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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_000159059–000159078

Folder label: “WTC

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Scanned page image, NYC-WTC_000159072
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

.. the; city of new YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT FISAraRMPMSF 13(12/94) ADJUSTMENT . DOCUMENT NO. SOCIAL SECURITY NO. co JSN WORK UNIT

111111 HI 0 0 Uk 0 ! LAST NAME

HoUUIolyl I I I I I I I I I FIRST

bi^kldobl I I I I I I II MB 5 8 I EVENT DATE I I ENTRY I I EVENT TIME | I ^ENCY ENTRY TYPE 1 [trzna- I DAY 11 YEAR I | TYPE | | HOURS 1:| MW | | DATA REPORTING CATEGtWY U I I I »I I salahydiff DOLLARS I I I CENTS | f ajPPL I |FAYap|

] LU LU LU cnu nuu □ ] LU ] mumz] 0222 Him] □ I NEW ] nn I 2 ra LU LU LU rrm cEjm □ 1 ] 0U I nn ] LZHJZBUZl 0233 I NEW □ I ] QU I im □ I OLD ] Hitflh Ivllolzl 0ZK0 □ I ] ULI □ J LU ] mUZUUZl @Z@3 @203 □ 1 LU 1 im □ E LU LU Lu 02 ] cnru □ ] HU I lUL 020003 02Z0 mm 0 I ] QU I im

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE AJiWSTMl ARE I CERTIFY THAT I HAVE REVIEWED THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCUMEN^ZHION ON ADJUSTMENT TRANSACTI^^ INTOPMIS

SIGNATURE SIG^TUiffi SIGNATURE

DATE tyos/oi DATE DATE

NYC-WTC_000159072

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NYC-WTC_000159072Source: NYC Law Department, mirrored locally

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