0 o tn co o o I I H I I I 2 b|p|oio| 03

o

□ tAi RRST Ml o tei^ I I I I I I I I I I I ladnleldH I iTTim o c 3 o Z3

I ENTRY I TYPE CSE! EVENTOATE cza ] I *ggy' I [ I 1 PAY 1 i YEAR 1 f [ ENTRY TYPE EVENT TOC REPORTING CATEGORY 1 | I { V |'1 " SAtABYPIFF. DOUARS | ] ra^n EziaJ OLD 1 lUdlsLiJIoliJ EM aira □ ] [ I □ Bl NEW 1 Eb PVl RVl lilateE ETHdP □ 1 [ I □ El mnm] rwa Hara □ □ EI I □ I new I nssa IqF^IOoI □ □ El T □ OLD ] mBW EM E3BSH □ I □ El □ [ NEW] loRE^loE rnSFIbl seBes □ I □ EI □ I OLD 1 [IM 05M □ I 0 El I □ I NEW ] icRraiom EM □ I □ QI □ PREPARER MANAGER/SUPERVISOR ________ KEY ENTRY OPERATOR * I CERTIFY THAT THE ABO/E AOJUSTME ARE I CERTIFY THAT I HAVE REVll THE ABOVE I CERTIFY THAT THE ABOVE DA-^ WAS ENTERED SUP* TRTEO BY DQC^^ENTABQN ON I LiTOPMS

SniUTURE SIGNATURE

DATE DATE DATE

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NYC-WTC_000159003Source: NYC Law Department, mirrored locally

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