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. SOCIAL SECURITY NO. CD JSN WORK UNIT

PH 0 E ii □ LAST NAME FIRST Ml

HcHBSHE n ENTRY 1 EVENT r>ATt ENTRY I EVENTTIME AGENCY REPORTING SALARY DIFF. I SUPPL TYPE J I MONTH 1 I 'day I I TYPE I HOURS I: I MW I DATA CATEGORY i El dollars I PAYOffl

OLD iT]njn3‘n n □ mn IN □ NEW 03-03-33 IrIaIi II 0 7’0 3 □ nm nn □ I OLD _30u m Ml I I I I II I □ I- NEW lk!ol ITItJ Ini 11 I*tl9ll II I oItNqIoI I I □ ni 1111 im □ I OLD LU LU I ] [ n ] □ □ MED I NEW EQKEiaZ] lAlAlili I HThEH I I □ Ml 1111 im □ [ OLD I [ iLum [ m [ nn □□ m HU rm ] □ [ NEW I klol 113 loll I SHHI IoItIIoIoI f W Ml 1111 im □

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 ATION QMTILE ADJUSTMENT TRAN^CTION - IA INTO PMS

SIGNATURE SIGNATURE SIGNATURE I I

DATE DATE DATE

NYC-VVTC_OO0159093