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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_000159066
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

. THP CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT FISA FORM PItSF ADJUSTMENT

□ DOCUMENT NO. SOCIAL SECURITY NO. CD JSN WORK UNIT

□zm pii IsIddMl □ LAST NAME FIRST Ml

NoNrlol^ I I I I I I I I I IcHrlMdsl I I I I I I I I I ENTRY I I type I [ [ EVENT DATE I PAY I I YEAR I I [ I ENTRY TYPE issa eVEWTTIME ] I I [ REPOflTlNG CATEGORY ] & SALARY DIFF DOLLARS I I I CENTS | I Sum I | PAY INO |

ra LULUUJ m I muj ra ] hth H □ I NEW ] 5H20 0303 Ln [ 1 Qin □ 1 LU LU LU nm LDcn m [ ] um □ □ ] oommzi 0033 0003 no NEW [ ] ncn □ □ on OOWtO 0333 0303 tO r ] Oto □ □ I w™ I i/ioiIoIrIIpi/i [£0£@ 0303 111 I □ 1 am T □ □ ra LU LU LU non Emn m n □ urn 1 □ □ L^ 03011107] 2000 @303 no □ Lion □ □ PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE ARE I CERTIFY THAT I HAVE REVIEWED THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCl ON Fl ADJUSTMENT TBANS^'IOJ^-^__ INTOPMS

SIGNATURE / 8IGNA1UK

DATE _z7 BATE DATE SIGNATURE

NYC-WTC_000159066

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NYC-WTC_000159066Source: NYC Law Department, mirrored locally

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