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 l!>(l2/94) ADJUSTMENT DOCUMENT NO. SOCIAL SECURITY NO. CD JSN WORK UNIT

Pll E IslololftI □ LAST NAME

rm 1 FIRST Mi

BKHEKS l^lelokl^lel m ] I ENTRY I EVENT DATE I [ ENTRY 1 I EVEtrtTlME AGENCY REPORTING SAtABYDIFF. [ sum L-IXEL I MOUTH I I DAV I I YEAR | I TYPE J |hours|:1 littN I DATA 1__ CATEGORY DOLLARS I I cents! PAYWl

OLD EssOTD mm sum [ rn rrm I NEW 1 mmm irwn mm [ □ rrnm or □ BSSnSD EEBS SKTEE □ □ n I on □n □ I NEW ] mmm minJ qme □ □ □ ni 1111 m □ ffiTWITCI HTTO OM OLD ] SU rm m mmm mm mm rm n ] sn cun □ OLD ] BETWEE] MS ESH] □ ] l-N I I I Hl I I □ I NEW 1 EsnEW] iinhni mm rm m ] rni 111' If ] □

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ARE I CERTIFY THAT I HAVE REVIE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY AT1ON(»IFI ADJUS INTO PMS

SIGNATURE SIQNATWE SIGNATURE

BATE DATE DATE

NYC-WTC_000159057