Assassination Records Review Board
Final Determination Notification
AGENCY :
HSCA
RECORD NUMBER :
180-10068-10310
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
December 8, 1995
Status of Document:
Postponed in Part
Number of releases of previously postponed information: 15
Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
individual.
States or to any
Number of Postponements: 13
Postponements: All the postponements in this document represent Social Security numbers.
Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.
Substitute Language: SSN
Date of Next Review: 2017
Board Review Completed: 10/24/95
NW 88326
Docld:32243276 Page 1
Released under the John F.
Kennedy Assassination
Records Collection Act of
1992 (44 USC 2107 Note).
Case#:NW 88326 Date:
2025
LAZA
1°
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
Date: 08/20/93
Page: 1
AGENCY: HSCA
RECORD NUMBER : 180-10068-10310
RECORDS SERIES :
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
ORIGINATOR : HSCA
FROM:
TO :
TITLE:
DOCUMENT INFORMATION
DATE : 11/02/76
PAGES: 15
SUBJECTS :
HSCA, ADMINISTRATION
BLACKMEN, S. JONATHAN
DOCUMENT TYPE : PRINTED FORM
CLASSIFICATION:
U
RESTRICTIONS : 3
CURRENT STATUS:
P
DATE OF LAST REVIEW: 07/07/93
OPENING CRITERIA :
COMMENTS :
Box #:1.
'NW 88326
Docld:32243276 Page 2
-
[R] ITEM IS RESTRICTED
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C.*20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
Jonathan Blackmer
Employee Social Security Number
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
1/2/79
Type of Action
243-74-5787
Employing Office or Committee/Subcommittee
Assassinations
☐ Appointment
☐ Salary Adjustment
☐ 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*
* If employee is a civil service annuitant (includes U.S. 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.
956
95th
Congress.
2. ☑ Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res._
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 U.S.C. 3110(b), prohibiting the employment of
relatives.
Date January 2
70
19
(Signature of Authorizing Official)
LOUIS STOKES
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name of Authorizing Official)
CHAIRMAN
(Type or print name and title of above official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
NW 88326
Office Code..
Monthly Annuity $_.
Docld:32243276 Page 3
APPROVED:
Chairman, Committee on House Administration
ID
.00
as of
Benefits
Payroll
(Revised: August 1, 1977)
Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
(Any erasures, corrections, or changes.
on this form must be initialed by the
authorizing official.)
Effective Date
November 1, 1978
Type of Action
S. Johathan Blackmer
Employee Social Security Number
243-74-5787
☐ Appointment
Employing Office or Committee/Subcommittee
☐ Title Change
Assassinations
Salary Adjustment
☐ 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*
$27,100.00
* If employee is a civil service annuitant (includes U.S. 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. 256 of 5th 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 U.S.C. 3110(b), prohibiting the employment of
relatives.
November 8
Date_
78
19
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name and title of above official)
(Signature of Authorizing Official)
LOUIS STOKES
(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 em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code
Monthly Annuity $_.
NW 88326
Docld:32243276 Page 4
APPROVED:
Chairman, Committee on House Administration
ID
.00 as of
Benefits
Payroll
(Revised: August 1, 1977)
Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter.
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
S. Jonathan Blackmer
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
5/1/78
Type of Action
Salary Adjustment
Employee Social Security Number
☐ Appointment
243-74-5787
Employing Office or Committee/Subcommittee
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*
$25,700
* If employee is a civil service annuitant (includes U.S. 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. 956 of 95 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 U.S.C. 3110(b), prohibiting the employment of
relatives.
May
Date_
78
19.
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
༥,
(Signature of Authorizing Official)
LOUIS STOKES
(Type or print name of Authorizing Official)
CHAIRMAN
1
(Type or print name and title of above official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must.
be approved by the Committee on House Administration.
Office of Finance use only:
NW 88326
Office Code
Monthly Annuity $_.
Docld:32243276 Page 5
.00
as of
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
.ID
Benefits
Payroll __
(Revised: August 1, 1977)
PAYROLL AUTHORIZATION FORM
Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
S. Jonathan Blackmer
Employee Social Security Number
243-74-5787
Employing Office or Committee/Subcommittee
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
April 1, 1978
☐ Appointment
☐ Title Change
Type of Action
Assassinations
Salary Adjustment
☐ 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*
$13,700.00
* If employee is a civil service annuitant (includes U.S. 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. 956 of 95th Congress.
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below:) ***
Position Number __
If applicable, Level_
Step __
4
✓ certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
March 22
Date__
78
19
(Signature of Authorizing Official)
LOUIS STOKES
(Type or print name of Authorizing Official)
CHAIRMAN
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name and title of above official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
APPROVED:..
Chairman, Committee on House Administration
Office of Finance use only:
ID.
Office Code.
Monthly Annuity $
.00
as of
Benefits
Payroll
(Revised: August 1, 1977)
Copy for Committee on House Administration
NW 88326
Docld:32243276 Page 6
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen)=
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
S. Jonathan Blackmer
Employee Social Security Number
243-74-5787
Employing Office or Committee/Subcommittee
☐ (Any erasures, corrections, or changes:
on this form must be initialed by the
authorizing official.)
Effective Date
April 1, 1978
☐ Appointment
☐ Title Change
Type of Action
Assassinations.
Salary Adjustment
☐ 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*
$13,700.00
* If employee is a civil service annuitant (includes U.S. 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. 956 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 U.S.C. _ 3110(b), prohibiting the employment of
relatives.
March 22
Date_
78
19_
(Signature of Authorizing Official)
LOUIS STOKES
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(Type or print name of Authorizing Official)
CHAIRMAN
(Type or print name and title of above official)
(Title If Member; District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
NW 88326
APPROVED:
Chairman, Committee on House Administration
ID
Office Code
Benefits
Monthly Annuity $
.00
as of
Payroll
(Revised: August 1 1977)
Copy for Initiating Office or Committee
Docld:32243276 Page 7
PAYROLL AUTHORIZATION FORM.
(Please Use Typewriter:
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last).
S. Jonathan Blackmer
(Any erasures, corrections, or changes.
on this form must be initialed by the
authorizing official.)
Effective Date
11/7/77
Type of Action
Employee Social Security Number
243-74-5787
Employing Office or Committee
Assassinations
Appointment
☑ Salary Adjustment
☐ Termination (At close of business on effective date)
(If type of action is an Appointment or Salary Adjustment, complete the following information.)
Position Title
Staff Counsel
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff-☐ Clerical or ☐ Professional.
2. Special or Select Committee: Authority-H. Res. 465
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
Position Number_
Gross Annual Salary
$25,700
of 95th Congress.
If applicable, Level _ Step _
་
☐☐I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
Date_
November 7
19 77
(Signature of Authorizing Official)
Louis Stokes
(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 em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code..
Monthly Annuity $_.
.00
NW 88326
Docld:32243276 Page 8
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
To:
From:
Date:
Thomas Howarth, Budget Officer
G. Robert Blakey, Chief Counsel and Staff Director GRB
November 7, 1977
Re: Salary Adjustment
one year anniversary
11-777
Adjust the salaries of the following individuals as indicated
effective November 1, 1977
Employee
Present Salary
7.05% Increase
New Salary
Akers
$24,000
$1,700
$25,700
Blackmer
24,000
1,700
25,700
Gay
36,000
2,500
38,500
Hess
26,000
1,800.
27,800 -
McPherson
16,000
1,100
17,100
Orr, Patricia
17,500
1,200
18,700
NW 88326
Docld:32243276 Page 9
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter™:
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES.
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
8/1/77
Employee Social Security Number
Type of Action
S. Jonathan Blackmer
243-74-5787
Employing Office or Committee
Assassinations
Appointment
Salary Adjustment
Termination (At close of business on effective date)
(If type of action is an Appointment or Salary Adjustment, complete the following information.):
Position Title
Gross Annual Salary
24,000
Staff Counsel
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. ☑Special or Select Committee: Authority-H. Res...
465
95th
of
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 U.S.C. 3110(b), prohibiting the employment of
relatives.
August 2
Date_
7788
19
(Signature of Authorizing Official)
LOUIS STOKES
(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 em
ployees, except those of the Committee on Appropriations, the Committee on the Budget; and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code.
Monthly Annuity $.
.00
NW 88326
Docld:32243276 Page 10
APPROVED:
Chairman, Committee on House Administration.
Copy for Initiating Office or Committee

PAYROLL AUTHORIZATION FORM-
(Please Use: Typewriter:
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last).
S. Jonathan Blackmer
* (Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
5/1/77
Employee Social Security Number
243 74 5787
Type of Action
Employing Office or Committee
Assassinations
Appointment
Salary Adjustment
Termination (At close of business on effective date)
(If type of action is an Appointment or Salary Adjustment, complete the following information.)
Position Title
Gross Annual Salary
$18,000
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff-☐ Clerical or ☐ Professional.
2. Special 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 U.S.C. 3110(b), prohibiting the employment of
relatives.
Date
May 10 1977
(Signature of Authorizing Official)
Louis Stokes
(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 em
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administrationes pa
Office of Finance use only:
Office Code
Monthly Annuity $_
.00,
NW 88326
Docid:32243276 Page 11
APPROVED:
Chairman, Committee on House Administration.
Copy for Initiating Office or Committee
5/11
Fo
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
(Any erasures, corrections, or changes.
on this form must be initialed by the
authorizing official.)
Effective Date
S. Jonathan Blackmer
4/7/77
Employee Social Security Number
Type of Action
243 74 5787
Employing Office or Committee
Appointment
☐ Salary Adjustment.
Termination (At close of business on effective date)
Assassinations
(If type of action is an Appointment or Salary Adjustment, complete the following information.)
Position Title
. (If Committee: Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff-☐ Clerical or ☐ Professional.
2. ☑Special 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_
Gross Annual Salary
$38,200
I certify that this authorization is not in violation of 5 U.S.C. 31.10(b), prohibiting the employment of
relatives.
Date_
April 29, 19_77_2
(Signature of Authorizing Official)
Louis Stokes
(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 em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code___
Monthly Annuity $
.00
NW 88326
Docld:32243276 Page 12
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last) ·
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
S. Jonathan Blackmer
Employee Social Security Number
243-74-5787
Employing Office or Committee
Effective Date
2-1-77
Type of Action
Appointment
Salary Adjustment
Select Committee on Assassinations
Termination (At close of business on effective date)
(If type of action is an Appointment or Salary Adjustment, complete the following information.)
Position Title
(If Committee Employee, complete appropriate item below.)
Gross Annual Salary
$11,070.
1.
Standing Committee: Staff -☐ Clerical or ☐ Professional.
X
11
95
2. ☐ Special or Select Committee: Authority-H. Res...
_of
Congress.
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.).
Position Number.
If applicable, Level Step __
l certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of..
relatives.
Date_
2-28-77
19.
(Signature of Authorizing Official)
Henry B. Gonzalez
Chairman
(Type or print name of Authorizing Official)
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code:
Monthly Annuity $.
.00
NW 88326
Docid:32243276 Page 13
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM.
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
S. Jonathan Blackmer
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
3/3/77.
Type of Action
Employee Social Security Number
24374-5707'
Employing Office or Committee
Appointment
☐ Salary Adjustment
Termination (At close of business on effective date)
Select Committee on Assassinations
(If type of action is an Appointment or Salary Adjustment, complete the following information.)
Position Title
(If Committee Employee, complete appropriate item below.)
Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. ☐ Special or Select Committee: Authority-H. Res. ___!!
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
Position Number_
If applicable, Level.
Gross Annual Salary
$11,700.
of Congress.
Step__
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
Date_
77
19_
(Signature of Authorizing Official)
Henry B. Conzalez
(Type or print name of Authorizing Official)
Chaiman
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-...
*ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code.
Monthly Annuity $__.
.00
NW 88326
Docld:32243276 Page 14
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
S. Jonathan Blackmor
Employee Social Security Number
293/74 3707
Employing Office or Committee
Effective Date
11/77
Type of Action
Appointment
☑ Salary Adjustment
Termination (At close of business on effective date)
Select Committee on Assassinations
(If type
action is an Appointment or Salary Adjustment, complete the following information.)
Staff Counsel
Position Title
(If Committee Employee, complete appropriate item below.)
1.
Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. ☑ Special or Select Committee: Authority-H. Res. 9
of Congress.
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.).
Position Number_.
If applicable, Level _.
Step_
Gross Annual Salary
لكل بدات
1. certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
Date 2
December 20
76
19.
(Signature of Authorizing Official)
Thones N. Joming, Caniran
(Type or print name of Authorizing Official)
Select Committee on Assassinations
(Title If Member, District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
· Office Code___
Monthly Annuity $.
.00
NW 88326
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APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 20515
or Ballpoint Pen)
To the Clerk of the House of Representatives:
on this form must be initialed by the
authorizing official.)
I hereby authorize the following payroll action:
Employee Name (First-Middle-Last)
Sidney Jonathan Cole Blackmer
Employee Social Security Number
243-74-5787
Employing Office or Committee
Select Committee on Assassinations
6689
Effective Date
November 2, 1976
Type of Action
☑ Appointment
Salary Adjustment
Termination (At close of business on effective date)
(If type of action is an Appointment or Salary Adjustment, complete the following information.)
Position Title
Staff counsel
(If Committee Employee, complete appropriate item below.)
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional..
2. ☑ Special or Select Committee: Authority-H. Res. 1540 of 94th Congress.
Gross Annual Salary
$15,000.
11-5 76 AN 9:47
H OF R. FINANCE OFFICE
3.
Joint Committee.
(If Employee of an Officer of the House, complete item below.)
Position Number.
If applicable, Level_
Step_
11-5 76 AM 9:31
H o R. FINANCE OFFICE
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
Date_
November 2
1976
(Signature of Authorizing Official)
Thomas N. Downing
(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 em-
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
be approved by the Committee on House Administration.
Office of Finance use only:
APPROVED:
A Chairman, Committed on' House Adréimistration
Office Code.
Monthly Annuity $_
.00
ORIGINAL-To Finance Office (For oticial personnel folder).
ID made
HB
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C
MEMORANDUM
TO:
All Staff Employees
FROM:
Budget Officer
DATE:
January 3, 1977
RE:
Payroll Certification
Starting with the January, 1977 payroll, the certification
to the House Finance Office requires, among other things, the
relationship, if any, of each staff employee to any current
Member of Congress (those taking office January 3, 1977).
The following are the relationships to be included in
the certification:
father
mother
nephew
niece
brother-in-law
sister-in-law
son
daughter
brother
sister
uncle
aunt
first cousin
husband
wife
father-in-law
mother-in-law
son-in-law
daughter-in-law
stepfather
stepmother
stepbrother
stepsister
half-brother
half-sister
All staff employees are requested to complete this
form and return it to the Budget officer.
Approved
Richard A. Sprague
I am not related
any current Nemban of Congress by consanguinity on
law!
I am related by the following relationship
NW 88326
Signature of Employee
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1/10/77