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Employee Time Report Form, DEP Box 32, Dec 1994

Machine-extracted title · confidence 90%

Blank FISA Form PMSF 13 employee time report form for the World Trade Center site.

NYC-WTC_000159047–000159048

Folder label: “WTC

Page image
Scanned page image, NYC-WTC_000159048
OCR text

OCR status: ok · source: pdftotext

z Z -< o o THE CITY pF NEW YORK g PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT co

o I o o FISA FORM PMSF I3(1Z«41 ADJUSTMENT “0 c CT o o' Oi "0

□ CD DOCUMENT NO. SOC^ SECURITY NO. CD JSN WORK UNIT o

a O 00 IXEB 5L O o

□ LAST NAME HRST Ml o c

£0310 3 Q 3

ENTRY E VENT PATT ENTRY Ewiyrrimg I AGENCY REPORTING I I ' SALARY DIFF. TYPE ] [ MONTH I I DAY I I YEW TYPE H(^RS|:| MW I DATA CATEGORY J I♦I I dollars T SUPPL PAYBO

m ] □ ] |o|‘tll'^l°llofn I'll|o|o| |oHh|o|o □ ] 01 [ n □ ni 1111 If ] □ I OLD 1.1 ! H 1 [ m □XU TI n □ mm rmn [ m mm ] ni 1111 im □ Fo^ ] mull oca [ ] u Lin □ Fn^ ] mmf 1 rmn nm ] nnrmm □ m ml m I ] Enn rn ] □ ] mmm NEW nm LLD m ] ni nil im □

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE TMENTSARE I CERTIFY THAT I HAVE REVIEWED THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCUMENT L N FILS’ ADJUS' ITION INTOPMS

SIGNATURE SIGNATURE SIGNATURE iL^il DATE DATE 4 L^4 DATE

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NYC-WTC_000159048Source: NYC Law Department, mirrored locally

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