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_000159037
OCR text

OCR status: ocr · source: ours

NYC-WTC_000159037 THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM FISA FORM PAASE 13(12191) DOCUMENT NO. SOCIAL SECURITY NO. LAST NAME FdushtmAN ENTRY TYРЕ MONTH EVENT DATE DAY YEAR ENTRY TYPE OLD NEW 09 09 2701 L OLD NEW 09/|28|01 28 L4/0 L230 Mylos [2/3l0t OLD NEW 29 01 01 22 01 OLD NEW 093901 093000 4405 1230 24/05 L230 CD 6 JSN EMPLOYEE TIME REPORT ADJUSTMENT WORK UNIT 5000 BEPORTING CATEGORY MI 6 SALARY OIFF. DOLLARS LCENTS SUPPL PAY IND FIRST re EVENT TIME HOUAS:L MIN 0|2:3 0|9:3|0 012:30 09:30 18:00 18:00 13:0 43:0 AGENCY DATA PREPARER I CERTIFY THAT THE ABOYE ADJUSTMENTS ARE SUPPORTED BY DOGUMENTATION ON DILE teno SIGNATYDE LON 30/01 DATE - MANAGER/SUPERVISOR I CERTIFY THAT I HAVE REVIEWED THE ABOVE ADJUSTMENT TRANSACTIÓN SIQNATURE DATE KEY ENTRY OPERATOR* I CERTIFY THAT THE ABOVE DATE WAS ENTERED INTO PMS SIGNATURE DATE NYC 9/11 Public Portal Document

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NYC-WTC_000159037Source: NYC Law Department, mirrored locally

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