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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_000159015–000159016

Folder label: “WTC

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Scanned page image, NYC-WTC_000159016
OCR text

OCR status: ocr · source: ours

NYC-WTC_000159016 THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM FISA FORM PRISF 13(12194) DOCUMENT NO. SOCIAL SECURITY NO. 1aaiaa...eni LAST NAME DKello ENTAY TYPE MONTH] EVENT DATE DAY YEAR ENTAY TYPE OLD NEW 09 09 2 2 2 2 1405 423 OLD NEW OLD NEW OLD NEW CD FIRST Robil EVENT TIME [HOURS :L MIN 10 10: 0 JSN PREPARER I CERTIFY THAT THE ABOVE ADJUSTMENTS ARI SUPPORTED BY DOCUMENTATION ØN FILI rem STONATUHE DATE 1000,0т MANAGER/SUPERVISOR I CERTIFY THAT I HAVE REVIEWED THE ABOVE ADJUSTMENT TRANSACTION SIOMATURE DATE KEY ENTRY OPERATOR • INTO PMY THAT THE ABOVE DATE WAS ENTERED SIGNATURE DATE NYC 9/11 Public Portal Document AGENCY DATA EMPLOYEE TIME REPORT ADJUSTMENT WORK UNIT 509 zop2 REPORTING CATEGORY SALARY DIFF DOLLARS CENTS SUPPL PAY IND dl

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NYC-WTC_000159016Source: NYC Law Department, mirrored locally

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