Employee Time Report Form, DEP Box 32, Dec 1994

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT FISA FORM PMSF I3<IZZ94) ADJUSTMENT DOCUMENT NO. SOCIAL SECUflllYNQ^ CD JSN WORK UNIT

I I I I I PH a 0 □ LAST NAME FIRST Ml

Ifftl el 11 eIa 1^13^3 I I I I I -feXMeM I ENTRY EVENT PATE ENTRY EVENT TIME AGENCY REPORTING I SALARY DIFF SUPPL TYPE MONTH I I DAY II YEAR TYPE HOWS |:| MIN DATA CATE6C«Y Mil DOLLARS I I CENTS PAY DC

OLD ] lQl9ll/|gNo|/l EEEB (dSPSB □□ □ Ml 11 rnrn □ 0 '21 low ole 1 □ Ml 1111 in □ old ! l&lTlI/lvllol/l 0030 03133 □ ] [ □ mn 00 0313303 0203 0m£ n ] ] ni 1111 im □ I OLD ] 03110133 fnzm 03133 m □m □ I NEW ] 00133133 0310 0300 03 □ Ml 1111 im □ [ OLD ] 0313a03 5030 021103 L.l □ Ml I I I I II I I □ I NEW [330003 0330 00100 rm [ n □ nn in im □

preparer MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE I CERTIFY THAT I HAVE REVIEWED THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOC^^pHA^O^^lLE ADJUSTMENT TR^SACTIO)K //j INTOPMS SIQNA^ J' ^1 SIGNATURE SIGNATURE

DATE DATE DATE

NYC-WTC_000159049