Employee Time Report Form, DEP Box 32, Dec 1994

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT nSA FORM PMSF I3(12«4) ADJUSTMENT

□ DOCUMENT NO.

PH FIRST CO

0 JSN WORK UNIT

□ LAST NAME Ml

H333ZQI2I ENTRY ______ EVENT DATE ENTRY I EVEICTTIHg I AGENCY REPORTING SALARY OFF. SUPPL TYPE MONTH I I DAY | | YEAR TYPE I HOURS 1:1 MW I DATA CATEGORY DOLLARS I I CENTS PATINO

I OLD ] |g|?ll/1/11^1/1 0707 ] ULU □ □ I NEW 071170071 0207 £@03 urn nm □ OLD ] |o|y|l/l/lkkl RTOt <? ] uu ULU □ Wfl 171711^ Elsa NEW □□ nm □ OLD LU LU LU [ [ I LIU UTU □ NEW I 07L0ZL0Z1 0270 0203 1 QU nm □ rm EsnzEWi mm 0200 i ] LIU run □ NEW 1 ffiUZSJHZ 007 ] on im □

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ABOVE ADJUSTMENTS ARE T CERTIFY THAT I HAVE REVIEWED THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCUM^MfATIONFILE ADJUSTMENT TRANSACTION, , INTO PMS

SK5NATURE SIGNATl^ / / •' SIGNATURE

DATE DATE

NYC-WTC_000159086