NOTIFICATION OF PERSONNEL ACTION.
Originator: CIA
Document date: 08/18/1958
Document type: PAPER - TEXTUAL DOCUMENT

## Page 1

4-00000

104-10128-10353

2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992

STAINED FORM 50 (T PART)

PEV. APRIL 1951

U.s

PROMULGATED RY

CIVIL SERVICE CONMISSION

CHAPTERRI, FEDERAL PERSONNELMANUAL

SECRET

(WHEN FILLED IN)

NOTIFICATION OF PERSONNEL ACTION

1. NAME (MR-MISS-MRS.-ONE GIVEN MAME, INITIALIS). ANO SURNAMES

2. DATE OF BIRTH

3. JOURNAL OR ACTION NO.

4. DATE

10/53/22

18 ADF, 88

This is to notify you of the following action affecting your employment:

5. NATURE OF ACTION (USE STANDARD TERMINOLOGY)

6. EFFECTIVE DATE

7. CIVIL SERVICE ON OTHER LEGAL AUTHORITY

FROM

i 58

50 U3Ch 108,1

0j5 VIfloor (PF)

8. POSITION TITLE

8127

GS-0136-52-14 #11,855.00 BAB

. SERVICE, SERIES

GRADE, SALARY

10. ORGANAZATIONAL

DESIGNATIONS

Frojoot insax

Elspt i irab staton Brrrah

Froject PELTATE

12-18

Boirut, Laburon]

FIELD

DEPARTMENTA

13. VETERAN'S PREFERENCE

NONE WWIL OTHER 5-PT.

IO/POINT

OTNER

11. HEADQUARTERS

• FIELD

DEPARTMENTAL

12. FIELD OR DEPT'L

14, POSITION CLASSLEICATION ACTION

NEW

VICE I. A REAN

52:5F

15.

SEX

16. APPROPRIATION

FROMP

TO:

83582-41-215

20.

REMARKS:

=

C.

03

subtidabriefed by

scourity (ETazao)

ivatidobriarad bi Fizazad (shipley) / 03

17.

SUBJECT TO C. S

PETIREMENT ACT

(YES-HO)

Troo

18. DATE ON APPOINT-

MENT AFFIDAVITS

(ACCESSIONS ONLY)

• LEGAL RESIDENCE

STATE:

03

Sie # 40696

PAL DIRICTOS ON FORSATIEL

ENTRANCE PERFORMANCE RATING:

'ECRET

21. SIGNATURE OR OTHER AUTMENTICATION

RETURN TO CIA

Background Use Only

Do Not Reproduce

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