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(12«4) ADJUSTMENT DOCUMENT NO. SOCIAL SECURITY NO. CO JSN WORK UNIT

111111 PH a 0 5lo|o|o| LAST NAME RRST M '2> o-p 8 IftlTlvId llololel^ I I I I I iLlelololdrkI lT0~f 0 ENTRY 1J I ■ ENTRY I EVENT TIME AGENCY REPORTING SALARY DIFF. ] raffSn TYPE I month I I DAY i I YEAH TYPE DATA CATEGOTY J tn DOLLARS T 1 I PAY no I

I °ed I Io^LltJIo I EiSs 173^33 1 ] 01 □ □ Fn^ 02133 lobl'blol n □ 1 01 0 OLD ] lehllil&llolil CEES Q » [ 1 ] 01 0 NEW I |oH| I >18; 11371 I 2l3|o| EELHo ra ] Ell □ □ I OLD ] lehllt hllolil kEEH 1311130 cn ] 01 □ 0 NEW I 03105100 0350 011103 ED ] 01 □ 0 T [ IbHI lalollolil 050H lolshlolol □□ ] 0] ! 10 [ NEW ] Ms faIo! EEIE O ra 1 ] 01 10

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 /WOVE DATE WAS ENTERED SUPPORTED BY iONON Fl ADJUSTMENT MMSACTO^ INTOPMS I

SIGNATURE SiGMATURE SIGNATURE // DATE DATE DATE

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