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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_000159091
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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. ..SQCJALJSECUBiry MO.. JSN WORK UNIT PH LAST NAME_________________ RRST Ml

lEHZFZEIZrzn rtc? I g I e n ENTRY I EVENT DATE____ ENTRY EVEIffTtUg AGENCY REPORTING SALARY BIFF. 1 SUPPL TYPE I DAY I TyCAR TYPE HOURS I: I MIN DATA CATEGORY DOLLARS I IBWil PAY IND

I ou> I I I II im [ m [ rn n I NEW oR1 la hl lol' I SHZn lohlbbl mil ] EU OLD □JUJ ] rn f □ □ nn Lun□ NEW I lol lob I lol' I l*?lsl\ l> I lohhblnl n nn on □ □ uu UJI I E□ OLD I KU NEW n nn run 1 loN loll I l^lsl> 111 HiliEH KJ LULUUJ m □ZHU [ n mi □ uu □JU I NEW [VELaaEn bsed eseh rm III I □ nn Eon □ 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 ATII FILE ADJUSTMENT TRANSACTION /. INTOPMS

- SIGNATURE SIGNATURE '' SIGNATURE

DATE DATE DATE

NYC-WTC_000159091

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NYC-WTC_000159091Source: NYC Law Department, mirrored locally

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