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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_000159060
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 ladZHM) ADJUSTMENT DOCUMENT NO. CD JSN WORK UNIT

I I It I I PH 0 t 5032 I I

□ LAST NAME --------------------------------------- r.n^T Ml

ffH oink Idyl I I I ! I I I I I l^^lddllolsl I I I I I I I I 1I ! ENTRY I TYPE I [ EVENT DATc | [cssa ~T~LnT H YEAR I R I ENTRY TYPE I 1 [ EVENT TIME [CZS3i ] C^j I REPORTING CATEGOTY ] 5 SMART OtFF. OOUARS ~T 1 rsumTl

QJQJQJ EOn I jm □ I QI in 0iLIiSI®0 SHiQ 071^001 0 L I QI m I ra QJQJLD QTQ COm □ ] Hl m i

I hew I 0230 ioisi=ioioi □ ] QI m □ I OLD ] [aiWED 0M kkl=l21£l □ I ] Hl Qj ] @150 □ ] QI m □ I OLD ] comm mm oxn □ I 3 QC rm I NEW ] mm(olTI I?l9l/I/I @2h50 Q I J or tm

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ADJUSTMENTS ARE I CERTIFY THAT I HAVE REVIEWED THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOC AT1ONONFU£ INTOPMS

SIGNATURE SKMATURE StONATURE

RATE RATE RATE

NYC-WTC_000159060

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NYC-WTC_000159060Source: NYC Law Department, mirrored locally

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