Assassination Records Review Board Final Determination Notification AGENCY : HSCA RECORD NUMBER : 180-10060-10446 RECORD SERIES : STAFF PAYROLL RECORDS AGENCY FILE NUMBER : December 8, 1995 Status of Document: Postponed in Part Number of releases of previously postponed information: 23 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: 15 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 Se ee et Mam SN RED Sh SD SLE SEE GND SD Se SN eR GE SP Sn aN SN MD mY SR SE URE ED SE SP AA SnD GENE SOD GEN SOND SS ST SOUT SOON: Sy ne SUL Sur Hh MnP MOY ND SD WOLD ID YEP St? ERED GEOL iy GED te Su MER SN] SLY GA SWE HE tS SD SE stele oD cu AGENCY INFORMATION HSCA 180-10060-10446 AGENCY RECORD NUMBER ae 08 RECORDS SERIES : STAFF PAYROLL RECORDS AGENCY FILE NUMBER : DOCUMENT INFORMATION ORIGINATOR : HSCA FROM : TO : TITLE : DATE PAGES 01/01/77 27 SUBJECTS :; HSCA, ADMINISTRATION HOLTON, E.M. TINY DOCUMENT TYPE PRINTED FORM CLASSIFICATION : U RESTRICTIONS : 3 CURRENT STATUS : P DATE OF LAST REVIEW : 06/04/93 OPENING CRITERIA COMMENTS Box 2. {R] - ITEM IS RESTRICTED
PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes or Ballpoint Pen) Washington, D.C. 20515 Sawein tents 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 Effective Date Type of Action C) Appointment O) Salary Adjustment 01 Title Change 0 Termination (At close of business on effective date) OD Leave without pay (Beginning with effective date above and ending NO OF” NS a cla ee ke aa ) 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. 0) Standing Committee: Staff—O Clerical or (J Professional. 2. 1 Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res._____ Tech Congress. 3. 1) Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number If applicable, Level Siep ys: | 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: Office of Finance use only: Office Code Monthly Annuity Se cbe = rae .00 as of See eet ee ee oll Soe na OS ae ee (Revised: August 1, 1977) Copy for Initiating Office or Committee
HUTTON, E. M. nee sate es awe ne + 6: mace mabe Rents a commented Nime of Emaloyce Address ; Address ; . . Phene Number Position Title Cmnennne ete) em ny  aaunea esentemmmmmnea] Position Number i Level Step 14 0.5 day annual leave ao 1,0 day annual leave 0.5 day sick leave 1,0 day sick leave 0.5 day administrative leave 1.0 day administrative leave 0.5 day unauthorized absence 1.0 day unauthorized absence 0.5 day leave without pay 2.0 day leave without pay DAY OF MONTH mT 13 15 [16 .. OFFICE OF THE CLERK U.S, HOUSE OF REPRESENTATIVES: : BALANCE BROUGHT FORWARD FROM PERSONAL LEAVE RECORD . PRECEDING YEAR S47 ® YEAR ’ ANNUAL LEAVE - DATE OF APPOINTMENT et CATEGORY ‘ PRIOR FEGERAL SCRVICE 15°. teeevosvecvecaca seqesaceseeesnp 2.0 ACCRUED AVAILASLE USED BALANSC Soars ae 0 THIS MONTH | THIS MONTH THIS AONTH Ga —— Anaual Sick Leave Leave Annual Leave Aanyal Leave Annual. rh 31] Leave EMPLOYLE INITIALS a an 2 CERTIFIED CORRECT; aaron ’ aenaeeeeass Employco's Signature. Oute Chis{'s Signatura : Date (If employee refuses to sign, state reason below. . ‘ ' AP DIOVCDS meee — Clerk of the House | Dato This record will be forwarded to the Clerk-of the House at the end of each calendar year, or In case ef termination, along with the request for termination, Upon approval, the record will be filed in the employee's official personnel folder, -
PAYROLL AUTHORIZATION FO™™ em” (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes or Ballpoint Pen) Washington, D.C. 20515 nnn a 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 Employing Office or Committee/Subcommittee 0) Appointment O Salary Adjustment U1 Title Change O Termination (At close of business on effective date) 0 Leave without pay (Beginning with effective date above and ending one. Of Dupe eee ee en oe ee ) Specify Date (If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) Position Title * 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. Gross Annual Salary* (If Committee Employee, complete appropriate item below.) 1. O Standing Committee: Staff—C] Clerical or 0 Professional. 2. C1 Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res._____ of _____Congress. 3. O Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number___._ If applicable, Level St6p_.- .- ! certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of relatives. Date. October 15). 194 = a pakwsdien pawininninpinnminiptine aires mupliedisomcntcwkok. wo. (Signature of Authorizing Official) (if appropriate, signature of Subcommittee Chairman or Ranking Minority Member) ig ia—ephtaae gd iebasthean So "type oF pint name and litle of above offical) =< —— _ Sipe inten. =e == 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. i eg ae PR OS = Office of Finance use only: Office Code... -- = _- enn eetinsnaniceel tas . jn . (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 pac dt Ban eam To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Effective Date Type of 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.) Position Title Gross Annual Salary * * If emoloyee 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. O Appointment OQ Salary Adjustment QO Title Change O Termination (At close of business on effective date) O Leave without pay (Beginning with effective date above and ending Gone of -burtenes,... SSOUSEY <p bt FR ) Specify Date (If Committee Employee, complete appropriate item below.) 1. O Standing Committee: Staff—O Clerical or 0 Professional. 2. O Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res._____ Of. en Congress. 3. O 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. these ranaee ti ee oe nee oe a Sree Ee ee, (Signature of Authorizing Official) (if appropriate, signature of Subcommittee Chairman or Ranking Minority Member), 99 ” (lype or print name of Authoring Oita _- .  ijpest qd cme odie ol Gee ae ala ae Raat oe ee ‘ondState) SSSSCSCS~S~CS~S = 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
NINETY-FIFTH CONGRESS FRANK THOMPSON, JR., N.J., CHAIRMAN JOHN H. DENT, PA. LUCIEN N. NEDZI, MICH. JOHN BRADEMAS, IND. AUGUSTUS F. HAWKINS, CALIF. FRANK ANNUNZIO, ILL. JOSEPH M. GAYDOS, PA. ED JONES, TENN, ROBERT H. MOLLOHAN, W. VA. LIONEL VAN DEERLIN, CALIF. JOSEPH G. MINISH, N.J. MENDEL J. DAVIS, S.C, CHARLES ROSE, N.C. JOHN L. BURTON, CALIF. EDWARD W. PATTISON, N.Y. WILLIAM L. DICKINSON, ALA. SAMUEL L. DEVINE, OHIO JAMES C. CLEVELAND, N.H. CHARLES E. WIGGINS, CALIF, J. HERBERT BURKE, FLA. BILL FRENZEL, MINN. DAVE STOCKMAN, MICH. ROBERT E. BADHAM, CALIF. Congress of the United States House of Representatives COMMITTEE ON HOUSE ADMINISTRATION Suite H-326, U.S. CAPITOL Washington, B.C. 20515 LEON E. PANETTA, CALIF. JOSEPH S. AMMERMAN, PA. WILLIAM G. PHILLIPS, STAFF DIRECTOR ROBERT E. MOSS, GENERAL COUNSEL October 27, 1978 Honorable Louis Stokes Chairman Select committee on Assassinations House of Representatives Washington, D.C. 20515 Dear Lou: This is in response to your letter of October 24, 1978, requesting that E. M. Hutton of your staff be extended in his current Leave Without Pay status through December 15, 1978. Based on the background provided in your letter, the Committee is pleased to grant this request, and by copy of this letter is so advising the Clerk of the House. With kind regards, Cordially, Frank Thompson, a FT:chi cc: Hon. Edmund L. Henshaw, Jr. Clerk, U.S. House of Representatives
LUUTS STOXMES, OHIO, CHAIRMAN RICHARDSON PREYER, N.C. SAMUEL L, DEVINE, OHIO WALTER E. FAUNTROY, D.C. STEWART B. MC KINNEY, CONN, YVONNE SRATHWAITE BURKE, CALIF. CHARLES THONE, NEBR. CHRISTOPHER 3, DODD, CONN. HAROLD S. SAWYER, MICH, HAROLD E. FORD, TENN. * r fa FLOYD J, FITHIAN, IND. Select Committee on Assassinations ROBERT W. EDGAR, PA, G.®. Bouse of Representatives 3363 HOUSE OFFICE BUILDING, ANNEX 2 WASHINGTON, D.C. 20515 (202) 225-4624 October 24, 1978 The Honorable Frank Thompson, Jr. Chairman Committee on House Administration U. S. House of Representatives Washington, D. C. 20515 Dear Mr. Chairman: On July 16, 1978, I placed Mr. E. M. Hutton on leave without pay intil October 16, 1978. I would like to keep Mr. Hutton on leave without pay through December 15, 1978, at which time he will be available to assist the Committee in winding- up its affairs. i Sincerely, LOUIS STOKES Chairman LS:th
NINETY-FIFTH CONGRESS FRANK THOMPSON, JR., N.J., CHAIRMAN JOHN H. DENT, PA. WILLIAM L. DICKINSON, ALA. LUCIEN N, NEDZI, MICH. SAMUEL L. DEVINE, OHIO 5 JOHN BRADEMAS, IND, JAMES C. CLEVELAND, N.H. AUGUSTUS F. HAWKINS, CALIF. CHARLES E. WIGGINS, CALIF. Co ngress of the Anited States FRANK ANNUNZIO, ILL. J. HERBERT BURKE, FLA. JOSEPH M. GAYDOS, PA. BILL FRENZEL, MINN. ae, cn we ag nanny Pouse of Representatives LIONEL VAN DEERLIN, CALIF. JOSEPH G, MINISH, NJ. COMMITTEE ON HOUSE ADMINISTRATION MENDEL J. DAVIS, S.c. CHARLES ROSE, N.C. SuiTE H-326, U.S. CAPITOL JOHN L. BURTON, CALIF. EDWARD w. PATTISON, N.Y. LEON E. PANETTA, CALIF. Washington, D.C. 20515 JOSEPH Ss, AMMERMAN, PA, WILLIAM G. PHILLIPS, STAFF DIRECTOR ROBERT E. MOSS, GENERAL COUNSEL October 18, 1978 Honorable Louis Stokes Chairman Select Committee on Assassinations U.S. House of Representatives Washington, D.C. Dear Lou: The Committee is returning your letter of October 10, 1978, and the attached payroll action, to allow you to conform it with the limitations in the Regulations. With kind regards, Condially, \ Frank Thompgon, Jr. FT/chh Enclosures
LOUIS STOKES, OHIO, CHAIRMAN RICHARDSON PREYER, N.C. SAMUEL L. DEVINE, OHIO WALTER E. FAUNTROY, D.c. STEWART B. MC KINNEY, CONN. YVONNE BRATHWAITE BURKE, CALIF. CHARLES ‘THONE, NEBR, CHRISTOPHER J. DODD, CONN. HAROLD s. SAWYER, MICH. HAROLD E. FORD. TENN. , , ’ FLOVD 3. sYeeeag, ice Select Committee on Assassinations ROBERT W. EDGAR, PA. G2. Bouse of Representatives 3369 HOUSE OFFICE BUILDING, ANNEX 2 WASHINGTON, D.C. 20515 (202) 225-4624 October 10, 1978 The Honorable Frank Thompson, Jr. Chairman Committee on House Administration U. S. House of Representatives Washington D. C. 20515 | - Dear teen: OnJuly 16, 1978, I placed Mr. E. M. Hutton on leave without pay until October 16, 1978. TI would like to keep Mr. Hutton on leave without pay status until January 2, 1979. LS:th RECEIVED I97BOCT 12 PH 3: 07 MMITTEE ON HOUSE ADMINISTRATION
LOUIS STOKES, OHIO, CHAIRMAN RICHARDSON PREYER, N.C. SAMUEL L. DEVINE, OHIO WALTER E. FAUNTROY, D.C. YVONNE BRATHWAITE BURKE, CALIF. CHARLES THONE, NEBR, CHRISTOPHER J. DODD, CONN. HAROLD S. SAWYER, MICH. HAROLD E. FORD, TENN. FLOYD J. FITHIAN, IND. ROBERT W. EDGAR, PA. (202) 225-4624 STEWART B. MC KINNEY, CONN. Select Committee on Assassinations GS. House of Representatives 3369 HOUSE OFFICE BUILDING, ANNEX 2 WASHINGTON, D.C. 20515 October 10, 1978 The Honorable Frank Thompson, Jr. Chairman Committee on House Administration U. S. House of Representatives Washingtén D. C, 20515 ; wd rt Dear Mey Ghairman: On\July 16, 1978, I placed Mr. E. M. Hutton on leave without pay until October 16, 1978. I would like to keep Mr. Hutton on leave without pay status until January 2, 1979. LS: th Since erely,
PAYROLL AUTHORIZATION FORM ji i Any erasures, corrections, or changes (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES ( Lae ust be initialed by the or Ballpoint Pen) Washington, D.C. 20515 authorizing official.) ” To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middie-Last) Effective Date Type of Action Employee Social Security Number 0 Appointment O) Salary Adjustment Employing Office or Committee/Subcommittee O Title Change O Termination (At close of business on effective date) O Leave without pay (Beginning with effective date above and ending coast Keshia nce aco ae mkt ncn ) 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. O Standing Committee: Staff—O) Clerical or 0 Professional. 2. O Special (Investigative staff of Standing Committee) or Select Committee: Authority—H., Res._____ piacere Congress. 3. O 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. el ltt Eas ate ll P j Men. Siegal getiaisnoiifadelhs Boies Salk 5 aes ne ats See (Signature of Authorizing Official) (if appropriate, signature of Subcommittee Chairman or Ranking “Minority Member) Sk” eS pied idininetiom ee (Type or print name and title of above official) op) ll OMe Mie Se a 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 3
PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES ~—— (Any erasures, corrections, or Blanes ; this form must be initialed by the or Ballpoint Pen) Washington, D.C. 20515 pd ot official.) y To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middle-Last) Effective Date Type of Action 0 Appointment O Salary Adjustment 1 Title Change XO Termination (At close of business on effective date) E. M. Hutton Employee Social Security Number 6-10-4799 Employing Office or Committee/Subcommittee Assassinations O Leave without pay Ppginning with effective date above and ending close of ibusinessj_i_ 99 == ) ' £. Specify Date plete app Ai, ropriate information below.) Gross Annual Salary* * If employee is a civil service annuitant (includes U.S. Ho af Representatives), the gross annual salary shown should include the annuity received by the employee plus the salary received from the employing office. y - , ,ft< . f 7 (If Committee Employee, complete appropriate item below.) is of sie Bu he ie Ciidé PA 4 i6 1. O Standing Committee: Staff—O) Clerical or 0 Professional. . = R, FINANCE OFFIC 2. Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res. 986 v4 OStiConaress 3. O Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number___.__ If applicable, Level Step ~ she a= ee ' aa | 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. ¢ 5} . - MTGE t APPROVED: _____~ anade._l : = Chairman, Committee on House Saale amie aa dala Ess — Office of Finance use only: Office Code fi] (Revised: August 1 i } ersonnel folder) 4
PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes or Ballpoint Pen) Washington, D.C. 20515 whauue dies initialed by the To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middle-Last) Effective Date Type of Action O Appointment O) Salary Adjustment O Title Change oO Termination (At close of business on effective date) 0 Leave without pay (Beginning with effective date above and ending One Cr RENNES ge Fe ee ) Specify Date 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.) Position Title * 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. , Gross Annual Salary* (If Committee Employee, complete appropriate item below.) 1. O) Standing Committee: Staff—O] Clerical or () Professional. 2. 1 Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res 3. 0 Joint Committee. Me Aa of _____Congress. (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 US.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: Office of Finance use only: (Revised: August 1, 1977)
PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes or Ballpoint Pen) Washington, D.C. 20515 Suet oe ee 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 Employing Office or Committee (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.) L Appointment (J Salary Adjustment CJ Termination (At close of business on effective date) 1. [_] Standing Committee: Staff—[_] Clerical or (] Professional. 2. [] Special or Select Committee: Authority—H. Res. 465 of 95thCongress: 3. [_] Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number If applicable, Level. SHED | 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: Office of Finance use only: Office Code
PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES ping Fg ag wet te eviews whe . on 1S m or Ballpoint Pen) Washington, D.C. 20515 authorizing official.) 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 (J Appointment Employing Office or Committee CJ 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.) 1. J Standing Committee: Staff—[_] Clerical or ["] Professional. 2. [[] Special or Select Committee: Authority—H. Res. saan Congress. 3. [_] Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number. If applicable, Level ht |) oa | 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. Re ee ce ee, es MN rN ek ay — Office of Finance use only: Office Code = = 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 siete wos initialed by the To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middle-Last) Effective Date Type of Action (] Appointment Employee Social Security Number Employing Office or Committee UJ 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 Gross Annual Salary (If Committee Employee, complete appropriate item below.) 1. [J Standing Committee: Staff—[_] Clerical or [_] Professional. 2. (_] 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 Steps. | certify that this authorization is not in violation of 9 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: Office of Finance use only: ice Code bar Office Code. Ne 1 Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes . F on this form must be initialed by the or Ballpoint Pen) Washington, D.C. 20515 authorizing official.) To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middle-Last) Employee Social Security Number (] Appointment Employing Office or Committee [9 Salary Adjustment (_] Termination (At close of business on effective date) (If Committee Employee, complete appropriate item below.) 1. [.] Standing Committee: Staff—[_] Clerical or [_] Professional. 2. [5] Special or Select Committee: Authority—H. Res..___ of 2° “"' Congress. 3. [-] Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number If applicable, Level_ Steps gems. | certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of relatives. irmar 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 Copy fer 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 suiimethes neeS initialed by the 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 C at (] Appointment Employing Office or Committee (} 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.) 1. J Standing Committee: Staff—[_] Clerical or [] Professional. 2. [Special or Select Committee: Authority—H. Res. {05 __ of _2 2") 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. 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 Copy fer 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 dere ata initialed by the To the Clerk of the House of Representatives: | hereby authorize the following payroll action: Employee Name (First-Middle-Last) Effective Date Type of Action Employee Social Security Number CJ Appointment Employing Office or Committee (Salary Adjustment C] 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.) 1. L] Standing Committee: Staff—[_] Clerical or [_] Professional. * 2. [}'Special or Select Committee: Authority—H. Res. ae Congress. 3. [-] 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. 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: Oftice of Finance use only: Office Code Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM. = (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, — or Ballpoint Pen) Washington, D.C. 20515 ates 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 Employing Office or Committee (_) Appointment {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.) 1. [ Standing Committee: Staff—[_] Clerical or [_] Professional. 2. [_] Special or Select Committee: Authority—H. Res.________ of ARs 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. APPR ecient tanec a, Se = Office of Finance use only: Office Code Copy for Initiating Office or Committee
PAYROLL AUTHORIZATION FORM. “ (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections o changes or Ballpoint Pen) Washington, D.C. 20515 authorizing official.) 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 (] Appointment Employing Office or Committee Salary Adjustment L] 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.) 1. .] Standing Committee: Staff—[_] Clerical or [_] Professional. 2. |_| Special or Select Committee: Authority—H. Res.) 20 of * *Congress. 3. -] Joint Committee. (If Employee of an Officer of the House, complete item below.) Position Number If applicable, Level Slepa.. t=) | 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: Office of Finance use only: Office Code Copy for Initiating Office or Committee
ye U.S. GOVERNMENT PRM TING OFFICE: 1977—O—93-027 PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes : et P — on this form must be initialed by the or Ballpoint Pen) Washington, D.C. 20515 authorizing official.) 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 226-10-4799 O) Appointment O Salary Adjustment O Title Change O Termination (At close of business on effective date) Employing Office or Committee/Subcommittee Assassinations Leave without pay (Beginning with effective date above and ending close of business____.January 2, 1979 _______ Specify Date (If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.) Position Title Gross Annual Salary* * If emoloyee 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. O Standing Committee: Staff—O1 Clerical or O) Professional. 3. 0 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. , prohibiting the employment of relatives. —a ae a od ’ F _ Date October 3 19 78 iP a ye me ne een ee ee nn er we ee nee eee ee + ‘ —_—<—--- | a _ ee De ee ce ee ff. f d (Siga&fore of Authorizing Official) oo 7 ~ LOUIS STOKES, CHAIRMAN (If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) —L.— > “perenne ec Athena Ohkal. - ~~" tlype or print name and title of above official) == i x~Ti-i-wntieadia a 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 (Revised: August 1, 1977)
% U.S. GOVERNMENT PRINTING OFFICE: £977-80=199 PAYROLL AUTHORIZATION FORM (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES i Rol ag og ogy = : F on this form must be initialed by the To the Clerk of the House of Representatives: / / | hereby authorize the following payroll action: 4 Employee Name (First-Middle-Last) ES. Effective Date E McK Hutton 7/77 / Employee Social Security Number i Type of Action 226 10 4799 OA Employing Office or Committee Assassinations j (If type of action is an Appointment or Salary Adjustment, co pointment Salary Adjustment — (At close of business on effective date) plete the following information.) Position Title ’ Gross Annual Salary ‘ 3. (] Joint Committee. (If Employee of an Officer of the Housé, complete item below.) Position Number If applicable, Level ization is not in violation of 5 U.S.C. 3110(b), prohibiting. the employment of | certify that this auth relatives. a “(Signature of Authorizing Official) a: SRE ee RS CR (Type or ptint name of Au oriaing Official) f _._-.--Chaionan mow yao-we | {Title—If Member, District and State) t All appointmegts 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 ORIGINAL - To Finance Office (For official personnel folder)
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 nephew brother-in-law, mother niece sister-in-law son husband stepfather | "daughter wife stepmother." .| ", brother father-in-law stepbrother sister mother-in-law stepsister uncle son-in-law half-brother aunt daughter-in-law half-sister first cousin 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 ____|_ __—- t — 1 7 / U “ec j \ sa ¥ — / — / Cc - f ) Signature of Employee Date