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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_000159005
OCR text

OCR status: ok · source: pdftotext

z THE CITY OF NEW YORK -< z o ■<

o . PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT 5S

§ FISA FORM rtUSF t3|«2»4) ADJUSTMENT c

'2 o o DOCUMENT NO. OXW SECURITY NO. CD JSN WORK UNIT o' "□ cn CD o o tn 00100 LAST NAME ■ 2 RRST a 0 SSS2 Ml o

O o o IShlolVI I I I I I I I I I I I ffllESSHZI 111111 0 c 3 o Z3

1 ['Ezna I DAY I I v5w 1 [ ENTRY TYPE EVENT DATE cza 10^ ] ENTRY TYPE I EVENT TIME AGENCY DATA REPORTING CATEGORY 1 J I I I I SALARY DIFFT dollars ] T EZZlJ f SUPPL I [PAYB^

I °u> I AJdldilleliJ MM I f ] 01 n □ I NEW I ITolioMloM h Malol 0SS3 ] 0J n f OLD I 01001 ] m 1 I £0 I [ ] 01 n 0 NEW nrni ] 00 ] [ m I [ ] nr 0 I ou> I ULUi 1 m I ] 01 n □ 0 I NEW I 0001 ] m ] 01 n □ 0 I °u> I □□01 ] 00 ] I [ ] 01 n □ I NEW I 0001 ] 00 1 [ £0 ] 01 n

PREPARER MANA6ER/SUPERVIS0R KEY ENTRY OPERATOR ’ I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE I CERTIFY THAT I HAVE REVIl D THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCUMENTATION GW FILE INTOPMS 4.

SRMATURE SIGNATURE SIGNATURE

DATE DATE DATE

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NYC-WTC_000159005Source: NYC Law Department, mirrored locally

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