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Document / 11 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_000159086–000159096

Folder label: “WTC

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Scanned page image, NYC-WTC_000159096
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

THE CITY OF NEW YORK PAYROLL MANAGEMENT SYSTEM EMPLOYEE TIME REPORT FISA FORM PMSF I3(I2«4) ADJUSTMENT DOCUMENT NO. ..SOCIAI.RFjraLIBITy.IMO CD JSN WORK UNIT

rrm PH 3 1 sSES □ LAST NAME RRST Ml

t^HfBEmm rm likl^dhtXI 1111 ] ENTRY EVENT DATE ENTRY EVEIffTINg AGENCY REPORTING SALARY DIFF. I SUPHl TYPE I DAY 1 I YEAR TYPE HOURS 1:1 WN DATA CATEGORY DOLLARS ~r jggmnl PAY IND

I n OLD [ m EH □ mi [ ] E n mm rrm mm □ NEW [ m nr □ mr mr 11II n n ] IH ]□ □ I I II I I □ Bl ] mmm bhu mm □ mm □ nr □ nrn n rm ] Bl ran □ LEn nr im □ n ]□ n ] nr ran □ □mm OLD □ n 3 ] Bl im □ T 1

□mm □ □ I NEW I □ ] nr rrnm □

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR ICfchTIFYTHATTHEJ , ADJUSTMENTS ARE I CERTIFY THAT I HAVE REVIEWED THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOCI ATION ON^E ADJUSTMENT TR/^SACTION. 1 . INTOPMS

SIGNATURE SIGNATUBE

DATE DATE

NYC-WTC_000159096

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NYC-WTC_000159096Source: NYC Law Department, mirrored locally

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