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 PUSF ADJUSTMENT

□ DOCUMENT NO. SOCIAL SECURITY NO. CD JSN WORK UNIT

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m^i9id?i 11 QIoEHeE ENTRY EVENT DATE ENTRY I EVEOTTIME AGENCY 1 REPORTING I I SALARY DIFF. I SUPPL I I HOURS 1:1 MIN DATA I [ CATEGORY | DOLLARS | TYPE month] 1 PAY I I YEAR TYPE FIul PAY9O|

[ OLD n m [ ] DILI m □ f NEW Il I ci bbl bl 11 ssn 1 Iol7l-lolol I rm 01 m □ m I I II I II ] [ mm [ m m ETO [ isisi loll I hi*^ii I oFtI^IoIoI [ n 1111111 nm □ □ [ OLD mm I F □0 □ □ [ NEW 1 sann mm rmn rm □ □£□ □ □ Oto I m im mm □m mm 111 ri 11 rim □ □ NEW S«i7Ii mm mm-rm □ 0m □ □ 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 DOCI 'ATION0NFILE ADJUSTMENT TRANSITION INTOPMS

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NYC-WTC_000159094