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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_000159055
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM FISA FORM PRASF 13(12196) DOCUMENT NO. SOCIAL SECUBITY NO.. PII LAST NAME ANaKIhul ENTRY TYPE OLD NEW OLD NEW OLD NEW OLD EVENT DATE MONTH LDAY YEAR 0300 П00300 100400 000400 01/2//01 4270 09 /280 NEW ENTRY TYPE 30|3/2 3/707 13/0/3/2 3717 13/0/3/2 3/717 3/0312 BHNI CD FIRST e|or| EVENT TIME HOURS F[ MIN 04/100 0/41:/010 0 4:00 04:00 04:00 0 4:0/0 Д2/10/0 12:0/0 JSN EMPLOYEE TIME REPORT ADJUSTMENT WORK UNIT 5|0|010 MI e AGENC' DATI REPORTING CATEGORY SALARY DIFF DOLLARS ICENTS SUPPL PAY IND PREPARER I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE SUPPORTED BY DOCUMENTATION ON FILE SIGNATURE Trino fong //28/01 DATE NYC-WTC_000159055 MANAGER/SUPERVISOR I CERTIFY THAT I HAVE REVIEWED THE ABOVE ADJUSIMENT TRANSACTION / SIGNATURE DATE KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE DATE WAS ENTERED INTO PMS SIGNATURE DATE

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NYC-WTC_000159055Source: NYC Law Department, mirrored locally

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