Assassination Records Review Board
Final Determination Notification
AGENCY
: HSCA
RECORD NUMBER :
RECORD SERIES :
AGENCY FILE NUMBER :
180-10068-10363
STAFF PAYROLL RECORDS
December 8, 1995
Status of Document:
Postponed in Part
Number of releases of previously postponed information: 11
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
States or to any
individual.
Number of Postponements: 9
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:32243329 Page 1
Released under the John F. Kennedy Assassination Records Collection Act of 1992 (44 USC)
2107 Note). Case#:NW 88326 Date: 2025
Fact
2
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
Date: 08/20/93
Page: 1
AGENCY INFORMATION
AGENCY: HSCA
RECORD NUMBER :
180-10068-10363
RECORDS SERIES :
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
ORIGINATOR : HSCA
FROM:
ΤΟ :
TITLE :
DOCUMENT INFORMATION
DATE: 01/01/77
PAGES : 11
SUBJECTS :
HSCA, ADMINSTRATION
GRIMES, MARY SUSAN
DOCUMENT TYPE :
CLASSIFICATION
PRINTED FORM
:
U
RESTRICTIONS : 3
CURRENT STATUS: P
DATE OF LAST REVIEW : 07/07/93.
OPENING CRITERIA :
Box #:1.
COMMENTS :
'NW 88326
Docld:32243329 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) -
(Any erasures, corrections, or changes:
on this form must be initialed by the
authorizing official.)
Effective Date
12/31/78
Mary Susan Grimes
Employee Social Security Number
212-56-6718
☐ 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*
* 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. 56 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.
Date
January 2
1979
(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.
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 Initiating Office or Committee
NW 88326
Docid:32243329 Page 3
PAYROLL AUTHORIZATION EP
(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.).
Mary Susan Grimes
Employee Social Security Number
Effective Date
November 1, 1978
Type of Action
☐☐ Appointment
212-56-6718
☐ Salary Adjustment
Employing Office or Committee/Subcommittee
☐ Title Change
Assassinations
☐ 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.)
Researcher
Position Title
Gross Annual Salary*
$4,200.00
* 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. 56 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_
1978
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)*
(Type or print name and title of above official)
(Signature of Authorizing Official)
LOUIS STOICES
(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 $.
Docid:32243329 Page 4
00
as of
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
ID
Benefits
Payroll
(Revised: August 1 1977)
Certificate of Relationship/Nonrelationship to
Any Current Member of Congress
Date
To: Schet Committer on
(Employing Authority)
Mov 3
Assassinations
☑ I certify that I do not have any of the following relationships to any
current Member of Congress.
NW 88326
Docid:32243329 Page 5
father
mother
nephew
niece
son
husband
daughter
wife
brother
sister
uncle
aunt
first cousin
I certify that I am the
Honorable
father-in-law
mother-in-law
son-in-law
daughter-in-law
brother-in-law.
(Relationship)
sister-in-law
stepfather
stepmother
stepson
stepdaughter
stepbrother
stepsister
half-brother
half-sister
of the
(Name of Member to whom related)
Mary Suran Grimer
(Employee)
GPO
16-78695-3
BUCB US
P. 9/78
Employee's
Social Security No.
DISTRICT UNEMPLOYMENT COMPENSATION BOARD
LOW EARNINGS REPORT-To be completed by the employer and delivered
to the claimant at his request.
212-56-6718
1. During the CALENDAR WEEK beginning SUNDAY
SATURDAY
October 28
Name Mary Susan Grimes
October 22
this employee worked ☐ FULL TIME ✗PART TIME
(NOT your payroll week, if different),
and ending
2. His gross earnings payable before deductions, which include tips, cash value of meals, lodgings, and all other remunera-
tion for that week were $ 63.64
3. Original employment date _
Oct 18
Last day worked
October 25
Reason for separation employee works one day a week until end of December
Select Committee on Assassinations
4. Employer's Name
U. S House of Representatives
and
Address
Thomas Howarth October 25, 1978 Tom Howarth 2252980
(Signature of authorized oficial)
J-55701
(Date):
(Person who may be contacted)
XXXXXXXXXXXXXXXXX
and
(Phone No.)
XXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
OFFICE USE ONLY
☐ LER accepted as an Additional Claim (Earnings exceed eligibility amount.)
Date of Claim:
Office Representative
DUCB US
Rev. 9/78
Employee's
Social Security No.
DISTRICT UNEMPLOYMENT COMPENSATION BOARD
LOW EARNINGS REPORT-To be completed by the employer and delivered
to the claimant at his request.
212-56-6718
1. During the CALENDAR WEEK beginning SUNDAY
SATURDAY
October 21
this employee worked ☐ FULL TIME
☑ PART TIME
Name Mary Susan Grimes.
October 15
(NOT your payroll week, if different),
and ending
2. His gross earnings payable before deductions, which include tips, cash value of meals, lodgings, and all other remunera-
tion for that week were $_..
3. Original employment date
Reason for separation
4. Employer's Name.
and
63.64
Oct 18
Last day worked
Oct 18
employee works one day a week until end of DECEMBER
Select Committee on Assassinations
U.S. House of Representatives
Address 17. S. House
homas 
Howar
Th
Signature of authorized trialy
J-55701
and
October 18, 1978
(Date)
Tom Howarth
(Person who may be contacted)
225-2980
(Phone No.)
XXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXI
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
OFFICE USE ONLY
☐ LER accepted as an Additional Claim (Earnings exceed eligibility amount.),
Date of Claim
Office Representative
'NW 88326
Docld:32243329 Page 6
лал
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)
Mary Susan Grises
(Any erasures, corrections, or changes.
on this form must be initialed by the
authorizing official.)
Effective Date
9/15/78
Type of Action
Employee Social Security Number
☐ Appointment
212-56-6718.
Employing Office or Committee/Subcommittee
☐ Title Change
Assassinations
☐ Salary Adjustment.
☑ Termination (Af 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.
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_.
Jan
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 14
19.78
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
LOUIS STOKES,
(Signature of Authorizing Official)
CHAIRMAN
(Type or print name of Authorizing Official)
(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 ___
Benefits
Monthly Annuity $_
.00
as of
Payroll_
(Revised: August 1977).
Copy for Initiating Office or Committee
NW 88326
Docid:32243329 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)
(Any erasures, corrections, or changes.
on this form must be initialed by the
authorizing official.)
Effective Date:
Mary Susan Grimes
5/1/77
Employee Social Security Number
212 56 6718
Appointment.
Employing Office or Committee
☑Salary Adjustment
Type of Action
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
Gross Annual Salary
$21,000
(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 employee's 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. i takethage
Office of Finance use only:
Office Code
Monthly Annuity $_
.00
NW 88326
Docid:32243329 Page 8
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
Fo
5/11
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
Mary Susan Grimes
4/7/77
Employee Social Security Number
Type of Action
212 56 6718
Appointment
Employing Office or Committee
Salary Adjustment
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
Gross Annual Salary
$44,600
(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_
If applicable, Level__
of 95th
Congress..
Step _
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
Date_
April 29
77
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:32243329 Page 9
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.)
✓ Effective Date
Mary Susan Grimes
2-1-77
Employee Social Security Number
Type of Action
212-56-6718
Appointment
Employing Office or Committee
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)
1. ☐ Standing Committee: Staff-☐ Clerical or ☐ Professional.
Gross Annual Salary
$12,915.
11
2:
Special or Select Committee: Authority-H. Res..
of 95
Congress: »
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.) et pa ter
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
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-8
ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, musta
be approved by the Committee on House Administration.
Office of Finance use only:
Office Code
Monthly Annuity. $_
.00
NW 88326
Docid:32243329 Page 10
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee

PAYROLL AUTHORIZATION FORM
(Please Use Typewriter-
or Ballpoint Pen)
(
FORMU
AU.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
Mary Susan Grimes_
1/3/77
Employee Social Security Number
212 56 6718
Employing Office or Committee
Type of Action
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
Gross Annual Salary
$13,650.
(If Committee Employee, complete appropriate item below.):
Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. ☑ Special or Select Committee: Authority-H. Res..
11
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__
1977
(Signature of Authorizing Official)
Henry B. Gonzalez
(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:32243329 Page 11
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee y
PAYROLL AUTHORIZATION FORM
*(Please Use Typewriter ☐ U.S. HOUSE OF REPRESENTATIVES
or Ballpoint Pen)
Washington, D.C. 20515
To the Clerk of the House of Representatives:
I hereby authorize the following payroll action:
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official.)
L
Employee Name (First-Middle-Last)
Effective Date
Mary Susan Grimes
1/1/77
Employee Social Security Number
Type of Action
212.56 6718
Appointment
Employing Office or Committee
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
Researcher
(If Committee Employee, complete appropriate item below.)***
1. ☐ Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. ☑ Special or Select Committee: Authority-H. Res. 1540
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
Position Number_.
If applicable, Level_
Gross Annual Salary
$21,000'
of 4th Congress. ·
Step
I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of w
relatives.
Date
December 30
1976
(Signature of Authorizing Official)
Thomas . Downing, Chairman
(Type or print name of Authorizing Official)
Select Committee on Assassinations
(Title If Member, District and State)
All appointments and salary adjustments for employee's 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:32243329 Page 12
APPROVED:
Chairman, Committee on House Administration
Copy for Initiating Office or Committee
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
son
daughter
brother
nephew
niece
husband
wife
father-in-law
mother-in-law
brother-in-law
sister-in-law
stepfather
stepmother
stepbrother
stepsister
sister
uncle
aunt
first cousin
son-in-law
daughter-in-law
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
I am related by the following relationship
NW 88326
Mary Susan Grimu
Signature of Employee
Docid:32243329 Page 13
1/10/71
Date