Francesco/who-killed-jfk huggingface dataset:
[104-10193-10079.pdf — page 5]
# SECRET(When Filled. In)RECOMMENDATION FOR HONOR OR MERIT AWARD(Submit in triplicate - see HR 20-37)## PERSONAL DATA**1. EMP SER.NO.** **2. NAME OF PERSON RECOMMENDED** (Last, First, Middle) **3. POSITION TITLE** **4. GRADE** **5. SD**057303 Goodpasture, Ann Lorene Ops Officer GS-13 0**6. OFFICE OF ASSIGNMENT** **7.OFFICE EXT. (11)** **8.** **STATION**DDO/CI Staff X HEADQUARTERS FIELD (Specify location)**9. HOME ADDRESS** (No., St., City, State, ZIP code) **10. HOME PHONE** **11. CITIZENSHIP AND HOW ACQUIRED**4200 Cathedral Ave., Wash., D.C. 244-1657 U.S. Birth**12. RECOMMENDED AWARD** **13 IF RETIRING, DATE OF RETIREMENT** **14.**Career Intelligence Medal 23 October 1973 YES POSTHUMOUS**15. NAME OF NEXT OF KIN** **16. RELATIONSHIP** **17. HOME ADDRESS (No., St., City, State, ZIP Code)** **18. HOME PHONE**C. H. Goodpasture Father Livingston, Tenn.## SECTION B RECOMMENDATION FOR AWARD FOR HEROIC ACTION OR ACCEPTANCE OF HAZARD**19. WERE YOU AN EYEWITNESS TO THE ACT** YES NO **PERSONNEL IN IMMEDIATE VICINITY OR WHO ASSISTED IN ACT OR SHARED IN SAME HAZARD:****20. FULL NAME** **21. ORGN. TITLE** **22. GRADE** **23. OFFICE OF ASSIGNMENT**LIST ANY OF THE ABOVE PERSONS GIVEN AN AWARD OR RECOMMENDED FOR AWARD FOR PARTICIPATING IN ACT:**24. FULL NAME** **25. AWARD RECOMMENDED**CONDITIONS UNDER WHICH ACT WAS PERFORMED:**26. LOCATION** **27. INCLUSIVE DATES** **28. TIME OF DAY****29. PREVAILING GEOGRAPHIC CONDITIONS AND OBSTACLES ENCOUNTERED****30: DATES FOR WHICH AWARD RECOMMENDED** **31. ASSIGNMENT COMPLETED** **32. NOW IN SAME OR RELATED ASSIGNMENT**YES NO YES NO## SECTION C RECOMMENDATION FOR AWARD FOR ACHIEVEMENT, SERVICE, OR PERFORMANCE**33. DO YOU HAVE PERSONAL KNOWLEDGE OF THE SERVICE OR PERFORMANCE** YES NO **34. OFFICIAL ASSIGNMENT OF PERSON RECOMMENDED AT TIME OF SERVICE OR PERFORMANCE**Headquarters**35. COMPONENT OR STATION (Designation and location)**DDO/WH**36. DUTIES AND RESPONSIBILITIES OF ASSIGNED POSITION**Operations officer completing 30 years of service in the Agency and its predecessor organizations.**37. INCLUSIVE DATES FOR WHICH RECOMMENDED** **38. ASSIGNMENT COMPLETED** **39. NOW IN SAME OR RELATED ASSIGNMENT**1947 - 1973 X YES NO X YES NO**PERSONNEL WHO ASSISTED OR CONTRIBUTED SUBSTANTIALLY TO THE SERVICE OR PERFORMANCE****40. FULL NAME** **41. ORGN. TITLE** **42. GRADE** **43. OFFICE OF ASSIGNMENT**Mr. Winfield Scott GS-18 Mexico CityLIST ANY OF THE ABOVE PERSONS GIVEN AN AWARD OR RECOMMENDED FOR AWARD FOR PARTICIPATING IN THE PERFORMANCE**44. FULL NAME** **45. TYPE OF AWARD**Mr. Winfield Scott
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# REQUEST FOR PERSONNEL ACTION1. SERIAL NUMBER057303GOODPASTURE, Ann L.3. NATURE OF PERSONNEL ACTIONExtended Sick LeaveDisability Retirement4. EFFECTIVE DATE REQUESTEDMONTH DAY YEAR10 23 725. CATEGORY OF EMPLOYMENTRegular9. ORGANIZATIONAL DESIGNATIONSDDP/CI StaffDevelopment Complement11. POSITION TITLEOps Officer12. POSITION NUMBER999713. CAREER SERVICE DESIGNATIOND14. CLASSIFICATION SCHEDULE (GS, LB, etc.)GS15. OCCUPATIONAL SERIES0136.0116. GRADE AND STEP13-717. SALARY OR RATE$ 22,487Washington, D.C.NTE: 10.23.7317A. SIGNATURE OF REGUESTING OFFICIALM. D. McCallum, CI StaffDATE SIGNED10/10/7218B. SIGNATURE OF CAREER SERVICE APPROVING OFFICERDATE SIGNED12 0CT 1972![signature]SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL| ACTION CODE | CODE | SPECIAL REFERENCE | STATION CODE | INTEGREE CODE | DATE OF BIRTH | DATE OF GRADE | DATE OF LEI || ----------- | ---- | ----------------- | ------------ | ------------- | ------------- | ------------- | ----------- || 31          | 40   | 3997 CI           | 75013        | 23            | 11/28/18      |               |             |28. NTE EXPIRES29 SPECIAL REFERENCE30 RETIREMENT DATA31. SEPARATION DATA CODE32 CORRECTION. CANCELLATION DATA33 SECURITY REQ. NO.34 SEX10/23/73SL1-GS2-D&GN3-FICA5-NONE35 VET PREFERENCE36 SERV COMP. DATE37 LONG. COMP DATE38 CAREER CATEGORY39 FEGAL/HEALTH INSURANCE40 SOCIAL SECURITY NO.CODECODECODECODE1-5 PT2-10 PT41. PREVIOUS CIVILIAN GOVERNMENT SERVICE42 LEAVE CAT. CODE43 FEDERAL TAX DATA44. STATE TAX DATACODEFORM EXECUTEDFORM EXECUTED0- NO PREVIOUS SERVICE1-NO BREAK IN SERVICE2-BREAK IN SERVICE (LESS THAN 3 YEARS)3-BREAK IN SERVICE (MORE THAN 3 YEARS)CODE45. POSITION CONTROL CERTIFICATION46 OP APPROVAL![signature]DATE APPROVED12/17/72SECRET19 OCT 1972
[104-10193-10079.pdf — page 8]
SECRETEMPLOYEE NOTICE OF RESIGNATIONI RESIGN EFFECTIVEFOR THE FOLLOWING REASON:MY LAST WORKING DAY WILL BE-DATE SIGNEDSIGNATURE OF EMPLOYEEFORWARD COMMUNICATIONS, INCLUDING SALARY, CHECKS AND BONDS, TO THE FOLLOWING ADDRESS (Number, Street, City, State, Zip Code)INSTRUCTIONSItems 1 thru 7andItems 9 thru 18aThe initiating office should fill in each of the referenced items. Items 3 thru 7 and 9 thru 18 require information which pertains only to the action requested, and NOT to the current status of the employee unless specific items remain unchanged.Item 5 - "Category of Employment" should show one of the following entries:Regular Summer WAEPart Time Detai! Out ConsultantTemporary Detail In MilitaryTemporary-Part TimeItem 9 - "Organizational Designations" should show all levels of organization pertinent to identify- ing the location of the position:Major Component (Director, Deputy Director, etc.)Office, Major Staff, etc.Foreign Field or US Field (if pertinent)Division er Staff (subordinate to first line)BranchSectionUnitItems 11 and 15 - "Position Title" and "Occupational Series" should be the standard abbreviated title and corresponding occupational series in Handbook of Official Occupational Titles and Codes for the duties actually to be performed by the employee. If different from the title and series of the position occupied as shown on the most current edition of the Position Con- trol Register or Form 261, Staffing Complement Change Authorization, explain under Item 18-Remarks.Item 18b - Signature should be that of the official authorized to approve for the Career Service to which the employee belongs. If more than one Career Service is involved, the gaining Career Serv ice should approve and the other Career Service should concur in Item 18, Remarks.ROUTING- The original only of this form will be forwarded to the Office of Personnel through the appropriate Career Service official (s). In the case of requests specified in HB 20-800-1; which require advance approval of or notification to the Office of Security or the Office of Finance, ope copy only will be sent to the Office(s) concerned.SECRET
[104-10193-10079.pdf — page 9]
# REQUEST FOR PERSONNEL ACTION7/25/721. SERIAL NUMBER0573032. NAME (Last-First-Middle)GOODPASTURE, Ann L.3 NATURE OF PERSONNEL ACTIONReassignment - TRANSFER TO4 EFFECTIVE DATE REQUESTEDMONTH DAY YEAR07 23 725. CATEGORY OF EMPLOYMENTRegular6 FUNDSXXV TO VCP TO C7. FINANCIAL ANALYSIS NO.   CHARGEABLE3227-01838 LEGAL AUTHORITY (Completed by Office of Personnel)9. ORGANIZATIONAL DESIGNATIONSDDP/CI Staff Development Complement10. LOCATION OF OFFICIAL STATIONWashington, D.C.11 POSITION TITLEOps Officer12 POSITION NUMBER999713 CAREER SERVICE DESIGNATIOND14. CLASSIFICATION SCHEDULE (GS, LB, etc.)GS15 OCCUPATIONAL SERIES0136.01.16. GRADE AND STEP1317. SALARY OR RATE22,487$ 21,86218 REMARKSFROM: Pos. No. 0073NOTE: Subject will be on CIARDS Disability Retirement until23 October 1973cc: Finance18A SIGNATURE OF REQUESTING OFFICIALDATE SIGNED7/12/7218B SIGNATURE OF CAREER SERVICE APPROVING OFFICERDATE SIGNED13 July 1972CI StaffSPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL19 ACTION CODE20 EMPLOY CODE21 OFFICE CODINGNUMERICALPHABETIC22 STATION CODE23 INTEGREE CODE24. HOG CODE25 DATE OF BIRTHMO. DA. YR.26 DATE OF GRADEMO. DA. YR.27 DATE OF LEIMO. DA. YR.28NTE EXPIRESMO. DA. YR.29 SPECIAL REFERENCE30 RETIREMENT DATACODE31 SEPARATION DATA CODETYPE32 CORRECTION, CANCELLATION DATAMO. DA. YR.33 SECURITY I.D. NO34 SEXEOD DATA35 VET PREFERENCECODE36 SERV COMP DATEMO. DA YR.37 LUNG. COMP DATEMO. DA. YR.38 CAREER CATEGORYCAR/RESV PROV, TLMPCODE39. FEGLI HEALTH INSURANCEWAIVER1-RES2-REG/OPT3-INELIGIBLEHEALTH INS. CODE40 SOCIAL SECURITY NO41. PREVIOUS CIVILIAN GOVERNMENT SERVICECODE42 LEAVE (AT CODE43 FEDERAL TAX DATAFORM EXECUTEDCODENO. TAX EXEMPTIONS44 FORM EXECUTEDSTATE TAX DATACODENO TAX STATE CODE EXEMPT0-NO PREVIOUS SERVICE1-NO BREAK IN SERVICE2-BREAK IN SERVICE (LESS THAN 3 YEARS)3-BREAK IN SERVICE (MORE THAN 3 YEARS)45 POSITION CONTROL CERTIFICATION46 OP APPROVALDATE APPROVEDFORM 1152 USE PREVIOUS EDITION![secret logo]GROUP 1EXCLUDED FROM AUTOMATIC DOWNGRADINGAND DECLASSIFICATION7/20/72
[104-10193-10079.pdf — page 10]
# SECRETEMPLOYEE NOTICE OF RESIGNATIONI RESIGN EFFECTIVEFOR THE FOLLOWING REASONJUL 20JUL 14 3:35 PH '72MY LAST WORKING DAY WILL BE-DATE SIGNEDSIGNATURE OF EMPLOYEEFORWARD COMMUNICATIONS, INCLUDING SALARY CHECKS AND BONDS, TO THE FOLLOWING ADDRESS (Number, Street, City, State, Zip Code)INSTRUCTIONSItems I thru 7andItems 9 thru 18aThe initiating office should fill in each of the referenced items. Items 3 thru and 9 thru 18 require information which pertains *only* to the action requested, and NOT to the current status of the employee unless specific items remain unchanged.Item 5 - "Category of Employment" should show one of the following entries:RegularPart TuneTemporaryTemporary-Part TimeSummerDetail OutDetail InWAEConsultantMilitaryItem 9 - "Organizational Designations" should show all levels of organization pertinent to identifying the location of the position:Major Component (Director, Deputy Director, etc.)Office, Major Staff, etc.Foreign Field or U.S. Field (if pertinent)Division or Staff (subordinate to first line)BranchSectionUnitItems 11 and 15 - "Position Title" and "Occupational Series" should be the standard abbreviated title and corresponding occupational series in Handbook of Official Occupational Titles and Codes for the duties actually to be performed by the employee. If different from the title and series of the position occupied as shown on the most current edition of the Position Control Register or Form 261, Staffing Complement Change Authorization, explain under Item 18-Remarks.Item 18b - Signature should be that of the official authorized to approve for the Career Service to which the employee belongs. If more than one Career Service is involved, the gaining Career Service should approve and the other Career Service should concur in Item 18, Remarks.ROUTING- The original only of this form will be forwarded to the Office of Personnel through the appropriate Career Service official(s). In the case of requests specified in HB 20-800-1; which require advance approval of or notification to the Office of Security or the Office of Finance, one copy only will be sent to the Office(s) concerned.SECRET
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# SECRETNOTIFICATION OF ESTAB CHMENT OR CANCELLATION OF OFFICIAL COVER BACKSTOP|                |                                         || -------------- | --------------------------------------- || TO: (Check)    | CHIEF, CONTROL DIVISION                 ||                | CHIEF, CONTRACT PERSONNEL DIVISION      ||                | CHIEF, OPERATING COMPONENT (For action) || ATTN:          |                                         || REF:           |                                         || SUBJECT        |                                         || OFFICIAL COVER | ESTABLISHED                             ||                | DISCONTINUED                            || UNIT           |                                         |KEEP ON TOP OF FILE WHILE COVER IN EFFECTESTABLISHMENT OF OFFICIAL COVER BLOCK RECORDS*   BASIC COVER PROVIDED EFFECTIVE DATE*   OPERATIONAL COVER PROVIDED FOR TOY OTHER (Specily)SUBMIT FORM 642 TO CHANGE LIMITATION CATEGORY. (HHB 20-7)SUBMIT FORM 3254 W-2 TO BE ISSUED. (HHB 20-11)SUBMIT FORM. 1322 FOR ANY CHANGE AFFECTING THIS COVER. (HR 240-20)SUBMIT FORM 1323 FOR TRANSFERRING COVER RESPONSIBILITY. (HR 240-20)| EAA: CATEGORY I | CATEGORY 11 || --------------- | ----------- |SUBMIT FORM 2683 FOR HOSPITALIZATION CARDREMARKS AND/OR COVER HISTORYCANCELLATION OF OFFICIAL COVER UNBLOCK RECORDSEFFECTIVE DATE:SUBMIT FORM 3254 W-2 TO BE ISSUED. (SUBMIT FORM 642 TO CHANGE LIMITATION CATEGORY. (HHB 20-7)| EAA: CATEGORY I | CATEGORY 11 || --------------- | ----------- |RETURN ALL OFFICIAL DOCUMENTATION TO CCSSUBMIT FORM 2688 FOR HOSPITALIZATION CANS、DO NOT WRITE IN THIS BLOCKDISTRIBUTION: COPY 1 - CD COPY 2 - OPERATING COMPONENT COPY 3 - 0/08. COPY 4 - CL/TELSVC COPY 5 - OF COPY 6 - CCS - FILE![signature]CHIEF, OFFCIAL COVER, CENTRAL COVER STAFF (13-20-43)FORM 12-71 1551 ust reyIOUS EDITIONSECRET
[104-10193-10079.pdf — page 12]
## EXPERIENCEEmployed by Central Intelligence Agency and World War II predecessor agencies from 1942-1972. Served as clerk, administrative assistant, photo technician, research analyst, and intelligence officer. Assignments were in Washington, D.C., the Far East, and Latin America.
[104-10193-10079.pdf — page 13]
# SECRET(non Filed In)CERTIFICATION OF SEPARATEIG EXPLOYEEName (Last-First-Middle)GOODPASTURE, ANNMEMORANDUM FOR THE RECORD - ATTACH TO OFFICIAL PERSONNEL FOLDERI hereby acknowledge the receipt of the following forms and/or information concerning my separation from CIA as indicated by check mark:1.  Standard Form 8 (Notice to Federal Employee about Unemployment Compensation).2.  Standard Form 55 (Notice of Conversion Privilege, Federal Employees' Group Life Insurance).3.  Standard Form 56 (Agency Certification of Insurance Status, Federal Employers' Group Life Insurance Act of 1954).4.  Standard Form 2802 (Application for Refund of Retirement Deductions).5.  Form 2595 (Authorization for Disposition of Paychecks).CONTINUE DEPOSIT TO BANK6.  Applicable to returnee (resignee from overseas assignment).I have been advised of my right to have a medical examination before my separation from this Agency and of the importance of such a medical check to my health and well-being.Appointment arranged with Office of Medical Services.Appointment for Office of Medical Services examination declined.7.  I have been informed of "conflict of interests" policy of the Agency and foresee no problem in this regard concerning my new employment.8.  Form 71 (Application for Leave).9.  CSC Pamphlet 51 (Re-employment Rights of Federal Employees Performing Armed Forces Duty).10. Instructions for returning to duty from Extended Leave or Active Military Service.Signature of EmployeeDate Signed7 June 72-Address (Street, City, State, Zip Code)Correspondence#412ACertCovert4200 CATHEDRAL Ave NWWash. D.C 20016 SECRET
[104-10193-10079.pdf — page 14]
ADMINISTRATIVEINTERNAL USE ONLY12 JUN 1972MEMORANDUM FOR: Miss Ann L. GoodpastureTHROUGH: Head of CS Career ServiceSUBJECT: Notification of Approval of DisabilityRetirement1.  This is to inform you that the Director of Personnel has approved your request for disability retirement under the CIA Retirement and Disability System. On the basis of medical evidence, the Director of Personnel has determined that your disability is of a permanent nature; therefore, no further medical review of your case will be required.2.  Your retirement will become effective 23 October 1973, the expiration date of your accrued sick leave and excess annual leave. You may be assured that every effort will be made to expedite delivery of your first check following completion of the administrative details required to effect your retirement./s/ B. DeFeliceB. DeFeliceDeputy Director of Personnelfor Special ProgramsDistribution:0 - Addressee1 - OMS1 - CS Career Service1 - D/Pers1 - OPF1 - ROB Soft File1 - ROB ReaderADMINISTRATIVEINTERNAL USE ONLYOP/RAD/ROB/WFMadigan:jat/325 (12 Jun 1972)
[104-10193-10079.pdf — page 15]
CONFIDENTIAL5 JUN 1972MEMORANDUM FOR THE RECORDSUBJECT: Request for Disability Retirement Under theProvisions of the CIA Retirement and DisabilitySystem - Miss Ann L. GoodpastureBased upon my review and evaluation of the evidence listed below, I hereby approve the request of Miss Ann L. Goodpasture for disability retirement under the provisions of the CIA Retirement and Disability System and, on the basis of the medical evidence submitted in this case, I have determined that the disability of Miss Goodpastura is permanent:a. Supervisor's statement dated 14 March 1972 submitted In accordance with the provisions of paragraph h. (3) of HR 20-50.b. Written report of the Board of Medical Examiners dated 25 May 1972 as submitted by the Chairman of that Board in accordance with the provisions of paragraph h. (4) (c) of HR 20-50./s/Harry B. KishorHarry B. FisherDirector of PersonnelDistribution:0 - Return to ROB1 - D/Pers1 - OPF1 - ROB Soft File1- ROB ReaderOP/RAD/ROB/WFMadigan:jat/3257 (31 May 1972)CONFIDENTIAL
[104-10193-10079.pdf — page 16]
# SECRET# REQUEST FOR PERSONNEL ACTIONDATE PREPARED23 June 19701 SERIAL NUMBER0573032 NAME (Last-First-Middle)GOODPASTURE, ANN L.3 NATURE OF PERSONNEL ACTIONReassignment4 FUNDSV TO VV TO CPOF TO VOF TO CP5 EFFECTIVE DATE REQUESTEDMONTH DAY YEAR10 15 707 FINANCIAL ANALYSIS NOCHARGEABLE125-0-1700333-029010 LOCATION OF OFFICIAL STATIONWashington, D.C.5 CATEGORY OF EMPLOYMENTRegular8 LEGAL AUTHORITY (Completed by Office of Personnel)9 ORGANIZATIONAL DESIGNATIONSDDP/CI StaffOperations GroupWE Branch11 POSITION TITLEOps Officer14 CLASSIFICATION SCHEDULE (GS. LB. etc.)GS18 REMARKSFROM: DDP/WH/Dev. Comp/Pos. No. 999712 POSITION NUMBER007315 OCCUPATIONAL SERIES0136.0116 GRADE AND STEP13 6Coordination: Henry L. BertholdC/WH/Personnel13 CAREER SERVICE DESIGNATIOND17 SALARY OR RATE$ 19,555Security Approval Granted by Pers. SD/DS6/30DB 10121CC: Finance and Security18A SIGNATURE OF REQUESTING OFFICIALCI STAFFDATE SIGNED6-23-70Home Base: WH18B SIGNATURE OF CAREER SERVICE APPROVING OFFICERDATE SIGNEDSPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL19 ACTION 20 EMPLOY 21CODE30028MO.BTE EXPIRES3735 VET PREFERENCECODE31-5 PT2-10 PT41CODE0-NO PREVIOUS SERVICE1-NO BREAK IN SERVICE2-BREAK IN SERVICE (LESS THAN 3 YEARS)3-BREAK IN SERVICE (MORE THAN 3 YEARS)45. POSITION CONTROL CERTIFICATIONOFFICE COOINGNUMERIC ALPHABETIC22-STATION 23 INTEGREE 24 BOORS 25 DATE OF BIRTH 26 DATE OF GRADE 27.CODE CODE CODE31400 CI 7501329 SPECIALREFERENCE30RETIREMENT DATACODEDA. YR.11 12 1831 SEPARATION 32 CORRECTION, CANCELLATION DATADATA CODE TYPEEOD DATA36 SERV COMP DATE 37. LONG COMP DATE 38 CAREER CATEGORY 39 FEGLI HEALTH INSURANCE 40 SOCIAL SECURITY NOMO. DA. YR. MO. DA. YR. CODECAR/RESY HEALTH INS. CODEPROV, TEMP0-WAIVER1-YES42 LEAVE CAT. 43 FEDERAL TAX DATA 44 STATE TAX DATACODE FORM EXECUTED CODE NO. TAX EXEMPTIONS FORM EXECUTED CODE NO. TAX STATE CODE1-YES EXEMP.2-NOFROM. W.M.46 O.P. APPROVALDATE APPROVED10-20-7019-141-70 AI.FORM2-67 1152 USE PREVIOUS EDITIONSECRETGROUP 1EXCLUDED FROM AUTOMATIC DOWNGRADINGAND DECLASSIFICATION
[104-10193-10079.pdf — page 17]
31 MAR 1972MEMORANDUM FOR: Chairman, Board of Medical ExaminersSUBJECT: Request for Medical Evaluation -Miss Ann L. Goodpasture1. Miss Ann L. Goodpasture, a participant in the CIA Retirement   and Disability System, has applied for disability retirement under the   provisions of Section 231 of Public Law 88-643, Central Intelligence   Agency Retirement Act of 1964 for Certain Employees. It is requested   that a medical examination be arranged for Miss Goodpasture and that a   written report of the Board of Medical Examiners as prescribed in para-   graph h (4) of HR 20-50 be submitted to this office.2. Miss Goodpasture plans to remain on duty pending a decision   on her application for retirement.3. Attached is a copy of the Supervisor's Statement, a copy of   the Application for Disability Retirement, and a private physician's   statement.Harry B. FisherDirector of PersonnelAttachments:a. Supervisor's Statementb. Applicationc. Private Physician's StatementDistribution:0 & 1 - Addressee1 - D/Pers1 - OPF1 - ROB Soft File1- ROB ReaderOP/RAD/ROB/W ladigan:jat/3257 (28 March 19...)
[104-10193-10079.pdf — page 18]
8 MAR 1972MEMORANDUM FOR: Miss Ann L. GoodpastureTHROUGH: Administrative Officer, CI StaffSUBJECT: Application to Purchase Service Credit1.  This is to advise you that your application to purchase service credit under the CIA Retirement and Disability System has been processed. The period of your service which is not covered by retirement deductions and the amount due to cover this period are as follows:| Redeposit Period         | Total Amount Due || ------------------------ | ---------------- || 11 Mar 1942 - 8 Sep 1943 | $241.00          |2.  Postponing payment will cause the amount due to increast because of additional interest at the rate of 3 per cent compounded annually. However, so long as the amount is not paid, you have the use of this money for other purposes. You may postpone payment until you retire.3.  If the redeposit is not made you will receive no credit in the computation of annuity for the period of service covered by the refund. This usually results in a sharp reduction in the amount of your annuity.4.  If you wish to make payment for the redeposit period, please make your check payable to the Treasurer of the United States and forward it to the Chief, Retirement Operations Branch, 205 Magazine Building. If you prefer, you may make installment payments or arrange for bi-weekly payroll aliotments of $25.00 or multiples thereof. A receipt showing a statement of your account will be sent to you acknowledging each installment payment.FOR THE DIRECTOR OF PERSONNELRonald GageActing Chief, Retirement Affairs DivisionDistribution:0 - Addressee1 - D/Pers1 - OPF1 - ROB Soft File1 - ROB ReaderOP/RAD/ROB/WFMa an:jat/3257 (7 March 1972)
[104-10193-10079.pdf — page 19]
SECRET# REQUEST FOR PERSONNEL ACTION1 SERIAL NUMBER2 NAME (Last-First-Middle)DATE PREPARED18 NOVEMBER 1968057303GOODPASTURE, ANN L.3 NATURE OF PERSONNEL ACTION4 EFFECTIVE DATE REQUESTED5 CATEGORY OF EMPLOYMENTREASSIGNMENTMONTHDAYYEAR12 01 68REGULAR6 FUNDSV TO VV TO O7 FINANCIAL ANALYSIS NO CHARGEABLE8 LEGAL AUTHORITY (Completed by Office of Personnel)CF TO VXXXCF TO O9135 06239 ORGANIZATIONAL DESIGNATIONS10 LOCATION OF OFFICIAL STATIONDDP/WHDEVELOPMENT COMPLEMENTWASHINGTON, D.C.11 POSITION TITLE12 POSITION NUMBER13 CAREER SERVICE DESIGNATIONOPS OFFICER9997D14 CLASSIFICATION SCHEDULE (GS, L.B. etc.)15 OCCUPATIONAL SERIES16 GRADE AND STEP17 SALARY OR RATEGS0136.0113 6$ 1680918 REMARKSFROM: DDP/WH/FOREIGN FIELD/BRANCH 1/MEXICO CITY/POS.# 04181 - Finance18A SIGNATURE OF REQUESTING OFFICIALHenry L. BertholdC/WH/PersonnelDATE SIGNED18B SIGNATURE OF CAREER SERVICE APPROVING OFFICERDATE SIGNEDSPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL19 ACTION CODE20 EMPLOY CODE21 OFFICE CODINGNUMERICALPHABETIC22 STATION CODE23 INTEGREE CODE24 FODIES I/S25 DATE OF BIRTH26 DATE OF GRADE27 DATE OF LESMO.DA.YR.MO.DA.YR.MO.DA.YR.57 1851394LDH28 NTE EXPIRES29 SPECIAL REFERENCE30 RETIREMENT DATA31 SEPARATION DATA CODE32 CORRECTION CANCELLATION DATA33 SECURITY REQ NO.34 SEXMO.DA.YR.1-ESC2-ORGN3-FICA4-NONETYPENO.DA.YR.EOD DATA35. VET PREFERENCE36 SERV COMP DATE37 LONG COMP DATE38 CAREER CATEGORY39FEGLI HEALTH INSURANCE40 SOCIAL SECURITY NOCODEMO.DA.YR.MO.DA.YR.CAR RESVPROV, TEMPCODECODE41PREVIOUS CIVILIAN GOVERNMENT SERVICE42 LEAVE CAT43FEDERAL TAX DATA44STATE TAX DATACODECODENO. TAX EXEMPTIONSFORM EXECUTEDCODEFORM EXECUTEDCODENO TAX/STATE CODE1-YES2-NO1-YES2-NO45 POSITION CONTROL CERTIFICATION48 OP APPROVALDATE APPROVEDFORM 1152 USE PREVIOUS EDITIONSECRETGROUP 1EXCLUDED FROM AUTOMATIC DOWNGRADINGAND DECLASSIFICATION(4)
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SECRET*(Phon: Eilled In)*NAME OF EMPLOYEE (Last-First-Middle)Goodpasture, AnnNAME AND RELATIONSHIP OF DEPENDENTSelfCLAIM NUMBER69-0577There is on file in the Benefits and Counseling Branch, Benefits and Services Division, Office of Personnel, an Official Disability Claim File on the above named employee (or his dependent*) for an illness, injury, or death incurred on 11 September 1968This notice should be filed in the employee's Official Personnel Folder as a permanent cross-reference to the Official Disability Claim File.DATE OF NOTICE24 January 1969SIGNATURE OF BSD REPRESENTATIVENOTICE OF OFFICIAL DISABILITY CLAIM FILE1076 USE PREVIOUS EDITION.SECRET14-21-35