NYC Payroll Management System employee time report form, 1994

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT FISA FORM PMSF 13(I2«4) ADJUSTMENT

□ DOCUMENT NO. SOCIAL SECURITY NO. CD JSN WORKUNIT

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H+SSiIoQII rm n 3 of 8 [ammzQ TYPE 1 I I r C2S3 1 I MONTH 1 I DAY I I YEAH~1 | entry TYPE | [ EVENT TIME MIN AGENCY DATA REPOTTING CATEGORY 61 SALARY PfF DOLLARS I I cents' SUPPL PAY 90

OLD ] siTEMEi mmi rm ra m on nm □ [ NEW ] ®2LIZ0bzi uHiffii rm m m on im □ [ OLD ffiTDMHZI [200® [ □ rm nm □ I NEW mo?071 i/izi?iQi iznm □ □ QI im □ OLD ] ffirnEM rMoio! [®®o] m UI nm □ NEW 1 rn™ mm I Q m QI nm OLD ].ioiqiiii6iioi(i'mm iM7hi3igi n m QI nm □ Pn^j fTirm raihm 1 m QI im □

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE I CERTIFY THAT I HAVE REVIEWED THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY OOCUMEN»pk>N ON FILE ADJUSTMENT TRANSACTION ____ INTOPMS £

SIGMATURE SIGNATURE SIGNATURE

BATE DATE DATE

NYC-WTC_000159025