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# PAYROLL AUTHORIZATION FOPM(Please Use Typewriter or Ballpoint Pen) U S HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes on this form must be initialed by the authorizing official )Washington, D C 20515To the Clerk of the House of RepresentativesI hereby authorize the following payroll action| Employee Name (First-Middle-Last) | Effective Date   || --------------------------------- | ---------------- || Gerald P. Hamilton                | December 1, 1978 || Employee Social Security Number            | Type of Action                                                                                         || ------------------------------------------ | ------------------------------------------------------------------------------------------------------ || 251-88-1541                                | ☐ Appointment                                                                                          || Employing Office or Committee/Subcommittee | ☑ Salary Adjustment                                                                                    || Assassinations                             | ☐ Title Change                                                                                         ||                                            | ☐ Termination (At close of business on effective date)                                                 ||                                            | ☐ Leave without pay (Beginning with effective date above and ending close of business___ Specify Date) |(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below)| Position Title | Gross Annual Salary* || -------------- | -------------------- ||                | $45,900.00           |* If employee is a cıvıl service annuitant (includes U S House of Representatives), the gross annual salary shown snould include the annuity received by the employee plus the salary received from the employing office(If Committee Employee, complete appropriate item below)1 ☐ Standing Committee Staff☐ Clerical or ☐ Professional2 ☑ Special (Investigative staff of Standing Committee) or Select Committee Authority-H Res956_of 95tr Congress3 ☐ Joint Committee(If Employee of an Officer-of the House, complete item below)Position Number__________ If applicable, Level______ Step________I certify that this authorization is not in violation of 5 USC 3110(b), prohibiting the employment of relativesDate December 11, 1978(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)(Signature of Authorizing Official)LOUIS STOKES(Type or print name and title of above official)(Type or print name of Authorizing Official)Chairman(Title If Member District and State)All appointments and salary adjustments for employees under the House Classification Act and for Committee employees, except those of the Committee on Appropriations, the Committee on the Budget, and the joint Committees, must be approved by the Committee on House AdministrationAPPROVEDChairman, Committee on House Administration| Office of Finance use only                    | ID ________                            || --------------------------------------------- | -------------------------------------- || Office Code ___________                       | Benefits ________                      || Monthly Annuity $________ .00 as of _________ | Payroll________(Revised August 1 1977) |Copy for Initiating Office or CommitteeNW 88326 Docld:32239444 Page 4