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_000159034
OCR text

OCR status: ocr · source: ours

NYC-WTC_000159034 THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM FISA FORN PU $F 13(12/34) DOCUMENT NO. SOCIAL SECURITY NO... LAST NAME Elrukhltmahl ENTRY TYPE EVENT DATE DAY] OLD 4 NEW 9 OLD NEW 09 |5 01 09050 OLD NEW 091701 090760 OLD NEW 09086 ENTRY TYPE 1405 La3o 14/5 LaBa 1405 Дaзa D405 D2/310 CD FIRST Grlels EVENT TIME HOURS |:L 15:0 •3:30 3:30 neiol Ш1:3 Du:30 JSN EMPLOYEE TIME REPORT ADJUSTMENT WORK UNIT 5loldo MI PREPARER I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE SUPPORTED BY DOCUMENTATIÓN ON FILE SIOMATURE DATE 10/37р MANAGER/SUPERVISOR I CERTIFY THAT I HAVE REVIEWED THE ABOVE ADJUSTMENT TRANSACTION wstat SIONATURE DATE KEY ENTRY OPERATOR • ISERTIFY THAT THE ABOVE DATE WAS ENTERED INTO PMS SIGNATURE DATE NYC 9/11 Public Portal Document AGENCY DATA REPORTINC CATEGORY SALARY DIFF. DOLLARS 381 CENTS SUPPL PAY IND dl

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NYC-WTC_000159034Source: NYC Law Department, mirrored locally

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