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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_000159011
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM FISA FORM PRASF 13(12134) DOCUMENT NO. SOCIAL SECURITY NO. mtanmca-Lotn HUCUETT LAST NAME Lutchmadial ENTRY TYPE EVENT DATE DAY YEAR OLD / NEW 1275107 OLD NEW 092607 OLD NEW 0912302 092367 OLD NEW 400704 07 00 ENTRY TYPE 7y0 /229 1400 /229 1400 7229 2400 1229 EMPLOYEE TIME REPORT ADJUSTMENT WORK UNIT 50/00 MI CD JSN FIRST carsteil EVENT TIME HOURS ]:L MIN AGENCY DATA 05: Os:o 5:0 05:0 05: 0 0500 05:0 REPORTING CATEGORY SALARY DIFF. DOLLARS CENTS SUPPL PAY IND PREPARER I CERTIFY THAT THE ABOVE AQJISTMENTS ARE SUPPORTED BY DOCUMENTATION ON FILE SIGNATURE DATE 1/20р MANAGER/SUPERVISOR I CERTIFY THAT I HAVE REVIEWED THE ABOVE ADJUSTMENT TRANSACTION Apait SIGNATURE DATE KEY ENTRY OPERATOR • I CERTIFY THAT THE ABOVE DATE WAS ENTERED • INTO PMS SIGNATURE DATE NYC-WTC_000159011

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NYC-WTC_000159011Source: NYC Law Department, mirrored locally

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