[104-10225-10003.pdf — page 68]
# SECRETREQUEST FOR PERSONNEL ACTION| 1. Serial No. | 2. Name (Last-First-Masie)           | 3. Date Of Birth   | 4. Vet Fret  | 5. ১০x | 6. CS-EOD      || ------------- | ------------------------------------ | ------------------ | ------------ | ------ | -------------- || 525555        | PICCOLO DESre, s                     | 16.                |              |        |                || 7. SCD        | 8. CSC Retmt. cather Legal Authority | Mo. Da.. Yr.       | Nono-0 Code  | Mo. Da | Yr.            || Mo. Da. Yr.   | 9. cather Legal Authority            | 12 2754            | 5 Pt-1.      | 5 /    | 2/             ||               | 50 404 403                           | 10. Apmt. Affidav. | 11. FEGLI 18 | LCD    | 13.Crrain, LCD ||               |                                      | Mo. Da. Yr.        | Yes-1 Cate   | Mo. Da | Yr. Yes.1 Code ||               |                                      |                    | No-2         |        | 5/  No.2       |DePREVIOUS ASSIGNMENT14. Organizational DesignationsCS/CS DEV COMPDOP WH DIVISION| 16. Dept. Field | 17. Position Tide || --------------- | ----------------- || Dept -          |                   || Usild. - Fran - | MAIL AND FILE SUP || Code | 15. Location Of Official Station | Station Code || ---- | -------------------------------- | ------------ || 4688 | WASH., D.C.                      | 75013        || 18. Position No. | 19. Serv. | 20. Occup. Series || ---------------- | --------- | ----------------- || 011050           | GS        | 0305.05           || 21. Grade & Step | 22. Salary Or Rote | 23. 50 | 24. Date Of Grade | 25. PSI Due | 26. Appropriation Number || ---------------- | ------------------ | ------ | ----------------- | ----------- | ------------------------ || 06 1             | $ 4490             | DS     | Mo. Da. Yr.       | Mo. Dg. Yr. | 0320 1998                ||                  |                    |        | 30 120 159        | 30 120 150  |                          |ACTION| 27. Nature Of Action      | Code | 28. Eff. Date | 29. Type Of Employee | Codo | 30. Separation Data || ------------------------- | ---- | ------------- | -------------------- | ---- | ------------------- || REASSIGNMENT AND TRANSFER | 0/   | Ma Da. Yr.    | REGULAR              | 0/   |                     || TO VOUCHERED FUNDS        |      | 04/ 12/60     |                      |      |                     |3. PRESENT ASSIGNMENT| 31. Organizational Designations | Code | 32. Location Of Official Station | Station Code || ------------------------------- | ---- | -------------------------------- | ------------ || DIP WH                          | 4617 | WASH., D. C.                     |              || BRANCH 4                        |      |                                  |              || 33. Dept. Field | 34. Position Title | 35. Position No. | 36. Serv. | 37. Occup. Series || --------------- | ------------------ | ---------------- | --------- | ----------------- || Dept -          |                    | D-7              |           |                   || Usild-          | INTELL ASST        | BA-629           | GS        | 0301,28           || Fron 2          |                    |                  |           |                   || 38. Grade & Step | 39. Salary Or Rate | 40. SD | 41. Date Of Grade | 42. PSI Due | 43. Appropriation Number || ---------------- | ------------------ | ------ | ----------------- | ----------- | ------------------------ || 06 1             | 4490               | D      | Mo Da. Yr.        | Mo. Da. Yr. | 0235 1000 1000           ||                  |                    |        |                   |             | OLGORODOCOCO             |SOURCE OF REQUESTA. Requested By (Name And Tide) 22.P. C. BOWERS MH/PERSONNEL OFFICERB. For Additional Information Call (Name a Tolephone Ext.)PAT CASSELL K8242C. Request Approved By (Signaturo And Title)CLEARANCES| Clearanc          | Signature | Date | Clearance       | Signature | Date    || ----------------- | --------- | ---- | --------------- | --------- | ------- || A. Career Boord   |           |      | D. Placement    |           |         || B. Pos Control    |           |      | IF. Approved By |           | H-14-10 || C. Classification |           |      |                 |           |         |Remarks Staffing Complement ChangeRecorded byESPA2 copies to Security.4-12.60FORM NO. 11521 MAR 07