Employee Time Report Form, WTC, DEP Box 32

z z THE CITY OF NEW YORK i -< PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT o 5S

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co ADJUSTMENT -D c CT 5'

□ o DOCUMENT NO. SOCIAL SEOJRrrY NO. JSN WORK UNIT —k TJ tn CD O —i. 02020 0 @203 o 3. O O1 LAST NAME FIRST Ml o o Well 1/0 I I I II I I I I MolbfN I I I I I I I I I c 3 <D 3

] fI PAY sum I I ENTRY I [ EVENT DATE L2I5^_J ICZZD I DAY I I YEAH ] [ CHZl 32^ J I ENTRY TYPE EVENT TIME 1 AGENCY [ REPORTWQ CATEGORY ] tn SALARY OBT. DOLLARS T EHHaJ BO I

031051100 0yj2tJ 0 I 0 00 n I new I [0012003 0202] 03E0 0 I □ 00 u 12^ 021134103 12020 0300 O □ 01 n I new I 0009] 0303 0 [ I □ 01 u ] 011120133 0203 03120 □ I 0 01 n I NEW ] 021^0071 ZI1I10 120120 n 0 01 If □ ] 03120021 032S 03120 □ I O 01 I NEW 1 0^170071 0203 0303 n O 01 □ PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR * I CERTIFY THAT THE A ARE I CERTIFY THAT I HAVE THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCU MION AO. INTOPMS

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