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Assassination Records Review Board

Final Determination Notification

AGENCY : HSCA

RECORD NUMBER

: 180-10068-10362

RECORD SERIES : STAFF PAYROLL RECORDS

AGENCY FILE NUMBER

December 8, 1995

Status of Document: Postponed in Part

Number of releases of previously postponed information: 4

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: 2

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

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Date: 08/20/93

Page: 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA

RECORD NUMBER

: 180-10068-10362

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA

FROM:

TO :

TITLE :

DATE: 05/12/78

PAGES : 4

SUBJECTS :

HSCA, ADMINISTRATION

GREEN, CHARLOTTE

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

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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)

Charlotte Green

Employee Social Security Number

148-52-9861

Employing Office or Committee/Subcommittee

Assassinations

Effective Date

7/31/78

Type of Action

• Appointment

• Salary Adjustment

• Title Change

L: Termination (Ar 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*

* 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. ESpecial (Investigative staff of Standing Committee) or Select Committee: Authority-H: Res: 95ñ -of 95thCongress.

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. August 10

..19_78.

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

(Signature of Authorizing Official)

LOWS STOKES._ CHAIRMAN

(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 employee's 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 Office or Committee::

(Revised: August !

1977)

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PAYROLL AUTHORIZATION FORM

(Please Use. Typewriter

or Ballpoint Pen)

U:S. HOUSE OF REPRESENTATIVE,

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

Charlocte Green

Employee Social Security Number

5/12/78

Type of Action

148-52-9861

Employing Office or Committee/Subcommittee

Assassinations

I 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*

Sumner Intern

$6240.00

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

2. I Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 956_of_95t/Congress.

3. I Joint Committee.

(If Employee of an Officer of the House, cómplete 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_

May 22

..1978

(Signature of Authorizing Official)

LOUIS STOKES

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

(Type or print name of Authorizing Official)

CHAIRMAN

(Type or print name and title of above official)

(Title - If Member, District and Stäte)

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)

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Certificate of Relationship/Nonrelationship to

Any Current Member of Congress

Date -

May 12,1978

To: House Select Committee on Assasinations

(Employing Authority)

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

current Member of Congress.

father

mother

son

daughter

brother.

sister

uncle

aunt

first cousin

nephew

niece

husband

wife

father-in-law

mother-in-law

son-in-law

aughter-in-lar

rother-in-lav

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)

GPO

Charlott A. Sheen

(Employee

16-78695-3

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MEMORANDUM

TO: Thomas Howarth, Budget Officer

Elizabeth Berning, Chief Clerk

FROM: 7. charles Mathews, Specsal counser.EMs

DATE:

May 22, 1978

RE: Charlotte Green

Please be advised that effective Friday, May 12,

1978, Ms. Charlotte Green joined the Committee staff as

a summer intern. Her effective starting salary will be

$6240.00 per annum.

If you have any questions concerning this matter,

please contact me at your convenience.

ICM: J

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