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# SECRETREQUEST FOR PERSONNEL ACTION**DATE PREPARED**9 APRIL 19691 SERIAL NUMBER0361302 NAME (Last-First-Middle)FLORES, DANIEL3 NATURE OF PERSONNEL ACTIONINTEGRATION - DEPARTMENT OF STATE6 EFFECTIVE DATE REQUESTED4 FUNDSV TO VCF TO VXCF TO CPMONTH DAY YEAR04 10 697 FINANCIAL ANALYSIS NOCHARGEABLE9135 0884S CATEGORY OF EMPLOYMENTREGULAR8 LEGAL AUTHORITY (Completed by Office of Personnel)9 ORGANIZATIONAL DESIGPNATIONSDDP/WHFOREIGN FIELDBRANCH 3QUITO, ECUADOR STATIONGuayaquil, Ecuador Base10 LOCATION OF OFFICIAL STATIONGUAYAQUIL, ECUADOR11 POSITION TITLEPOL OFFICEROPS OFFICER12 POSITION NUMBER(09) 037613 CAREER SERVICE DESIGNATION14 CLASSIFICATION SCHEDULE (6.5. L.B. en.)15 OCCUPATIONAL SERIES16 GRADE AND STEPD17 SALARY OR RATEFSRGS0136.0107 19 2$ 8153$ 874418 REMARKSSICK AND HOURS ANNUAL LEAVE TO BE TRANSFERRED TO THEDEPARTMENT OF STATEMARITAL STATUS: MARRIED18A SIGNATURE OF REQUESTING OFFICIALDATE SIGNED18B SIGNATURE OF CAREER SERVICE APPROVING OFFICERDATE SIGNEDJ. CARSON COVER OFFICER, X5013.SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL| 19 ACTION CODE | 20 EMPLOY CODE | 21 OFFICE CODING | 22 STATION CODE | 23 INTEGREE CODE | 24 MOOTS CODE | 25 DATE OF BIRTH | 26 DATE OF GRADE | 27 DATE OF LES || :------------: | :------------: | :--------------: | :-------------: | :--------------: | :-----------: | :--------------: | :--------------: | :------------: ||     55/10      |     517DD      |       10H        |     1953-9      |        3         |    6SK435     |       1/1        |                  |                || 28 RET. EXPIRES | 29 SPECIAL | 30 RETIREMENT DATA | 31 SEPARATION CODE | 32 CORRECTION CABELLATION DATA | 33 SECURITY | 34 SEX || :-------------: | :--------: | :----------------: | :----------------: | :----------------------------: | :---------: | :----: || 35 VET. PREFERENCE | 36 SERV. COMP DATE | 37 LONG. COMP DATE | 38 CAREER CATEGORY CODE | 39 FEGLI HEALTH INSURANCE | 40 SOCIAL SECURITY NO || :----------------: | :----------------: | :----------------: | :---------------------: | :-----------------------: | :-------------------: ||       1-WHS        |                    |                    |                         |                           |                       || 41 PREVIOUS CIVILIAN GOVERNMENT SERVICE | 42 LEAVE CAT. CODE | 43 FEDERAL TAX DATA | 44 STATE TAX DATA  |                    |      |                        || :-------------------------------------: | :----------------: | :-----------------: | :----------------: | ------------------ | ---- | ---------------------- ||         0 - NO PREVIOUS VIIPKI          |                    |                     |                    |                    |      |                        ||             PREVIOUS VIPKI              |        CODE        | FORM EXECUTED CODE  | NO. TAR EXEMPTIONS | FORM EXECUTED CODE | CODE | NO TAR STATE EXMPTIONS ||          1 - GS REHAR OR WAPKI          |                    |                     |                    |                    |      |                        ||  2 - SAME AS WAPKI (LESS FEED & WAPKI)  |                    |                     |                    |                    |      |                        || 3 - SEPAR AS WAPKI (LESS FEED & WAPKI)  |       1-PES        |        1-80         |       1-PES        | 1-80               |      |                        |45 POSITION CONTROL CERTIFICATION46 OP APPROVALDATE APPROVED![signature]SECRET