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Document / 8 pages

Employee Time Report Form, WTC, DEP Box 32

Machine-extracted title · confidence 95%

Blank payroll management form for recording employee time and adjustments at the World Trade Center site.

NYC-WTC_000159007–000159014

Folder label: “WTC

Page image
Scanned page image, NYC-WTC_000159010
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM FISA FORM PUSF 13(12894) DOCUMENT NO. SOCIAL SECURITY NO. PII SOEUEETT LAST NAME Lutchim edilal ENTRY TYPE MONTH EVENT DATE DAY YEAR ENTRY TYPE OLD NEW 09 09 3 01 30 1 1409 1229 OLD NEW 091501 091500 14/05 12/310 OLD NEW 0916 ol 09/2601 14/05 Da3a OLD NEW Па3Ю CD JSN FIAST carestel EVENT TIME LHOUAS):LMIN AGENCY DATA 05:0 OSHOC 06: 00 06 06 03:00 : 0l EMPLOYEE TIME REPORT ADJUSTMENT WORK UNIT 55900 IEPORTINC CATEGORY MI 40f SALARY DIFF. DOLLA9S LCENTS SUPPL PAY IND PREPARER 1 CERTIFY THAT THE ABOVE ADSUSTMENTS ARE SUPPORTED BY DOCUMENTATION ON FILE SIGNATUNE DATE NYC-WTC_000159010 - MANAGER/SUPERVISOR I CERTIFY THAT | HAVE RRVIEWED THE ABOVE ARUSPRENT THANSACGON Aput SIONATURE DATE KEY ENTRY OPERATOR" INTO PIY THAT THE ABOVE DATE WAS ENTERED. SIGNATURE DATE

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NYC-WTC_000159010Source: NYC Law Department, mirrored locally

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