a nd CVO PTO OATE PREPARED one 2 eosin te 5 15 September 1964 SERTAL NUMBER 2. NAME (Last-Firat-Middle) 025798 ~. |. WILCOTT, James Bernard, Jr. NATURE OF PERSONNEL ACTION to 2 3. Reassignment & Transfer to Vouchered Funds a Ee ee ee Pale fo [ewe ORGANIZATIONAL DESIGNATIONS DDS OFFICE OF FINANCE: 7° Compensation and Tax Accounts Branch ~ Contract Agenta Accounts Section it. POSITION TITLE _ , pe &< LEGAL AUTHORITY. (Completed by © Office of Personnel) ; t t i iy i t i 6 f $ 7. COST CENTER NO. CHARGE. ABLE ~ Re 5277-0003 __. 12. POSITION NUMBER 14. CLASSIFICATION SCHEDULE (G5, -LB, etc.) | 15. OCCUPATIONAL SERIES 16. 17. SALARY OR RATE eeee . ee } O68 . 9510.16 6650. 18. REMARKS From: ~ Date-2 1 SEP 1964 CONCUR : 9 Becuriby “sageceet has been granted for ae ~ 99,8 88. SIGNATURE OF CAREER SERVICE APFROVING|DATE SIGNED; 184. SIGNATURE OF REQUESTING OFFICIAL é OV ENG, ; - .  SORFACER OF! oe PS REL ag Dr OE 13 I Acting Chief, C&T Division 19, ACTION 120, EMPLOY./21. OFFICE CODING CobE cone 28.NTE EXPIRES .- 2.129, SPECIAL - 130. RETIREMENT DATA - - 31, SEPARATION - REFERENCE DATA COOE 1 = CSC 3 © FICA 5S = NONE 35," VET, PREFERENCE |36. SERV, COMP. DATE [37. LONG. COMP, DATE 39, FEL’ / HEALTH INSURANCE p = wowe CAR/RESV GO = watveR [wEaLTH ENS..cODE « 5 PT. 1 + YES. > 10 PFT. Prov /TEMP . at. PREVIOUS GOVERNMENT SERVICE DATA MZ. LEAVE CAT, | 43, FEDERAL TAX DATA he, 22 STATION 23, INTEGREE _ CODE S/ 33. SECURITY ~ FORM EXECUTED) STATE COE Tow YES O. TAK EXEMPTIONS FORM EXECUTED NO PREVIOUS SERVICE ‘ 1 = ves NO BREAK IN SERVICE BREAK tw SERVICE {Less THan 3 YRS) BREAK tm service {moRE THAN 3 YRS) 4%. POSITION CONTROL CERTIFICATION “POATE APPROVED - a : “ Ret POPES _ EPCOT AEE Mo Fn een neem eget tie en NE Re tenant tae STS FORM 1152 OBSOLETE PREVIOUS EDETEOr -. —_ —— i aa 4.62 avo Form 1152a, : : é H . GROUP 1
14-00000 -ipg Ee 2 vt i er or a Te ~ «> * (When Filled Ia) ~* « AF vem snes EMPLOYEE NOTICE OF RESIGNATION mie Ty PE Hon + ves if RESIGN EFFECTIVE FOR THE FOLLOWING REASON: " : (Date) ea o Sep { Me _ “an ot ou MY LAST WORKING DAY WILL BE -- DATE SIGNED INCLUDING SALARY CHECKS AND. BONDS. TO THE FOLLOWING ADDRESS (Number, Street, City, Zone; State) FORWARD COMMUNICATIONS. ory INSTRUCT TONS. : “The initiating office should fill-in each of the referenced items. ener CT oe ~.. Ltens. "3" thru-7 and-9-thru “18 require information which. “pertains- only-- items 9 thru “18a to. the action requested, and NOI to the current status pffhe Bits ‘ ployee unless specific items. -Temain_unchanged .— wee rgtt yg eta e on {. - weee mn al er eeeee i ian Iten-5--—“eategory of Employment” sHoulad” ‘show: “one of the following entrize's i ; Regular. : Summer -  -- -  WAE raeee secee ; Dour + Part Time-- Detail-Ouf. -° Consultant eee i Temporary Detail In Military see ; . 4 Temporary. -- Part. ‘Tine: “ee : ae nar: tol poreo steees i Iten 9 -— “Organizational Designations" should show all levels, of organization : rea __Pertinent: to. identifying the location of the - positions. | soe Anes ee . e-* oe” cee” iu jor Component (Director,. Deputy Director, etc.) ¢*: ceees sie tg lie Office,, Major Staff, etc:. seee : ' “uyrenés you Bévision. or- starr (subordinate:to first line) -- ~ “ere Branch . Section no eA Gant Fete eat 8 “on pPegg - 2 ye aay — "Position Title” should reflect the standard abbreviated title given : oe “in ‘the: most current edition of the Position Control Register or re- hore ported on Form 261, Staffing Complement Change Authorization. Signature. should be that of =the offtgial authorized to approve for Re we the Career Service to which the employee belongs. If more than one » 'Career Service is: involved, the: gaining Career Service should approve “ron and the other-Career- Service should. concur in Item -1 Remarks. "ROUTING ~- The: original only of this form will be. forwarded to the. Office of Personnel j ny through the ‘appropriate Career Service official(s).. Ih the case of requests ' specified in HB 20-800-1, which require advance approval. of or notification to the Office of. Security or the Office (of the Comptroller, one copy only will be sent to the Office(s) concerned. Gp L ? ee SECRET |