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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_000159050

Folder label: “WTC

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Scanned page image, NYC-WTC_000159050
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT FISA FORM PMSF t3(t2«4) ADJUSTMENT

□ DOCUMENT NO. CD JSN WORK UNIT

PH 0 / 333^ LAST NAME FIRST________________ Ml

ES32ZI30ZI m ■ □ I I ENTRY TYPE I I [ [ E VENT DATE I DAY I FvEAR __ ENTRY TYPE 3 EVEOTTIME HOURS|:| AGENCY DATA REPORTING CATEGORY ] SALARY DIFF PQUARS ______ j I CENTS supa I PAY IND I

I lolillHsllcin Ldypioi |o|$|:|o|o □ Ml I I I □ NEW □ m□ m J EIZO im □ I NEW ] mmm aam □ I 1 on im □ OLD mn [ I □ ] mn in rrm mm [ m1111111 Of n im □ OLD UJ..1.J ij nm I NEW I mmm □ □ [ ELEnn nm m □ PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE iTMENTSARE I CERTIFY THAT I HAVE REVIEWED THE ABOVE 1 CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCUMENT ON FILE AOJUSTI TRANSAC INTOPMS

SIGNATURE

DATE SIGNATURE

DATE r DATE SIGNATURE

NYC-WTC_000159050

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NYC-WTC_000159050Source: NYC Law Department, mirrored locally

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