[104-10225-10003.pdf — page 128]
SECRET(When Filled In)NOTIFICATION OF PERSONNEL ACTION1 SERIAL NUMBER 7 NAME (LAST FIRST MIDDLE)23430 #MICHAEL J. STEPHENS3. NATURE OF PERSONNEL ACTIONDELLATION OF AUTHORITY6. FUNDS V TO V V TO CFC TO V A CF TO CF9 ORGANIZATIONAL DESIGNATIONDUP/DD DIVISION4 EFFECTIVE DATE 5 CATEGORY OF EMPLOYMENTMO DA YR06 01 717 Financial Analysis CSC OR OTHER LEGAL AUTHORITY1192 081 00210 LOCATION OF OFFICIAL STATIONRIO DE JANEIRO, BRAZIL11 POSITION TITLEOPS OFFICER12 POSITION NUMBER180313 SERVICE DESIGNATIONN/A14, CLASSIFICATION SCHEDULE (GS, (8, etc.)GS 515 OCCUPATIONAL SERIES0130-0116 GRADE AND STEP717. SALARY OF RATE18 REMARKSSPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL| 19 ACTION | 20 Employ | 21 OFFICE CODING   | 22 STATION | 23 INTEGREE | 24 Hdqtrs | 25 DATE OF RANK | 26 DATE OF GRADE | 27 DATE OF LEI || --------- | --------- | ------------------ | ---------- | ----------- | --------- | --------------- | ---------------- | -------------- || CODE      | Code      |                    | CODE       | CODE        | Code      | MO DA YR        | MO DA YR         | MO DA YR       ||           |           | NUMERIC ALPHABETIC |            |             |           |                 |                  |                || 28 NTE EXPIRES | 29 SPECIAL | 30 RETIREMENT DATA | 31 SEPARATION | 32 Correction/Compensation Data | 33 SECURITY | 34. SEX   |      |                  |         |     || -------------- | ---------- | ------------------ | ------------- | ------------------------------- | ----------- | --------- | ---- | ---------------- | ------- | --- || MO DA YR       | REFERENCES | CODE               | DATA CODE     | TYPE                            | MO DA YR    | DATA CODE | TYPE | NS1 NS2 EOD DATA | R12 R67 | M F ||                | 1 TK       |                    |               |                                 |             |           |      |                  |         |     ||                | 2 FA       |                    |               |                                 |             |           |      |                  |         |     ||                | 3 FICA     |                    |               |                                 |             |           |      |                  |         |     ||                | 4 NONE     |                    |               |                                 |             |           |      |                  |         |     || 35 VET PREFERENCE | 36 SERV COMP DATE | 37 LONG COMP DATE | 38 CAREER CATEGORY | 39 FED HEALTH INSURANCE | 40 SOCIAL SECURITY NO |     || ----------------- | ----------------- | ----------------- | ------------------ | ----------------------- | --------------------- | --- || CODE              |                   |                   |                    | CODE                    | HEALTH INS CODE       |     || 0 NONE            |                   |                   |                    | 1 COVERED               |                       |     || 1 VET PT          |                   |                   | CAREER             | 2 WAIVED                |                       |     || 2-5 PT            | MO DA YR          | MO DA YR          | CATEGORY           |                         |                       |     || 3-10 PT           |                   |                   | CAB RESV           |                         |                       |     ||                   |                   |                   | PROV TEMP          |                         |                       |     || 41 PREVIOUS CIVILIAN GOVERNMENT SERVICE | 42 LEAVE CAT | 43 FEDERAL TAX DATA | 44 STATE TAX DATA      |               |                               || --------------------------------------- | ------------ | ------------------- | ---------------------- | ------------- | ----------------------------- || CODE                                    | CODE         | FORM EXECUTED       | CODE NO TAX EXEMPTIONS | FORM EXECUTED | CODE NO TAX STATE CODE EXEMPT || 0 NO PREVIOUS SERVICE                   | 1 YES        |                     | 1 YES                  |               |                               || 1 NO BREAK IN SERVICE                   | 2 NO         |                     | 2 NO                   |               |                               || 2 BREAK IN SERVICE (LESS THAN 1 YR)     |              |                     |                        |               |                               || 3 BREAK IN SERVICE (MORE THAN 1 YR)     |              |                     |                        |               |                               |SIGNATURE OR OTHER AUTHENTICATIONPOSTED11 DEC 72...![illegible signature]![illegible information]