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# SECRETREQUEST FOR PERSONNEL ACTIONDATE PREPARED21 MAY 19691. SERIAL NUMBER   0078942. NAME (Last-First-Middle)   SMITH, JOSEPH B.3. NATURE OF PERSONNEL ACTION   INTEGRATION - DEPARTMENT OF STATE4. EFFECTIVE DATE REQUESTEDMONTH DAY YEAR05 21 695. CATEGORY OF EMPLOYMENT   REGULAR6. FUNDS   V TO VV TO CF7. FINANCIAL ANALYSIS NO CHARGEABLE   9135 09908. LEGAL AUTHORITY (Completed by Office of Personnel)X CF TO CF9. ORGANIZATIONAL DESIGNATIONS   DDP/WH   FOREIGN FIELD   BRANCH 1   MEXICO CITY, MEXICO STATION10. LOCATION OF OFFICIAL STATION    MEXICO CITY, MEXICO11. POSITION TITLE    POL. OFF., ATTACHE(14)12. POSITION NUMBER    034013. CAREER SERVICE DESIGNATION    D14. CLASSIFICATION SCHEDULE (GS, LB, etc.)    FSR    GS15. OCCUPATIONAL SERIES    0136.0116. GRADE AND STEP    04-7    14 617. SALARY OR RATE    17,289    $ 19,77118. REMARKS    All SICK AND All HOURS ANNUAL LEAVE TO BE TRANSFERRED TO THE DEPARTMENT OF STATEMARITAL STATUS: MARRIEDDAU DOB: 19/12/52SON DOB: 20/09/6018A. SIGNATURE OF REQUESTING OFFICIALX-5013J. CARSON, COVER OFFICERDATE SIGNED18B. SIGNATURE OF CAREER SERVICE APPROVING OFFICERDATE SIGNEDSPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL| 19. ACTION                               | 20. TRY (MO)          | 21. OFFICE CODES (CODE) | 22. STATION (CODE)  | 23. INTELL/CTRL (CODE)    | 24. MOS/YR             | 25. DATE OF BIRTH   | 26. DATE OF GRADE | 27. DATE OF LEAVE | 28. HM DIMS |     |     || ---------------------------------------- | --------------------- | ----------------------- | ------------------- | ------------------------- | ---------------------- | ------------------- | ----------------- | ----------------- | ----------- | --- | --- || NUMERIC                                  | NUMERIC               | NUMERIC                 | NUMERIC             | NUMERIC                   | NUMERIC                | NUMERIC             | NUMERIC           | NUMERIC           | NUMERIC     |     |     || 55                                       | 10                    | 5620                    | LUA                 | 45075                     | S                      | 3                   | 0616              | R                 |             |     |     || 29. RET EXPIRES                          | 30. SPECIAL REFERENCE | 31. SEPARATION          | 32. TRY (MO)        | 33. INT/CTRL              | 34. EOD DATA           | 35. SECURITY NUMBER | 36. FEG           |                   |             |     |     ||                                          | REFERENCE             | DATE                    | STATION DATA        | DATE DATA                 |                        |                     |                   |                   |             |     |     || MO.                                      | DA.                   | YR.                     | CODE                | MO.                       | DA.                    | YR.                 | TYPE              | CODE              |             |     |     ||                                          |                       |                         |                     |                           |                        |                     |                   |                   |             |     |     || 37. VET. PREFERENCE                      | 38. LEAVE COMP. DATE  | 37. LEAVE COMP. DATE    | 39. CAREER CATEGORY | 40. FED. HEALTH INSURANCE | 40. SOCIAL SECURITY NO | 41. FEGLI           |                   |                   |             |     |     || CODE                                     | NO. DA. YR.           | NO. DA. YR.             | CODE                | HEALTH INS CODE           | CONT                   | HEALTH INS CODE     |                   |                   |             |     |     || 1-NS                                     |                       |                         |                     |                           |                        |                     |                   |                   |             |     |     || 1-10 PT                                  |                       |                         |                     |                           |                        |                     |                   |                   |             |     |     || 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             | STATE TAX CODE         |                     |                   |                   |             |     |     || 0 - NO PREVIOUS SERVICE                  |                       | 1-W4                    |                     | 1-W4                      |                        |                     |                   |                   |             |     |     || 1 - UNDER 90 DAYS                        |                       | 2-175                   |                     | 2-175                     |                        |                     |                   |                   |             |     |     || 2 - 90 DAYS OR MORE (LESS THAN 1 YEAR)   |                       |                         |                     |                           |                        |                     |                   |                   |             |     |     || 3 - 1 YEAR OR MORE (LESS THAN 3 YEARS)   |                       |                         |                     |                           |                        |                     |                   |                   |             |     |     || 4 - 3 YEARS OR MORE (OVER 3 YEARS)       |                       |                         |                     |                           |                        |                     |                   |                   |             |     |     |45. POSITION CONTROL CERTIFICATION44. OP APPROVALDATE APPROVED052269NSN 7540-LF-079-1152 USE PREVIOUS EDITIONSECRET