Employee Time Report Form, WTC, DEP Box 32

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK PAYROLL management SYSTEM EMPLOYEE TIME REPORT RSA FORM PMSF ADJUSTMENT

□ DOCUMENT NO. SOCIAL SECURITY NO. CO JSN WORK UNIT

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|L|uHtH.Nt|4r,klil I I C| oj k| ( sj-fl <1 t| /I ENTRY [ I EVENTratt EVENT DATE ENTRY AGENCY BEPOTTINQ SALARY DIFF. 1 I SUPPL I TYPE I [ 1 DAV 11 YEAR TYPE ] DATA CATEGORY DOLLARS I EZHtlJ I PAY INO I

IMo||oN|o|tl [Mg I □ ] □ in c EMESEQ 1IS33 03S3 rm [ on nf in | oldj nNflisi oKPffl [ mm JU □ I NEW I fTT^oTGjTo $ EH20 EZUhOH OEn mm in □ I OLD Lumm I n 11 ranj [ n [ Lij m no □ . nmf m ni in □ S L0UJ0J [ 00 muj [ 11 1111 01 JU □ m m m i LT] run n □ZITO 01 □ PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR ’ 1 CERTIFY THAT THE ABOVBsADJUSTMENTS ARE I CERTIFY THAT I HAVE RI ID THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCUMENTATION ON F^ INTOPMS

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NYC-WTC_000159014