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Document / 5 pages

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_000159019
OCR text

OCR status: ocr · source: ours

NYC-WTC_000159019 THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM FISA FOFM PUSF 13(12194) DOCUMENT NO. SOCIAL SECURITY NO. LAST NAME Pllumpltrlel ENTRY EVENT DATE TYPE монтн _ DAY } OLD CAlI 6 NEW 0416 YEAR ENTRY TYPE OLD NEW OLD NEW OLD NEW DL oanalo 0aha 0918 09961 29090 14/05 Da30 4405 4230 1405 П23 DI4D5 1230 EMPLOYEE TIME REPORT ADJUSTMENT WORK UNIT Bopp CD JSN FIRST Allahonlso EVENT TIME AGENCY HOURS:LMIN DATA 96a: 06 02:00 02: O2:D 04:00 04:00 MI PREPARER CERTIFY THAT THE ABOVE ADJUSTMENTS ARI SUPPORTED BY DOCUMENTATION ON FIL tena SICNATURE 10/30%, Spong DATE MANAGER/SUPERVISOR I CERTIFY THATI HAVE REVIEWED THE ABOVE ADJUSTMENT TRANSACTION beбh "Shilk SICHATUAE DATE KEY ENTRY OPERATOR* I CERTIFY THAT THE ABOVE DATE WAS ENTERED INTO PMS SIGMATURE DATE NYC 9/11 Public Portal Document REPORTING CATEGORY SALARY DIFF. DOLLARS 305 CENTS SUPPL PAY IND

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NYC-WTC_000159019Source: NYC Law Department, mirrored locally

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