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Payroll adjustment form with signatures, 2001

Machine-extracted title · confidence 90%

A completed Department of Environmental Protection payroll adjustment form signed by a preparer and supervisor to certify time entry data.

NYC-WTC_000159032–000159038

Folder label: “WTC

Page image
Scanned page image, NYC-WTC_000159032
OCR text

OCR status: ocr · source: ours

AN ZE06SL000 OLM-O THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT . ADJUSTMENT DOCUMENT NO. SOCIAL SECURITY NO. co JSN WORK UNIT. Be eral A Uj BOGE 7) LAST NAVE FIRST Mi \ lElelulcthitimaig Glee ENTRY EVENT DATE ENTRY EVENT TIME AGENCY REPORTING SALARY DIFF. SUPPL TYPE wontn [ [_oay_ | |_vean TYPE nouns J:|[__ min DATA CATEGORY f+] | DOLLARS ] [cents PAY IND “{ oo | [ofa] [sfollol¢] [lyjolo] [olsfiofo +] a NEW OFT IAP ol Tole] FATZIZ™191 1015] 10 40 | a oo | [ola] [olfolz] [ily[els] [o[ alo +] | new | [o]9][7lol [oly] [s[z[3]9] []2}:{e Jo | a 7| oo | LOFT LOiz) WHOS] [716] ] ° +] a new | [ol9ifilellol¢] [lalate] [/[él Lo +| a vio, LOA zelloly| [/[ylelo} [olsf{ ojo + | [| new | [OF /lGllole| [laa] [aspiolo + | ‘a PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR ~ { CERTIFY THAT THE ABOVE ARE {CERTIFY THAT I HAVE REVIEWED THE ABOVE ! CERTIFY THAT THE ABOVE DATE WAS ENTERED . SUPPORTED BY ON FILE ADJUSTMENT, , INTO PMS A SIGNATURE SGuatune ofp) DATE g __ b DATE DATE JUSWINDOG |BYOd IGNd LL/6 DAN

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NYC-WTC_000159032Source: NYC Law Department, mirrored locally

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