Assassination Records Review Board Final Determination Notification AGENCY : HSCA RECORD NUMBER : 180-10060~-10479 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 States or to any individual. Number of Postponements: 3 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
Date: 08/20/93 Page:1 JFK ASSASSINATION SYSTEM IDENTIFICATION FORM AGENCY INFORMATION AGENCY : HSCA RECORD NUMBER : 180-10060-10479 RECORDS SERIES : STAFF PAYROLL RECORDS AGENCY FILE NUMBER : eee saa sa int em amin as SO ne COD NS Gn SOS AED ON SED NY SD SD ED NE RD NEE A SY SS GED SY A MO SOY SEE SL AT HD Se EE NY SS SD SD SD SE GO Sn SD SOD GE SS SE ED A SY SS SS SD SS SD a I SO ER Line SOE OY Se cee DOCUMENT INFORMATION ORIGINATOR : HSCA FROM : TO 3: TITLE : DATE PAGES 8/06/77 oe eos bo SUBJECTS : HSCA, ADMINISTRATION MAXWELL, ALBERT DOCUMENT TYPE PRINTED FORM CLASSIFICATION : U RESTRICTIONS : 3 CURRENT STATUS : P DATE OF LAST REVIEW : 06/04/93 OPENING CRITERIA : COMMENTS Box 2. me ewe ieee teen amb ee CES UNE Sm te CO GED SEND Uh “eh ND St ND SE SNES Sy nm An nh gh SEEN ES AE Sunt in PY AD GED SERDL EITD neh SED SED GE A) ED WAGE OD GD SD GE “GENES SEED SID GY SR GEN SL SE SREY DY WD KID SONNY ND ND SN Se a Ne Ge MN a [R] ~ ITEM IS RESTRICTED
PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE u F REPRESENTATIVES _ (Any erasures, corrections, or changes . : on this form must be initialed by the To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middle-Last) Employee Social Security Number Employing Office or Committee/Subcommittee (If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) Effective Date Type of Action O Appointment 0) Salary Adjustment 0 Title Change (1 Termination (At close of business on effective date) C Leave without pay (Beginning with effective date above and ending close of business 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. 0 Standing Committee: Staff—O] Clerical or 1) Professional. 2. O Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res.2-___ i pet Congress. 3. 0 Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number | certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of relatives. ah erdepeiel Sted cid Sean eae Ee Ae ai ee ae ee a oa (Signature of Authorizing Official) if appropriate, signature of Subcommittee Chairman or Ranking Minority Member). a. 8 ipen pidtined hata. oe . [Type oF print name and title of above official) === —_ .  fhitimnmivtni: oo ig —----- ee ca a at ek He ne ea ca ie me ae a cm a a Sa ae tle ll ts a StS wh eS 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: we a a ee oe ee ee = Chairman, Committee on House Administration Office of Finance use only: Office Code (Revised: August 1, 1977) Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES _ (Any erasures, corrections, or changes or Ballpoint Pen) Washington, D.C. 20515 mma. To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middle-Last) Effective Date Employee Social Security Number Type of Action O Appointment O Salary Adjustment Fa Employing Office or Committee/Subcommittee C1 Title Change ; C1 Termination (At close of business on effective date) ¥ CO Leave without pay (Beginning with effective date above and ending & RiGee Gt Qusinttis soa. swean a tats Detainee ) : Specify Date (If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) Position Title Gross Annual Salary * F. * 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. 6 & (If Committee Employee, complete appropriate item below.) % 1. O Standing Committee: Staff—O1 Clerical or 0) Professional. ~ 2. 0 Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res.__-__ fo, peewee Congress. 3. O Joint Committee. . (If Employee of an Officer of the House, complete item below.) Position Number___.__ If applicable, Level mens 3 F | certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of relatives. eae a Seer pi aa Nain a Me, Se Ce enareeee tes Ah li oe ee end, ee Re Sige ne (Signature of Authorizing Official) (if appropriate, signature of Subcommittee Chairman or Ranking Minority Member) _  ittetiii wa 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: Office of Finance use only: Office Code (Revised: August 1, 1977) Copy for Initiating Office or Committee eS ees oe 2 ~ ats — zs a
PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes or Ballpoint Pen) Washington, D.C. 20515 authorizing official.) initialed by the To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middle-Last) Nf Effective Date Employee Social Security Number Type of Action (] Appointment Employing Office or Committee (J Salary Adjustment (J 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 (If Committee Employee, complete appropriate item below.) im _] Standing Committee: Staff—[_] Clerical or [_] Professional. 2. [J Special or Select Committee: Authority—H. Res._______ of______Congress. 3. [] Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number If applicable, Level_ | certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of relatives. 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: Office Code Copy for Initiating Office or Committee
TO: ALL STAFF MEMORANDUM RE: Payroll Certification ——e othe ee U.S. ‘pe things, the Comnittee's monthly , oRTatT coveltieskioa * include the relationship, if any, af eacn employee to any current Member of Congress. is signed monthly by our Chairman. This certification The following are the relationships to be included in the certification: father mother son daughter brotner sister uncle aunt first cousin vite father-in-law nother-in-law son-in-law daughter-in-law brother-in-law ster-in-law stepfather stepmother stepbrother stepsister half-brother half-sister Piease complete the appropriate portion below, sign and date this form, which will then become a part of your permanent personnel file. If this status Office immedia’ ely of changes » you must notify _ ne- cnange. Th 3 am not related to any current (95th / / I am releted to a (Please specify.) current (95 the Conmittea's Budget Member of Congress. tn Congress) Member of Congress.