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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

Page image
Scanned page image, NYC-WTC_000159078
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

.THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT nSA KlRMPMSF t3(12»O ADJUSTMENT SOGAL SECURITY NO. WORK UNIT

nnu DOCUMENT NO. CD JSN

LAST NAME pii FIRST El u Ml

MdAklolyl I I I I I I I I I kLUtUsI I I I I I I I I ENTRY eyEMTDATE I | ENTRY I [ EVENT TIME AGENCY ] I SUFH.| REPORTING TYPE ] [csig E DAY II v5^ I TYPE I [CZE3 Tmw DATA CATEGORY ] Si SALARY DIFF. DOLLARS J Ezza OLD ] LU LU LU rrrn □un u ui UI □ NEW ] fzEii [qu ubizu @2t0£ □ UJ EH □ LULUn f ] mn ] U UI UI n NEW ] 111213I01 1 □ EH EH u OLD ] LU LU LU um mn □ EH UH NEW ] mmm rrm run ] □ EH ni OLP I [ J LU LU Hill [ U U UI UI mmm rmn mu ] I □ Ett

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR 1 CERTIFY THAT THE ABOVE ADJUSTMENTS ARE I CERTIFY THAT I HAVE REVIEWED THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCUMEI^TtON^ FILE ADJUS INTOPMS

SKSNATUIE SIGNATURE StONATURE •2^^' fs/o^/oi DATE DATE DATE

NYC-WTC_000159078

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NYC-WTC_000159078Source: NYC Law Department, mirrored locally

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