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Document / 7 pages

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_000159080
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 FORM PMSF 13(«2»q ADJUSTMENT DOCUMENT NO. CD JSN WORK UNIT Pll 0 □ LAST NAME FIRST Ml

smaiQm HI 0 ENTRY t EVENT OATC ENTRY EVEtnTlME AGENCY DATA REPORRNQ CATEGORY 1 I SALARY OUT.' ]J [ami TYPE I PAY i I YEAR TYPE HOURS 1:1 MIN J I ♦ I I DOLLARS T I PAY BO I

CHO I I i| I II 1 lteo njcn [ ou □ NEW I 0^071071 rrm ■{ □□ □ LULUUJ ED EDI I □□ □ 33.EHU3Z minz NEW □n I . □ [ OLD ] EnEUEL] ETED LHW rm .1 NEW □□ I Oto I Q nn [ m □0 □ H HEW I I I n0 □ 1 □ PREPARER MANA6ER/SUPERV1S0R KEY ENTRY OPERATOR ' I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE I CERTIFY THAT I HAVE REV1I THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCUMEJR^TfON ON RLE ADJUSTMENTJiRANSACTION / 7 I INTOPMS

SK3NATURE SIGNATURE , vrf SONATURE

DATE DATE U|LpLl MTS

NYC-WTC_000159080

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NYC-WTC_000159080Source: NYC Law Department, mirrored locally

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