## Page 1

Assassination Records Review Board

Final Determination Notification

AGENCY : HSCA

RECORD NUMBER : 180-10068-10310

RECORD SERIES : STAFF PAYROLL RECORDS

AGENCY FILE

NUMBER

December 8, 1995

Status of Document:

Postponed in Part

Number of releases of previously postponed information: 15

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: 13

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

Heleased under the John F!

Kennedy Assassination

Records Collection Act of

1992 (44 USC 2107 Note).

Re: NW 88326 Date:

NW 88326

Docld:32243276 Page 1

---

## Page 2

Date: 08/20/93

Page: 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

RECORD

AGENCY : HSCA

NUMBER : 180-10068-10310

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT

INFORMATION

ORIGINATOR : HSCA

FROM

TITLE:

DATE: 11/02/7

PAGES :

15

SUBJECTS:

HSCA, ADMINISTRATION

BLACKMEN, S. JONATHAN

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION : U

RESTRICTIONS : 3

CURRENT STATUS : P

DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA :

COMMENTS :

Box #:1.

[R] - ITEM IS RESTRICTED

NW 88326

Docld:32243276 Page 2

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## Page 3

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES!

Washington, D.C. 20515

(Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middie-Last)

5. Jonathan Blacier

Employee Social Security Number

243-74-5787

Employing Office or Committee/Subcommittee

Assaseinations

Effective Date

1/2/79

Type of Action

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title

• Appointment

• Salary Adjustment

• Title Change

XO Termination (At close of business on effective date)

• Leave without pay (Beginning with effective date above and ending

close of business___________.

Specify Date

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. I Standing Committee: Staff Clerical or ] Professional.

2,8E Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res?56

_of 203

-_=-_Congress.

3. 0 Joint Committee.

(If Employèe of an Officer of the House, complete item below.)

Position Number_.

If applicable, Level

Step

I certify that this authorization is not in

violation of 5 U.S.C. 3110(b), prohibiting the employment of

relatives.

Date_

January 2

193%

(Signature of Authorizing Official)

LOUIS STORES

(if appropriate, signature of Subcommittee Chairman or Ranking Minority Member)

(Type or print nome of Authorizing Official)

CHAIRMAN

(Type or print name and title of above official)

(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.

APPROVED:.

Chairman, Committee on House Administration

Office of Finance use only:

Office Code.

Monthly Annuity $

NW 88326

.Docld:32243276 Page_ 3

00 as of

Copy for Initiating Office or Committee

Benefits.

Payroll _-

(Revised: August 1, 1977)

---

## Page 4

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES:

Washington, D.C. 20515

(Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

Effective Date

S. Johathan Blacknes

Employee Social Security Number

Movaaber 1s 1978

Type of Action

243-745787

Employing Office or Committee/Subcommittee

Assessinations

• Appointment

@ Salary Adjustment

• Title Change

• Termination (At close of business on effective date)

• Leave without pay (Beginning with effective date above and ending

close of business_.

Specify Date

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title

Gross Annual Salary*

$27, 100.00

* 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. 0 Standing Committee: Staff— Clerical or [ Professional.

2. l Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 256-of23tk Congress.

3. • Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number.

If applicable, Level.

Step.

I certity that this authorization is

not in violation. of 5 U.S.C: 3110(b), prohibiting the employment of

relatives.

Novenber 8

Date_

1978

Excess

if appropriate, signature of Subcommittee Chairman or Ranking Minority Member)

(Type or print name and title of above official)

(Signature of Authorizing Official)

ENNIS STOKES

(Type or print name of Authorizing Official)

Chalanen

(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.

APPROVED:.

Office of Finance use only:

Office Code..

Monthly Annuity S_

Chairman, Committee on House Administration

ID

Benefits _.

Payroll _

•00 as of

Copy for Initiating Office or Committee

(Revised: August 1, 1977)

NW 88326

Docld:32243276 Page 4

---

## Page 5

PAYROLL AUTHORIZATION FORM

so. (Please Use Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

(Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

Effective Date

S.

Jonachan

Blackner

Employee Social Security Number

571/78

Type of Action

243-74-5787

Employing Office or Committee/Subcommittee

Assassinations

• Appointment

E Salary Adjustment

• Title Change

• Termination (At close of business on effective date)

• Leave without pay (Beginning with effective date above and ending

close of business_

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title

Specify Date

Gross Annual Salary*

$25,700

* 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—• Clerical or • Professional.

2. i. Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res: 2562 of 93 Congress.

3. • Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number_

If applicable, Level.

Step-

I certify that this authorization

not. in violation

of 5 U.S.C. 3110(b), prohibiting- the employment: of

relatives.

Date_.

May 1

78

19_1.

Ilf appropriate, signature of Subcommittee Chairman or Ranking Minority Member)

(Signature of Authorizing Official)

LOUIS S10KES

(Type or

print name of Authorizing Official)

CHAIRMAN

(Type or print name and title of above official)

(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.

APPROVED:.

Office of Finance use only:

Office Code.

Monthly Annuity $

Chairman, Committee on House Administration

•ID

Benefits

Payroll

.00 as of

Copy for Initiating Officê or Committee

(Revised: August 1, 1977)

NW 88326

Docld:32243276 Page 5

---

## Page 6

PAYROLL AUTHORIZATION. FORM

a Please Use Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

(Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

Effective Date

S. Jonathan Blackmer

Employee Social Security Number

April 1, 8978

Type of Action

243-345787

Employing Office or Committee/Subcommittee

Assassinations

(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)

Position Title

• Appointment

¿ Salary Adjustment

• Title Change

•. Termination (At close of business on effective date)

• Leave without pay (Beginning with effective date above and ending

close of business_.

Specify Date

Gross Annual Salary*

$13,700.00

* 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-D Clerical or l Professional.

2. Lil Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 956 of 25t/Congress.

3. I Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number_.

If applicable, Level_

Step-

relatives.

I certify that this authorization is not. in violation of 5 U.S.C. 3110(6); prohibiting the employment of

March 22

Date_

78

19.

(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)

Signature of Authorizing Official)

LOUIS STOKES

(Type or print name of Authorizing Official)

CHAIRMAN

(Type or print name and title of above official)

(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.

APPROVED:

Office of Finance use.only:

Office Code

Monthly Annuity $

Chairman, Committee on House Administration

ID

Benefits

Payroll -2-:

as of

Copy for Committee on House: Administration:

(Revised: August 1, 1977)

NW 88326

Docld:32243276 Page 6

---

## Page 7

PAYROLL AUTHORIZATION FORM

(Please: Use Typewriter

or Ballpoint Pen) =

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

- (Any erasures, corrections, or changes:

on this form

must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middie-Last)

Effective Date

S. Jonathan Baackmer

Employee Social Security Number

April 1, 1978

Type of Action

243-74-5787

Employing Office or Committee/Subcommittee

Assassinations

• Appointment

i Salary Adjustment

• Title Change

• Termination (At close of business on effective date)

• Leave without pay (Beginning with effective date above and ending

close of business_

(If type of action is an Appointment, Salary Adjustment; or Title Change, complete appropriate information below.)

Position Title

Specify Date

Gross Annual Salary*

$13,700.00

* 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. • Standing Committee: Staff— Clerical or • Professional.

2. DJ: Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res.956

2_of 28etCongress.

3. • Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number_

It applicable, Level.

Step-

I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of

relatives.

March 22

78

Date.

19.

(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)

-(Signature of Authorizing Official)

LOUIS STOKES

(Type or print nome of Authorizing Official)

CHAIRMAN

(Type or print name and title of above official)

(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:

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code..

Monthly Annuity $

ID

Benefits -

Payroll __.

•00 as of

Copy for Initiating Office or Committee

(Revised: August ! 1977)

NW 88326

Docld:32243276 Page 7

---

## Page 8

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

(Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last):

S. Jonathan Blackmer

Employee Social Security Number

Effective Date

11/1/77

Type of Action

245574-5787

Employing Office or Committee

Assassinations

[ 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

Gross Annual Salary

Staff Counsel

$25,700

(If Committee Employee, complete appropriate item below.)

1. Standing Committee: Staff-D Clerical or [ Professional.

2. 42 Special or Select Committee: Authority-H. Res.

466

-of_95 thCongress.

3.

Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number_

If applicable, Level.

Step

I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of .

relatives.

Date_

November

., 19.

77

(Signature of Authorizing Official)

Louis Stokes

-----

(Type or print name of Authorizing Official)

Chairman

ab

(Title - If Member, District and State)

All appointments and salary adjustments for employees under the House Classification Act and för 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._

Monthly Annuity $_

18

Copy for Initiating Office or Committee

NW 88326

Docld:32243276 Page 8

---

## Page 9

To: Thomas Howarth, Budget Officer

From: G. Robert Blakey, Chief Counsel and Staff Director GR

Date: November 7, 1977

Re: Salary Adjustment - one year anniversary

11-297

Adjust the salaries of the following individuals as indicated

effective November 1, 1977

Employee

Akers

Blackmer

Gay

Hess

McPherson

Orr, Patricia

Present Salary

$24,000

24,000

36,000

26,000

16,000

17,500

7.05% Increase

$1,700

1,700

2,500

1,800

1,100

1,200

New Salary

$25,700

25,700

38,500

27, 800

17,100

18,700

NW 88326

Docld:32243276 Page 9

---

## Page 10

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

(Any erasures, corrections, or changes

on this form

must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

Effective Date

5. Jonathan Blackmer

Employee Social Security Number

243-74-5787

Employing Office or Committee

Assassinations

8/1/77

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

Gross Annual Salary

24, 000

Staff Counsel

(If Committee Employee, complete appropriate item below.)

1. 0 Standing Committee: Staff- Clerical or E Professional.

2. L Special or Select Committee: Authority-H. Res.

465

_of.

95ch

-Congress.

3.1

I 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.

Date_

August 2

19

7766

(Signature of Authorizing Official)

LOUIS STOKES

(Type or print name of Authorizing Official)

CHAIRMAN

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.

APPROVED:

Chairman, Committee on House Administration :..

Office of Finance use: only:

Office Code.

Monthly Annuity $

00

Copy for Initiating Office or Committee

NW 88326

Docld:32243276 Page 10

---

## Page 11

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter:

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

(Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

Effective Date

S, Jonathan Blackner

Employee Social Security Number

243 74 5787

5/1/77

Type of Action

Employing Office or Committee

• Appointment

a Salary Adjustment

• Termination (At close of business on effective date)

Assassinations

(If type of action is an Appointment or Salary Adjustment, complete the following information.)

Position Title

Gross Annual Salary

$18,000

(If Committee Employee, complete appropriate item below.)

1. L Standing Committee: Staff-E Clerical or • Professional.

2. La Special or Select Committee: Authority-H. Res...

: 465:0f95th Congress.:

3. I 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.;31T0(b), prohibiting the employment of

relatives.

Date..

Pay 10, 1977

(Signature of Authorizing Official)

Louts 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..

APPROVED:-

Chairman, Committee on House. Administration:

Office of Finance use only:

Office Code.

Monthly Annuity S.

5111

.00

Copy for initiating Office or Committee

NW 88326

Docld:32243276 Page 11

---

## Page 12

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter.

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

• (Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

S. Jonathan Blackmer

Employee Social Security Number

243 74 5787

Effective Date

4/1/77

Type of Action

Employing Office or Committee

• Appointment

0 Salary Adjustment.

• Termination (At close of business on effective date)

Assassinations

(If type of action is an Appointment or Salary Adjustment, complete the following information.)

Position Title

Gross Annual Salary

$38,200

- (If Committee: Employee, complete appropriate item below.)

1. L Standing Committee: Staff - Clerical or ™ Professional.

2. [i Special or Select Committee: Authority-H. Res. 465___of_95thCongress.

3. I Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number_.

If applicable, Level -

Step-

I certify that this. authorization is not in violation of 5. U.S.C. 3110(b), prohibiting the employment of

relatives.

Date..

April 29

---19_77÷

"естії"

(Signature of Authorizing Official)

Louis Stokes

(Type or print name of Authorizing Official)

Chairman

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:

APPROVED:.

Chairman, Committee on House Administration.

Office of Finance use only:

Office Code..

Monthly Annuity S-

.00

Copy for Initiating Office or Committee

NW 88326

Docld:32243276 Page 12

---

## Page 13

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

U.S: HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

•(Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last) • :

S. Jonathan Blackmer

Employee Social Security Number

Effective Date

2-1-77

Type of Action

243-74-5737

Employing Office or Committee

Select Cormittee on Assassinations

• 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

Gross Annual Salary

$11,070.

(If Committee Employee, complete appropriate item below.)

1:D Standing Committee: Staff-• Clerical or [ Professional.

95

Special or Select Committee: Authority-H. Res..

Congress.

3.

_ Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number_

If applicable, Level _

Step-

I certify that this authorization is not in: violation of 5. U:S.C. 3110(b), prohibiting the employment of..

relatives.

Date_

2-28-77

., 19_

Signature of Authorizing Official)

lenry E. Gonzalez

(Type or print name of Authorizing Official)

Chaiman

(Title - If Member, District and State)

All. appointments: and.salary adjustments for employees. under the House. Classification. Act. and förCommittee: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:

Monthly Annuity $_

00

Copy for Initiating Office or Committee

NW 88326

Docld:32243276 Page 13

---

## Page 14

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

(Any erasures, corrections, or changes:

on this form must be initialed by the

authorizing. official.

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

$. Jonechan Blackner

Employee Social Security Number

Effective Date

1/3/77

Type of Action

243R74-5727

Employing Office or Committee

Select Comittoe on Assassinations

• Appointment

E] 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

418,700.

(If Committee Employee, complete appropriate item below.)

1.0 Standing Committee: Staff-D Clerical or ] Professional.

2. É Special or Select Committee: Authority-H. Res..

. IT

__of.

altiCongress.

3. L Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number_

If applicable, Level

Step-

I certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of

relatives.

Date_

19

(Signature of Authorizing Official)

Henry Be Gonzalez

(Type or print name of Authorizing Official)

Chair an

(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.:

APPROVED:.

Chairman, Committee on House Administration

Office of Finance use only:

Office Code

Monthly Annuity S_

•00

Copy for Initiating Office or Committee

NW 88326

Docld:32243276 Page 14

---

## Page 15

PAYROLL AUTHORIZATION FORM.

(Please Use Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES:

Washington, D.C. 20515

(Any erasures, corrections, or changes

on this form must be initialed by-the-

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

S. Sonashed Blacknar

Employee Social Security Number

Effective Date

3/1/77

Type of Action

C3 74 3807

Employing Office or Committee

sclece Concitose on Assassinations

• Appointment

E2 Salary Adjustment

• Termination (At close of business on effective date)

(if type of action is an Appöintment or Salary Adjustment, complete the following information:)

Position Title

Gross Annual Salary

58521d6.

Staff Counsel

(If Committee Employee, complete appropriate item below.)

1. D Standing Committee: Staff.-E] Clerical or [ Professional.

2: 07 Special or Select Committee: Authority-H. Res._-512.

__of_2492 Congress.

3. I Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number..

If applicable, Level.

Step_

I. certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of

relatives.

Date_,

vecerher

, 19

(Signature-of Authorizing Official)

inGees

somalasse

Candreian

(Type or print name of Authorizing, Official

Seboce smittee on rscusstnadlong

(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.

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code.

Monthly Annuity $

00

Copy for Initiating Office or Committee

NW 88326

Docld:32243276 Page 15

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## Page 16

(Ples

or Ballpoint Pen)

U.S.

HUUSE UP KLIMZSENIANIVES

Washington, D.C. 20515

on this torm

must de initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

6689

Employee Name (First-Middle-Last)

Effective Date

Sidney Jonathan Cole Blackmer

Employee Social Security Number

November 2, 1976

Type of Action

243-74-5787

Employing Office or Committee

X 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

Gross Annual Salary

Staff counsel

$15,000.

(If Committee Employee, complete appropriate item below.)

11. -576 AM 9:47

1. • Standing Committee: Staff - Clerical or ] Professional.

2. X Special or Select Committee: Authority-H. Res. 1540

_of 94th Congress.

Ho=R. FINANCE OFFICE

3.

• L Joint Committee.

(if Employee of an Officer of the House, complete item below.)

Position Number_

If applicable, Level

11 -5 76 AH 9:31

Step_

I certify that this authorization is

not in violation of 5 U.S.C.

Mo= R. FINANCE OFFICE

3H0/b), prohibiting the employment of

relatives.

Date-

November 2

1976

(Signature of Authorizing Official)

Thomas N. Downing

(Type or print name of Authorizing Officiali

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 thöse 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 $

S

.00

1D made

HB

ORIGINAL - To Finance Office (For oinisial personnel folder)

NW 063263

Docid: 32243276 Page 16

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## Page 17

MEMORANDUM

TO:

All Staff Employees

FROM: Budget Officer

DATE: January 3, 1977

RE:

Payroll Certification

relationship, if any, of each staff employee to any current

The following are the relationships to be included in

the certification:

father

mother

SOn

daughter

brother

sister

uncle

aunt

first cousin

nephew

niece

husband

wife

father-in-law

mother-in-law

son-in-law

daughter-in-law

brother-in-law

sister-in-law

stepfather

stepmother

stepbrother

stepsister

half-brother

half-sister

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

to my current Nester f Conquers ly consangued ty of

the

anto lowing relationship.

bonathan

C. Blackemen

Ignature of

Employee

1/10/77

Date

NW 88326

Docld:32243276 Page 17

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