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# REQUEST FOR PERSONNEL ACTION1 SERIAL NUMBER0038202 NAME (Last-First-Middle)MOORE J. NALTON3 NATURE OF PERSONNEL ACTION:RETIREMENT - OPTIONAL - CSCAND CANCELLATION OF NSCA6 FUNDSCF TO V8 ORGANIZATIONAL DESIGNATIONSDIO/DCDU.S.FIELDDALLAS OFFICEHEADQUARTERS11 POSITION TITLEIO CONTACT CH14 CLASSIFICATION SCHEDULE (GS. LB. ek.)GS16 REMARKSLWD: 30 December 1977DATE PREPARED14 December 19775 CATEGORY OF EMPLOYMENTREGULARTEXAS12 POSITION NUMBERDA4215 OCCUPATIONAL SERIES0132.2116 GRADE AND STEP15 713 CAREER SERVICE DESIGNATIONDYD17 SALARY OF RATE$43,407Co-ordinated with Joe Falatko, RUS, 21 December 1977.18A SIGNATURE OF REQUESTING OFFICIALDATE SIGNEDCharlotte M. Tully, C/DCD/ADMIN 14 Dec18B SIGNATURE OF CAREER SERVICE APPROVING OFFICERDATE SIGNEDG. 12/16/77SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL| 19 ACTION CODE | 20 EMPLOY | 21 OFFICE CODING | 22 STATION CODE | 25 DATE OF BIRTH | 26 DATE OF GRADE | 27 DATE OF LEI |     |     |     |     |     |     || -------------- | --------- | ---------------- | --------------- | ---------------- | ---------------- | -------------- | --- | --- | --- | --- | --- | --- || 54             | 10        | NUMERIC          | ALPHABETIC      | MO               | DA               | YR             | MO  | DA  | YR  | MO  | DA  | YR  ||                |           |                  |                 | 10               | 15               | 57             |     |     |     |     |     |     || 28 ITE EXPIRES    | 29 SPECIAL REFERENCE | 30 RETIREMENT DATA | 31 SEPARATION DATA | 32 CORRECTION CANCELLATION DATA | 33 SECURITY | 34 SEX             |                           |                           |                       |      || ----------------- | -------------------- | ------------------ | ------------------ | ------------------------------- | ----------- | ------------------ | ------------------------- | ------------------------- | --------------------- | ---- || MO                | DA                   | YR                 | v                  | CODE                            | CODE        | O.SS.00.0          | TYPE                      | REG. NO. 20               |                       |      ||                   |                      |                    |                    | 1-8                             | 1-OTGR      |                    |                           | EOD DATA                  |                       |      ||                   |                      |                    |                    | 2-0168                          | 2-FILA      | 36 SERV(COMP) DATE | 37 LONG (COMP) DATE       | 38 FEGLI HEALTH INSURANCE | 40 SOCIAL SECURITY NO |      || 35 VET PREFERENCE | 36 SERV(COMP) DATE   |                    |                    | 37 LONG (COMP) DATE             |             |                    | 38 FEGLI HEALTH INSURANCE | 40 SOCIAL SECURITY NO     |                       |      || ---               | ---                  | ---                | ---                | ---                             | ---         | ---                |                           |                           |                       |      || CODE              | v                    | MO                 | DA                 | YR                              | v           | MO                 | DA                        | YR                        | CODE                  | CODE ||                   |                      |                    |                    |                                 |             |                    |                           | 1- WAIVE                  | HEALTH INS CODE       |      ||                   |                      |                    |                    |                                 |             |                    |                           | S-RES/OPT                 |                       |      || 41. PREVIOUS CIVILIAN GOVERNMENT SERVICE | 42 LEAVE CAT | 43 FEDERAL TAX DATA | 44 STATE TAX DATA |                    |                        |     |     || ---------------------------------------- | ------------ | ------------------- | ----------------- | ------------------ | ---------------------- | --- | --- || CODE                                     | CODE         | FORM RECEIVED CODE  | NO TAX EXEMPTIONS | FORM EXECUTED CODE | CODE NO TAX STATE CODE |     |     || O-NO PREVIOUS SERVICE                    | 1-R5         | 1-65                | 1-111             |                    |                        |     |     || 1-BREAK IN SERVICE                       | 2-RO         | 2-80                | 2-80              |                    |                        |     |     || 2-BREAK IN SERVICE (LESS THAN 3 YEARS)   |              |                     |                   |                    |                        |     |     || 3-BREAK IN SERVICE (MORE THAN 3 YEARS)   |              |                     |                   |                    |                        |     |     |45 POSITION CONTROL CERTIFICATION04 JAN 1978APPROVALDATE APPROVEDE 2. IMPDET CL. BY. 00762212.21.779-721152 USE PREVIOUS EDITIONSECRET