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Employee time report adjustment form, 2001

Machine-extracted title · confidence 85%

A blank or partially filled Department of Environmental Protection employee time report adjustment form for payroll management purposes.

NYC-WTC_000159017–000159021

Folder label: “WTC

Page image
Scanned page image, NYC-WTC_000159017
OCR text

OCR status: ok · source: pdftotext

z THE CITY OF NEW YORK -< z o PAYROy. MANAGEMENT SYSTEM EMPLOYEE TIME REPORT to

§ ADJUSTMENT "D c '2 o FISA FORM PMSF

DOCUMENT NO. SOCIAL SECURITY NO. CO JSN WORK UNIT CT o' o cn CD o cum LAST NAME p.t_____________________JlL.il-M-.-ff; TJ

RRST 0 0 0333 1^5 ■U o 03

o o o iPllMU^IfkM I I I I I I I MllplUolANcj I I I I I I c 3 <D 3

I ENTRY I 1 TYPE 1 I sar I [CZC3 J I ^ [ EVENTUATE IIZZZH3 I DAY I 1 VBW EVENT TIME 1 AGENCY p ta REPORTINQ category 1 J I I»I I SAtAHYDIFF. DOUARS ] I SUFR. 1 I EznnJ IpaywI

rm 00011133 [3033 [3003 033 01 □ I NEW I 05103133 0533] cm 01 □ cm Iol9ll2l51lo|/l 13333 0003 rm 01 0 rm 03151^03 02011 0300 rm QI 0 OLD ] lowiiiteiid/i Q®® 0303 rm 01 0 I NEW i HIIIIHMO IZEIH 0303 CHI 01 0 ] 01101103 0333 0003 rm 01 0 I NEW ] 030^133 BEST] @003 Illi 01 0

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR ’ I CERTIFY THAT THE ABOVE. ARE I CERTIFY THAT I HAVE RE' ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCUMENT INTOPMS

SONATURE

BATE 7^ OME rruRE SKMATURE

DATE

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NYC-WTC_000159017Source: NYC Law Department, mirrored locally

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