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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_000159076
OCR text

OCR status: ocr · source: ours

NYC 9/11 Public Portal Document THE CITY OF NEW YORK •PAYROLL MANAGEMENT SYSTEM FISAFORMPAASF 13(12191) DOCUMENT NO. SOCIAL SECURITY NO. PII LAST NAME mowR 1°Y ENTRY TYPE MONTH EVENT DATE DAY | YEAR ENTRY TYPE OLD NEW 11023|04 <230 OLD NEW 40 1° 24 / 010 010 OLD NEW 10 2/4 99/1 OLD NEW 102400 2230 EMPLOYEE TIME REPORT ADJUSTMENT WORK UNIT •Stol0y MI CD FIRST Cladlols EVENT TIME HOURS]:L MIN osolo 12:0 07: 0 0 07: 00 05:0 JSN / AGENCY DATA REPORTING CATEGORY SALARY DIFF DOLLARS of LCENTS SUPPL PAY IND PREPARER CERTIFY THAT THE ABOVE ADJUSTMENIS ARI SUPPORTED BY DOCUMENTATION ON FILI Ironafere SIGNATURE DATE 12l05/o1 NYC-WTC_000159076 MANAGER/SUPERVISOR I CERTIFY THAT I HAVE REVIEWED THE ABOVE ADJUSTMENT TRANSACTION saat SICNATURE DATE KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE DATE WAS ENTERED INTO PMS SIGMAT .AE DATE

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NYC-WTC_000159076Source: NYC Law Department, mirrored locally

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