(to4-t07128-10285) " _SCLKEI . . : ‘4 . (When Filled In) af “S woof “/py - y Voate prerared — REQUEST rwR PERSONNEL ACTION . ; 27 JULY 1965 1 SERIAL NUMBER | 2. NAME ( Last—Firt— Middle) PHILLIPS, DAVID Avc. 3. NATURE OF PERSONNEL ACTION §. CATEGORY OF EMPLOYMENT BALINIT DAY YEAR ee a ee 7. COST CENTER NO. CHARGE. 18. LEGAL AUTHORITY (Completed by Office of | fewy ex [ewe | 6135 087s 9. ORGANIZATIONAL DESIGNATIONS 10. LOCATION OF OFFICIAL STATION Dop /WH FOREIGN FIELD BRANCH 9° iL-_{o 16~lo 1 POSITION TITLE POSITION NUMBER 13. CAREER SERVICE DESIGNATION ATT POL OFF OPS OFFICER (CHIEF OF STATION) 0274 D 14. CLASSIFICATION SCHEDULE (GS, LE, ete.) 15. OCCUPATIONAL SERIES 16. GRADE AND STEP . £17. SALARY OR RATE Gs 0136.01 18 4 18. REMARKS FROM: DDP/WH/BRANCH 1/MEXICO CITY, MEXICO STATION/0340 MEMORANDUM SENT TO DDCI VIA DDP REQUE MR, PHILLIPS AS COS, ON 13 APRIL 1965. Mi ese e Date 284u ° 1-FINANCE 1-~SECURITY 1@A. SIGNATURE OF REQUESTING OFFICIAL DATE SIGNED ROBERT D. CASHMAN C/WH/PERS oY. SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL 19. ACTION | 20. EMPLOY. | 21. OFFICE CODING 22. STATION 73. WWTEGREE «= «| 24. ROOTES} 25. DATE OF BIRTH 26. DATE OF GRADE 2. DATE OF 1 ~ ~ “ 7 “ ae ae ee eee 28. TE EXPIRES 2. SPECIAL 36. RETIREMEMT DATA 31. SEPARATION 132. CORRECTION /CANCELLATION DATA 33. SECURITY =| 34. SEX REFEREMCE DATA CODE REQ. HO. ICC EOD DATA - FILA HOME 35. VET. PREFERENCE 36. SERV. COMP. DATE 137. LONG. COMP. DATE | 38. CAREER CATEGORY x. FEGL /NEALTH INSURANCE o— MO. BA. ve. CAR /265¥ CODE | O—WAIVER t—$ FT. , PROV / TEMP 1—¥ES 1-10 PT 4. PREVIOUS GOVERHMEMT SERVICE DATA 43. FEDERAL TAX DATA FORM EXECUTED FORM EXECUTED | 1—HO BREAK Mi SERVICE 1—¥es 1-15 2—GREAK WH SERVICE (LESS THAN 3 YEARS) 2-40 7-80 SOREN 1M SERVICE (WORE THAN 3 TEARS) 45, POSITION CONTROL CERTIFICATION 46. O.P. APPROVAL DATE APPROVED wn | / 4 eo 1152 use previous eortion RETURN TO cA Excivore foe GrreMutypowceanies “ Background Use Do Not Reproduce
14-00000 | RESIGN EFFECTIVE 5 SELKEE (ben Filled fn} EMPLOYEE NOTICE OF RESIGNATION pe « dAY LAST WORKING DAY WILL BE FORWARD COMMUNICATIONS, INCLUDING SALARY CHECKS AND BONDS, TO THE FOLLOWING ADDRESS (Noeamber, Street, City. State. Zip Code} Items 1 thru 7 and _ Items 9 thru 18a Item § = Tterm 9— FIRST UNE items il and 15 — Item 18b — c. = FORTHE FOLLOWING REASON: {Date} f 9 ve J - MAL R OGu DATE SKGNED SKGNATURE OF EMPLOYEE eaeage The initiating office should fill in each of the referenced items. Items 3 thru 7 and 9 thru 18 require information which pertains only to the action requested, and NOT to the current status of the employee unless specific igems remain unchanged. geees @ a@ aoa e Cf “Category of Employment” should show one of the following entries: Regular Summer - WAE Part Time . Detail Out - Consultant *ee Temporary | . Detail In . Military’ °°s _ ¢ Temporary-Part Time * °° : : : : : @@¢@ eed “Organizational Designations” should show ail levels of organization pertinent to identify- ing the location of the position: see e, seeee . 2& ea Cy Major Component (Director, Deputy Director, etc.) ; eos Office, Major Staff, etc. a sa Foreign Field or U.S. Field (if pertinent) Division or Staff (subordinate to first line) Branch Section Unit “Position Title” and “Occupational Series’ should be the standard abbreviated title and corresponding occupational series in Handbook of Official Occupational Titles and Codes for the duties actually to be performed by the employee. If different from the title and series of the position occupied as shown on the most current edition of the Position Con- trol Register or Form 261, Staffing Complement Change Authorization, explain under Item 18—Remarks. Signature should be that of the official authorized to approve for the Career Service to which the employee belongs. If more than one Career Service is involved, the gaining Career Serr- ice should approve and the other Career Service should concur in Item 18, Remarks. ROUTING— The original only of this form will be forwarded to the Office of Personnel through the appropriate Career Service official(s). In 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. SECRET