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Assassination Records Review Board
Final Determination Notification
AGENCY
RECORD NUMBER
RECORD SERIES
HSCA
180-10068-10298
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER
December 8, 1995
Status of Document:
Postponed in Part
Number of releases of previously postponed information: 3
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: 1
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
Board Review Completed: 10/24/95
NW 88326 Docid:32243264 Page 1
Released under the John F. Kennedy Assassination Records Collection Act of 1992 (44 USC
2107 Notel. Case#: NW 88326 Date: 2025
D
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
Date: 08/20/93
Page: 1
AGENCY : HSCA
RECORD NUMBER :
180-10068-10298
RECORDS SERIES :
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
ORIGINATOR: HSCA
FROM:
ΤΟ :
TITLE :
DATE: 05/25/78
PAGES: 3
SUBJECTS :
HSCA, ADMINISTRATION
ADRINE, RONALD
DOCUMENT INFORMATION
DOCUMENT TYPE :
CLASSIFICATION
PRINTED FORM
: U
RESTRICTIONS : 3
CURRENT STATUS:
P
DATE OF LAST REVIEW: 07/07/93
OPENING CRITERIA :
COMMENTS :
Box #:1.
NW 88326 Docid:32243264 Page 2
[R]
-
ITEM IS RESTRICTED
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter ☐
or Ballpoint Pen)
US 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)
Ronald Adrine
Employee Social Security Number
(Any erasures, corrections, or changes
on this form must be initialed by the
authorizing official )
Effective Date
6/5/78
Type of Action
302-46-7079
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*
Staff Counsel
$27,000.00
* If employee is a civil 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 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 USC 3110(b), prohibiting the employment of
relatives
June 5
Date
78
19°
(Signature of Authorizing Official)
LOUIS STOKES, CHAIRMAN
(Type or print name of Authorizing Official)
(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
Office of Finance use only
Office Code
Monthly Annuity $_
00
as of
APPROVED
Chairman Committee on House Administration
Copy for Initiating Office or Committee
NW 88326 Docld:32243264 Page 3
ID
Benefits
Payroll __
(Revised August 1 1977)
Г
MEMORANDUM
TO:
FROM:
DATE:
Thomas Howarth, Budget Officer
Elizabeth Berning, Chief Clerk
I. Charles Mathews, Special Counsel
June 2, 1978
RE: Mr. Ronald Adrine
Please be advised that effective Monday, June 5,
1978, Mr. Ronald Adrine has accepted the position of
Staff Counsel with the Select Committee. His effective
starting salary will be $27,000.00 per annum.
If you have any questions concerning this matter,
(It has not been
please contact me at your convenience.
determined which task force Mr. Adrine will be assigned to)
ICM:]
NW 88326 Docid:32243264 Page 4
To:
Certificate of Relationship/Nonrelationship to
Any Current Member of Congress
Date
May 25, 1978
Assassinations Comm.
(Employing Authority)
☑ I certify that I do not have any of the following relationships to any
current Member of Congress.
father
mother
nephew
niece
son
husband
daughter
wife
brother
Sister
uncle
aunt
first cousin
I certify that I am the
father-in-law
mother-in-law
son-in-law
daughter-in-law
brother-in-law
sister-in-law
stepfather
stepmother
stepson
stepdaughter
stepbrother
stepsister
half-brother
half-sister
of the
Honorable
NW 88326 Docld:32243264 Page 5
(Relationship)
(Name of Member to whom related)
Ronald B Adrine
(Employee)
GPO
16-78695-3
1