Assassination Records Review Board
Final Determination Notification
AGENCY :
HSCA
RECORD NUMBER :
180-10060-10484
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
December 8, 1995
Status of Document:
Postponed in Part
Number of releases of previously postponed information: 4
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: 2
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
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Released under the John F. Kennedy Assassination Records Collection Act of 1992
44 USC 2107 Note). Case#:NW 88326 Date: 2025
it'
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
Date: 08/20/93
Page: 1
AGENCY : HSCA
RECORD NUMBER :
180-10060-10484
RECORDS SERIES :
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
ORIGINATOR : HSCA
FROM:
TO :
TITLE :
DOCUMENT INFORMATION
DATE : 09/15/77
PAGES:
SUBJECTS :
HSCA, ADMINISTRATION
MILLER, DAWNE
4
DOCUMENT TYPE : PRINTED FORM
CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS: P
DATE OF LAST REVIEW : 06/04/93
OPENING CRITERIA :
COMMENTS :
Box 2.
[R]
-
ITEM IS RESTRICTED
NW 88326
Docld:32239492 Page 2
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter ①
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)
Dawne C. Miller
: (Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
Effective Date
October 1, 1978
Employee Social Security Number
214-42-6489
☐ Appointment
Employing Office or Committee/Subcommittee
☐ Title Change
Assassinations
Salary Adjustment
Type of Action
☐ 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*
$23,000.00
*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.
956
95th
_of.
__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.
October 10
Date__
78
19
(Signature of Authorizing Official)
LOUIS STORES
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
(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 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:32239492 Page 3
.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, DC. 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
9/15/77
Type of Action
Dawne C. Miller
Employee Social Security Number
214 42 6489
☐ Appointment
Employing Office or Committee
☐ 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
Administrative Assistant
(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.)
Gross Annual Salary
$21,500
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
September 19
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 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
Fo 9/22/
MEMORANDUM
TO: ALL STAFF
RE: Payroll Certification
The Regulations and Accounting Procedures for Allowances and
Expenses of Committees, Members and Employees of the U.S. House of
Representatives require that, among other things, the Committee's
monthly payroll certification include the relationship, if any, of
each employee to any current Member of Congress. This certification.
is signed monthly by our Chairman.
The following are the relationships to be included in the
certification:
father
mother
son
nephew
niece
brother-in-law
sister-in-law
stepfather
daughter
brother
sister
uncle
aunt
first cousin
husband
wife
stepmother
father-in-law
stepbrother
mother-in-law
stepsister
half-brother
half-sister
son-in-law
daughter-in-law
Please complete the appropriate portion below, sign and date
this form, which will then become a part of your permanent personnel
file. If this status changes, you must notify the Committee's Budget
Office immediately of the change.
&
I am not related to any current (95th Congress) Member of Congress.
☐ I am related to a current (95th Congress) Member of Congress.
(Please specify.)
Dawne C. Mulh
сала
Signature of Employee
NW 88326
Docld:32239492 Page 5
9-16-77
TO:
FROM:
DATE:
RE:
MEMORANDUM
Towarth
Thomas Howarth, Budget Officer
Charlie Mathews, Special Counsel
September 19, 1977
Mrs. Dawne C. Miller
d.e.m
Effective September 15, 1977, Mrs. Dawne C. Miller has
accepted the position of Administrative Assistant/Personal
Secretary to G. Robert Blakey, Chief Counsel and Director,
Select Committee on Assassinations. Mrs. Miller's starting
salary will be $21,500.00.
Your co-operation and assistance to her will be greatly
appreciated.
ICM: jl
NW 88326
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