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 13(12/94) ADJUSTMENT DOCUMENT NO. ..snriAJ.ccrjjaiTvjjoL. CD JSN WORK UNIT

□ZID PH 0 0 □ LAST NAME RRST Ml

0000200 m hlokkldvd Illi n ENTRY ______ EVENT PATE ENTRY EVENT TIME AGENCY I r REPOHTING SALARY PIFF. I SUPPL TYPE 'mOWThJ'I day I I YEAR TYPE HOURS 1:1 MIN DATA I [ CATEGORY DOLLARS I I CENTS I PAYWD

I OLD 05 I yETi hkioid 0303 rrm [ 01 n njj □ I NEW oi I 3 07 EfiSS 0300 HI rzrn 01 11 n □ OLD o 3JLl00iJ [10 00 m n 01 □ nn □ NEW 1 05103071 17030 [TITLES CLD rn □[ im OLD qHIII telIdil USHH lobl-lo O 01 n □ NEW ] loH IK IqI lol 11 11 l^lslol 100Io lol 01 im □ I °u> I [ m HI 4 □JJ 01 n r □ 1371171307 Brain sasa rrm 11111 01 □ in □

PREPARER MANAGER/SUPERVISOR KEY ENTRY OPERATOR I CERTIFY THAT THE ADJUSTMENTS ARE I CERTIFY THAT I HAVE REVIEWED THE ABOVE I CERTIFY THAT THE ABOVE DATE WAS ENTERED SUPPORTED BY DOC NTA’ FIX ADJUSTMENT TRANSACTION INTOPMS

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DATE DATE

NYC-WTC_000159088