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 FISA FORM PMSF 1302/94) ADJUSTMENT

□ DOCUMENT NO. CD JSN WORK UNIT

Pll iHBEl □ LAST NAME FiRST Ml

bIcldViYktIrl I n ] bbls lelvlbl I I n n ENTRY EVENT DATE ENTRY EVENTTIME AGENCY f SAURY DIFF. ______ SUPPL I TYPE month! I DAY I I YEAR TYPE HOURS 1:1 MIN DATA I I REPORTING CATEGtMIY ] £1 DOLURS I I CENTS PAYlWOl

(OLD ESHTMTE 1 LkH^ LIN □m□ ISBESJoE 11 bblol bl^lfelol EEEI □ ElO im □ OLD ] loNI 111^1 bill II klolsl 11 Ia-I'IoIoI t n ] En ] □ NEW ] ShLElEHi] [Ilaffl ES• O o n □ ] Iola) Lidd bld Esas baffi □ n JZj □ □ I NEW ] lolal II Isl loll I £2120 lilfil-blol E n d □ o^N 1 rrun n □ I NEW ] [offllTRIInm |q|<j|i 11 olvi Eioi rrn m on mm □

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 DOCI ATION ADJUSTMENT TRANSACTION INTOPMS

SIGNATURE SIGNATURE ' SIGNATURE

DATE DATE DATE

NYC-WTC_000159087