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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_000159058
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 1^12/94) ADJUSTMENT DOCUMENT NO. SOCIAL SECURITY NO. CD JSN WORK UNIT

mm PH 0 0 □ LAST NAME

n I FIRST MI

^lix KI ul ^idoifigign ENTRY ______ E VENT DATE ENTRY EVENTTIME I AGENCY REPORTING SALARY PIFF. 1 SUPPL TYPE MONTH I I DAY I I YEAR TYPE HOURS 1:1 MIN I DATA CATEGORY DOLLARS I I CENTS I PAY INO

IJoLD ] ESTGErSi] EKES] 110110 CE 1 En rrm □ NEW ] EBUMEl EBEHl m □ mn □ OLD mo m m 01 001 mmm mm rm m 01 ,10 □ s 00000 □m □ 111111 01 rnm □ I new I mmn nm □ nmm nf mm □ OLD I F ] □ 01 1 NEW ] mmm m n nm ] Enro Of mi PREPARER MANAGB^gPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE I CERTIFY THAT I HAI REVIE THE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY rA‘ FILE ADJUSTMgNT TRAM? ;tion INTOPMS

SIGNATURE 4 SIGNATURE SIGNATURE

DATE // y DATE DATE

NYC-WTC_OO0159058

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NYC-WTC_000159058Source: NYC Law Department, mirrored locally

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