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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_000159082
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

THE CITY OF NEW y6RK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT FISA FORM PMSF 13(t2«*) ADJUSTMENT DOCUMENT NO. SOCIAL SECURITY NO. CD JSN WORK UNIT

Pll [31 \ \

□ LAST NAME FIRST Ml

IsSnSZMILO U I h* I ^1 I entry! TYPE I [ r EYE OATC I DAY I I YEAR ENTRY TYPE I EVENT TME :l MIN I AGENCY DATA REPORTING CATEGORY I SALARY DIFF DOLLARS I I CENTS SUPPl PAY#®

I I ULULU nj ] □ H HH NEW IBOKLMlj iHtIzly nnrn □ I ! I I II UI I I lLLIJ let rn [ □Ml 11 rm NEW I imf®^f^ 11023 @310® ] [ ni 1111 If □ OED I [ JU □ ] [ I □ Hu ] □ I new I [7® IWI [?f71 0233 @3103 I I I ] □ on ] fTT^mnraTi hi?® rn [ H ] □ mn [ L i j Einn □ I NEW I ] on

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE I CERTIFY THAT I HAVE REVIEWED THE.ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCUMENTATION ON FILE , ADJUSTMENT------------------ INTOPMS

SIGNATURE — SIGNATURE . SIGNATURE

if olllOf DATE DATE I DATE

NYC-WTC_000159082

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NYC-WTC_000159082Source: NYC Law Department, mirrored locally

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