Assassination Records Review Board
Final Determination Notification
AGENCY :
RECORD NUMBER :
RECORD SERIES :
AGENCY FILE NUMBER :
HSCA
180-10068-10311
STAFF PAYROLL RECORDS
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: 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
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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
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
Date: 08/20/93
Page: 1
AGENCY: HSCA
RECORD NUMBER :
180-10068-10311
RECORDS SERIES :
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER :
ORIGINATOR : HSCA
FROM:
TO:
TITLE :
DOCUMENT INFORMATION
DATE: 06/17/77
PAGES : 3
SUBJECTS :
HSCA, ADMINISTRATION
BLAKEY, G. ROBERT
DOCUMENT TYPE: PRINTED FORM
CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS: P
DATE OF LAST REVIEW : 07/07/93
OPENING CRITERIA :
COMMENTS :
Box: 1.
1
[R]
-
ITEM IS RESTRICTED
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Docld:32243277 Page 2
PAYROLL AUTHORIZATION FORM
(Please Use Typewriter
(or Ballpoint Pen)
U.S. HOUSE OF REPRESENTATIVES
Washington, D.C. 205151
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.)
George Robert Blakey
Employee Social Security Number
243-48-4536
Employing Office or Committee
Select Committee on Assassinations
Effective Date
7/7/77
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
Chief Counsel and Director
#
(If Committee Employee, complete appropriate item below:)
Gross Annual Salary
$47,500.00
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
☐ certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of**
relatives.
June 24
Date
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. Tværetenska
6
Office of Finance use only:
Office Code
Monthly Annuity $.
.00
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APPROVED:
Chairman, Committee on Housė Administration
Copy for Initiating Office or Committee
1917
PAYROLL AUTHORIZATION FORMA
(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.)
George Robert Blakey
Employee Social Security Number
243-48-4536
Employing Office or Committee
Effective Date
6/17/77
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
Chief Counsel and Director
(If Committee Employee, complete appropriate item below.)
Standing Committee: Staff -☐ Clerical or ☐ Professional.
2. ☑ Special or Select Committee: Authority-H. Res. 465
Gross Annual Salary
$27,000.00
of 95th Congress.
3. ☐ Joint Committee.
(If Employee of an Officer of the House, complete item below.)
Position Number_.
If applicable, Level Step:
certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
relatives.
June 24
Date_
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: w
Office Code ___
Monthly Annuity $_
.00
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Docld:32243277 Page 4
APPROVED:
Chairman, Committee on House. Administration
Copy for Initiating Office or Committee
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
nephew
niece
brother-in-law
sister-in-law
mother
son
daughter
brother
sister
uncle
aunt
first cousin
husband
stepfather
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.
am not related to any current (95th Congress) Member of Congress.
I am related to a current (95th Congress) Member of Congress.
(Please specify.)
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Docld:32243277 Page 5
6-25-77
Signature of Employee
Date