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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_000159077
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

- . THE CRY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT A

FISA FORM PMSF 13(t2AMJ ADJUSTMENT ^..S!OftiAi...ec«uiortvjii*OL

□ DOCUMENT NO. CD JSN WORK UNIT

□mm Pll 171 0333 . LAST NAME

00 i 111 im RRST

iei>idvi»isi I rm □ □ M 7of0 EVENT DATE EVENT TttJiE I IAGENCY1 SALAHYTOFF. | I SUPPL I ENTRY TYPE month 1 I DAY I I YEAR ENTRY TYPE C2ZI J I I rePWITlNQ CATEGORY J & DOUAB? I I CENTS | [£5*1®!

] IZMW0Z1 0703 0300 □ OLD n □ ETD ILD I NEW i mmm hzhu 0300 □ □ □ nn im ra L±JLLJLU m ] ]' □ QU ILU r<0[33f371 1^191/|z I 020 0 1 J □ QU lEU rm 11IIIII11 Emm DCO □ ] □ uni ILU I new I l/M EQ I® 0210 n ] I n on im i<ioiN7iioi/i 0703 Q] BBBH n 1 n □ HQ ILU I new I mmm 0100 132^03 □ I n on 1 im

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE I CERTIFY THAT I HAVE RI THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY ITIONONFILE IT INTOPMS

»«:---------------------- StONATIW f SffiNATUnE

MTE - li/oslof DATE DATE

NYC-WTC_000159077

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NYC-WTC_000159077Source: NYC Law Department, mirrored locally

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