[104-10222-10002.pdf — page 42]
# NOTIFICATION OF PERSONNEL ACTION054090 HRIST DAVID L82 140| Grade | Step | Salary-Rate | Last Eff Date | Grade | Step | New Salary Rate | Effective Date | Type Action || ----- | ---- | ----------- | ------------- | ----- | ---- | --------------- | -------------- | ----------- || GS 16 | 7    | $31.837     | 11/19/67      | GS 16 |      | $32.792         | 11/19/70       |             |I CERTIFY THAT THE WORK OF THE ABOVE NAMED EMPLOYEE IS OF ACCEPTABLE LEVEL OF COMPETENCE.SIGNATUREDATE 9/2/20NO EXCESS LWOPIN PAY STATUS AT END OF WAITING PERIODLWOP STATUS AT END OF WAITING PERIODCLERKS INITIALSQUOTED BYFORM 560e Use previous editionsPAY CHANGE NOTIFICATIONEEC: 21 OCT 70SECRET (When Filled in)## NOTIFICATION OF PERSONNEL ACTION1. SERIAL NUMBER: 0540902. NAME (LAST FIRST MIDDLE): HRIST DAVID L3. NATURE OF PERSONNEL ACTION: RESIGNATION 'S PARTICIPANT IN CIA RETIREMENT AND DISABILIT. SISTE4. EFFECTIVE DATE: 10 1 705. CATEGORY OF EMPLOYMENT: REGULAR6. FUNDS: V TO V, V TO CF, CF TO V, CF TO CF7. Financial Analysis No Chargeable: 1262 2200 (0000)8. CSC OR OTHER LEGAL AUTHORITY: 92-043 SECT. 1039. ORGANIZATIONAL DESIGNATIONS10. LOCATION OF OFFICIAL STATION11. POSITION TITLE12. POSITION NUMBER13. SERVICE DESIGNATION14. CLASSIFICATION SCHEDULE (GS 18 ex)15. OCCUPATIONAL SERIES: 1016. GRADE AND STEP17. SALARY OF RATE18. REMARKSSPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSOFINEL| 19 ACTION CODE | 20 Employ Code | 21 OFFICE COONG | 22 STATION DEGREE CODE | 23 TRANSFER CODE | 24 Hrs Code | 25 DATE OF BIRTH | 26 DATE OF GRAGE | 27 DATE OF GR || -------------- | -------------- | --------------- | ---------------------- | ---------------- | ----------- | ---------------- | ---------------- | ------------- ||                |                |                 |                        |                  |             |                  |                  |               || 28 NTE EXPIRES | 29 SPECIAL REFERENCE | 30 RETIREMENT DATA | 31 Separation Cancellation Code | 32 Correction Cancellation Data | 33 Security Req | 34 SEX || -------------- | -------------------- | ------------------ | ------------------------------- | ------------------------------- | --------------- | ------ ||                |                      |                    |                                 |                                 |                 |        |EOD DATA| 35 VET PREFERENCE         | 36 Serv Comp Date | 37 LONG COMP DATE | 38 CAREER CATEGORY | 39 FED HEALTH INSURANCE | 40 SOCIAL SECURITY NO || ------------------------- | ----------------- | ----------------- | ------------------ | ----------------------- | --------------------- || NONE: 0 NORIE 1 SPT 2 IGT |                   |                   |                    |                         |                       || 41 PREVIOUS CIVILIAN GOVERNMENT SERVICE                                                                                 | 42 LEAVE CAT Code | 43 FEDERAL TAX DATA | 44 STATE TAR DATA || ----------------------------------------------------------------------------------------------------------------------- | ----------------- | ------------------- | ----------------- || 0 NO PREVIOUS SERVICE 1. NO BREAK IN SERVICE 2 BREAK IN SERVICE (LESS THAN 3 YRS) 3. BREAK IN SERVICE (MORE THAN 3 YRS) |                   |                     |                   |SIGNATURE OR OTHER AUTHENTICATION![POSTED 10-21-70]FORM 1150 Mfg. 6-70Use Previous EditionSECRET