Employee Time Report Form, DEP Box 32, Dec 1994

NYC 9/11 Public Portal Document 5

THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT FISA FOmi PMSF t3(12«4) ADJUSTMENT

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PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CER’IFY THAT THE ABOVE ADJUSTMENTS ARE 1 CERTIFY THAT I HAVE REVIEWEDTHEABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPP .TTED BY documentation aft FILE ADJUS- INTO PMS

SIGNATUre SIGNAI SIGNATURE ® / V DATE DATE DATE

NYC-WTC_000159051