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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_000159079–000159085

Folder label: “WTC

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Scanned page image, NYC-WTC_000159079
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

'THE CITY OF NEW YORK e PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT FISA FORM PMSF 13(12/94) ADJUSTMENT

□ DOCUMENT NO. SOqiALSECURtlYNO. CD JSN WORK UNIT

Qzn Pll 0 riHEB □ LAST NAME FIRST

isEKHnavn M

S033^BZI ENTRY r EVENT PATT, I [ ENTRY 1 EVENT TIME AGENCY REPORTING SALARY CWT, I Sim TYPE CZZiZI I DAY 0 YEAR | [ TYPE TTmin DATA ] CATEGORY DOLLARS I 1 CENTS I PAY IND

] 03W03 UEZU HTFffld 0 ] EH 00 □ I NEW 000303 0333 0300 E 0 ] EU 00 KJ 0JL00J [ m cn n ] EH n u □ NEW RlVl lil^ Rill 0333 03203'' ] EH LLlLUi ] rrn ] [ ] Ui n □ I NEW ] 1331331371 0330 030°L ] I ] nr u . 001 J LU LU [ ] [ □ ] UI n □ I NB» I 000003 0310 030£ ✓ n n ] UI u □ PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR " I CERTIFY THAT THE AB^ ADJUSTMENTS ARE I CERTIFY THAT I HAVE REVIEWED THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCl^NTATIOM ON FILE INTOPMS

SIGNATURE SIGNATURE . SIGNATURE

Il [Qi DATE DATE DATE

NYC-WTC_000159079

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NYC-WTC_000159079Source: NYC Law Department, mirrored locally

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