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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_000159020
OCR text

OCR status: ocr · source: ours

NYC-WTC_000159020 THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM FISA FORM PISE 13(12184) DOCUMENT NO. SOCIAL SECURITY NO. LAST NAME Plllumpltdell ENTRY TYPE EVENT DATE DAY | LYEAR ENTRY TYPE OLD NEW 20 oll OLD 09010\ NEW OLD NEW DalE 22 99/22 OLD NEW L4OS 1230 1|4|05 1231 L405 D2/30 ДНОБ D23b EMPLOYEE TIME REPORT ADJUSTMENT WORK UNIT 5000 CD JSN FIRST Alphlohsd EVENT TIME LHOURS: AGENCY DATA 03:1 03:00 11:00 11:00 11:00 15:00 [7lbo 07:00 MI 485 PREPARER I CE TTIFY THAT THE ABOVE ADJUSTMENTS ARE SUf. IRTED BY DOCUMENTATION ON FILE? renos SIONATURÉ DATE перар MANAGER/SUPERVISOR I CERTIFY THAT I HAVE REVIEWED THE ABOVE ADJUSTMENT TRANSACTION SIGMATURE DATE KEY ENTRY OPERATOR • I CERTIFY THAT THE ABOVE DATE WAS ENTERED• INTO PMS SIOMATURE DATE NYC 9/11 Public Portal Document REPORTING CATEGORY SALARY DIFF. DOLLARS LCENTS PAY IND

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NYC-WTC_000159020Source: NYC Law Department, mirrored locally

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