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 I3(12»4) ADJUSTMENT DOCUMENT NO. .BnCJAl.SECLIIMTy.lMn...... CD JSN WORK UNIT

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ScHJESE Alois kipih ENTRY EVENT DATE ENTRY EVEIffTllffi AGENCY REPORTING SALARY PIFF. _______ SUPPl TYPE MONTH I I DAY I I YEAR TYPE HOURS 1:1 mIn DATA CATEGORY DOLLARS I 1 CENTS PAY HO

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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 DOCUM^NYyiON ONJ^ ADJUSTMENTTRANSAOTION INTOPMS

StC-NATURE SIGNATURE SIGNATURE

DATE DATE

NYC-WTC_000159092