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Document / 7 pages

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_000159052–000159058

Folder label: “WTC

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Scanned page image, NYC-WTC_000159054
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document TH.- CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM FISA FORM PMISF 13482194) DOCUMENT NO. SOCIAL SECURITY NO.. PII LAST NAME AnaKlhlu ENTRY TYPE MONTH EVENT DATE DAY YEAR OLD NEW 09/12 01 09 |2|01 OLD NEW 09/201 09/207 OLD NEW 09/301 094304 OLD NEW 100200 D002011 ENTRY TYPE 303|1 37/6 3032 3777 30|32 3777 30312 31707 CD FIRST 2el0rl EVENT TIME HOURS|:L MIN 3:00 •3:00 7:00 01:00 05:30 05:30 104100 04:010 JSN AGENCY DATA PREPARER CERTIFY THAT THE ABOVE ADJUSTMENTS AR SUPPORTED BY DOCUMENTATION ON FIL SIGNATURE DATE MANAGER/SUPERVISOR I CERTIFY THAT I HAVE REVIEWED THE ABOVE ADJUSTMENT TRANSACTION SIGNATURE DATE NYC-WTC_000159054 EMPLOYEE TIME REPORT ADJUSTMENT WORK UNIT 15/0/010 MI REPORTING CATEGORY SALARY DIFF. DOLLARS [CENTS SUPPL PAY IND dL KEY ENTRY OPERATOR ICEATIFY THAT THE ABOVE DATE WAS ENTERED SIGNATURE DATE

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NYC-WTC_000159054Source: NYC Law Department, mirrored locally

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