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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_000159089
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 13(12/94) ADJUSTMENT DOCUMENT NO. ____ A.. ------------------------------ CD

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bloblelSH I If ENTRY r EVENT DATE ENTRY AGENCY REPORTING SALAHVOIFF. sum TYPE I DAY I [ YEAR TYPE DATA CATEGORY DOLLARS I I cents' PAY no

I OLD ] 01 dqllolil \ l4lols ] m□ ! 1 I I NEW o3Ilh]0' \ I3l2lb o4’0 o □ m□ mm □ OLD ] 03 O V □ \ klo Isl |old-blo 0 I NEW ] Haas oTH Kldalol m □ mm □ I Oto I HaHkrSii i> kioisi 3SB9SI ] 01 mm □ NEW m m Al mm □ OLD nm n □ I new I foHLfTHJoH BHlIlI [ n [ an □ 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 lENTATI FILE ADJUSTMENT TRANSACTION . INTOPMS

SIGNATIAIE SIQNATOHE 7^1 SIGNATURE

DATE DATE DATE

NYC-WTC_000159089

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NYC-WTC_000159089Source: NYC Law Department, mirrored locally

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