NYC Law Department release
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Document / 7 pages

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_000159033
OCR text

OCR status: ocr · source: ours

NYC-WTC_000159033 THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM FISA FORM PIISF 13(12136)' DOCUMENT NO. SOCIAL SECURITY NO. sara._on = LAST NAME Fruchitmen ENTRY TYPE EVENT DATE MONTH DAY YEAR ENTRY TYPE OLD NEW 09 02 23 23 OLD NEW 0 930| 30 OLD NEW 09L 2 04l12 OLD NEW 09/||3 0915361 2499 /229 24/06 0229 П+b5 D23(0 Д4оБ Даblo CD JSN EMPLOYEE TIME REPORT ADJUSTMENT WORK UNIT 500|0 MI FIRST Gr e EVENT TIME LHOURSJ:L MIN 05l DSIL 05: O 4i0 8 8:00 AGENCY DATA REPORTINC CATEGORI SALARY DIFF. DOLLARS ICENTS SUPPL PAY IND • PREPARER I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE SUPPORTED BY DOCUNENTATION ONFILE SIONATURE 1a30/0 DATE 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 SIGNATURE NYC 9/11 Public Portal Document

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NYC-WTC_000159033Source: NYC Law Department, mirrored locally

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