[180-10060-10445.pdf — page 2]
# PAYROLL AUTHORIZATION FORM(Please Use Typewriter or Ballpoint Pen)U.S. HOUSE OF REPRESENTATIVESWashington, D.C 20515To the Clerk of the House of Representatives:I hereby authorize the following payroll action:| Employee Name (First-Middle-Last)          | Effective Date                                                                                              || ------------------------------------------ | ----------------------------------------------------------------------------------------------------------- || Thomas Howarth                             | December 1, 1977                                                                                            || Employee Social Security Number            | Type of Action                                                                                              || 015-18-1386                                | 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* || -------------- | -------------------- || Budget Officer | $41,200              |* If employee is a cıvıl service annuitant (includes US House of Representatives), the gross annual salary shown should 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 Professional.2. Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 465 of 95th Congress.3. 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 relatives.Date December 1 19 77Louis StokesChairman(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)(Signature of Authorizing Official)(Type or print name and title of above official)(Type or print name of Authorizing Official)(TitleIf 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 AdministrationAPPROVED:Chairman, Committee on House AdministrationOffice of Finance use only:Office CodeIDBenefitsMonthly Annuity $________.00 as of___________Payroll(Revised August 1, 1977)Copy for Initiating Office or CommitteeNW 88326 Docld:32239453 Page 3