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AGENCY

RECORD NUMBER

RECORD SERIES

AGENCY FILE NUMBER

Assassination Records Review Board

Final Determination Notification

HSCA

180-10068-10298

STAFF PAYROLL RECORDS

December 8, 1995

Status of Document:

Postponed in Part

Number of releases of previously postponed information: 3

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: 1

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

Board Review Completed: 10/24/95

eleased under the John F. Kennedy Assassination Hecords Collection Act of 1942 144 U50

2107 Notel. Caset: Nw 99326 Date: 2025

NW 88326 Docld:32243264 Page 1

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Date: 08/20/93

Page: 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA

RECORD NUMBER: 180-10068-10298

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA

ROM

TO.

TITLE :

DATE : 05/25/7

AGES:

SUBJECTS:

HSCA, ADMINISTRATION

ADRINE, RONALD

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION : U

RESTRICTIONS: 3

DATE OF REST REVIES 0/07/93

OPENING CRITERIA :

COMMENTS :

Box #:1.

[R] - ITEM IS RESTRICTED

NW 88326 Docld:32243264 Page 2

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PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

US HOUSE OF RÉPRESENTATIVES.

Washington, D 6 20515

(Any erasures, corrections, or changes

authoring omicsat be initialed by the

To the Clerk of the House of Representatives

I hereby authorize the following payroll action

Employee Name (First-Middle-Last)

Ronald Adrine

Employee Social Security Number

302-46-7079

Employing Office or Committee/Subcommittee

Effective Date

6/5/78

Type of Action

Assassinations

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

Position Title

i Appointment

I Salary Adjustment

I Title Change

I Termination (At close of business on effective date)

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

close of business….

-Specify Dare

Gross Annual Salary*

Staff Counsel

$27,000.00

* If employee is a civil service annuitant (includes US 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 l Professional

2 I Special (Investigative staff of Standing Committee) or Select Committee Authority-H Res_256 of 95t Congress

3 D 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 USC 3110(b), prohibiting the employment of

relatives

Date.-

June 5

78

,19

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

LOUIS STOKES ME onli

(Type or print name of Authorizing Official)

(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 S_

ID

Benefits

Payroll _

• gr

00 as of

Copy for Initiating Office or Committee

(Revised August 1 1977)

NW 88326 Docld:32243264 Page 3

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MEMORANDUM

TO :

Thomas Howarth, Budget Officer

Elizabeth Berning, Chief

Clerk

FROM:

I. Charles Mathews,

Special Counsel

DATE: June 2,

1978

RE: Mr. Ronald Adrine

Please be advised that effective Monday, June 5,

1978, Mr. Ronald Adrine has accepted the position of

Staff Counsel with the Select Committee. His effective

starting salary will be $27,000.00 per annum.

If you have any questions concerning this matter,

please contact me at your convenience.

(It has not been

determined which task force Mr. Adrine will be assigned to)

ICM: J

NW 88326 Docld:32243264 Page 4

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Certificate of Relationship/Nonrelationship to

Any Current Member of Congress

Dato May 25, 1978

To: Assassinations Comm.

(Employing Authority)

& I certify that I do not have any of the following relationships to any

current Member of Congress.

father

nephew

mother

niece

son

husband

laughte

wife

rother

father-in-law

sister

mother-in-law

uncle

son-in-law

aunt

daughter-in-law

first cousin

brother-in-law

sister-in-law

stepfather

stepmother

stepson

stepdaughter

stepbrother

stepsister

half-brother

half-sister

• I certify that I am the

of the

(Relationship)

Honorable

(Name of Member to whom related)

Ronald B Adrine

(Employee)

GPO

16-78695-3

NW 88326 Docld:32243264 Page 5

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