## Page 1

AGENCY

RECORD NUMBER

RECORD SERIES

AGENCY FILE NUMBER

Assassination Records Review Board

Final Determination Notification

: HSCA

: 180-10070-10157

: STAFF PAYROLL RECORDS

December 8, 1995

Status of Document:

Postponed in Part

Number of releases of previously postponed information: 6

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: 3

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

Released under the John F

Kennedy Assassination

Records Collection Act of

1992 (44 USC 2107 Notel.

Case#: Nw 88326 Date:

2025

NW 88326

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## Page 2

Date: 08/20/93

Page: 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA

RECORD NUMBER: 180-10070-10157

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA

FROM :

TO:

TITLE :

DATE: 10/30/77

PAGES :

6

SUBJECTS:

HSCA; ADMINISTRATION

SMITH, BEVERLY A.

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION : U

RESTRICTIONS: 3

CURRENT STATUS : P

DATE OF LAST REVIEW : 07/16/93

OPENING CRITERIA :

COMMENTS:

Box 3.

[R] - ITEM IS RESTRICTED

NW 88326

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## Page 3

PAYROLL AUTHORIZATION FORM

(Please Use. Typewriter

or Ballpoint Pen)

U.S. HOUSE OF REPRESENTATIVES

Washington, D.C. 20515

To the Clerk of the House of Representatives:

I hereby authorize the following payroll action:

Employee Name (First-Middle-Last)

Ann. Smith

Employee Social Security Number

235-94-3124

Assassinations

employing Ofice or Committee/Subcommittee

(Any erasures, corrections, or changes

on this form must be initialed by the

authorizing official.)

Effective Date

12/33/78

Type of Action

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

Position Title

• Appointment

• Salary Adjustment

I Title Change

&Ll 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 bel.ow.)

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

Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 235

2-of 238 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 U.S.C. 3110(b); prohibiting the employment of

relatives.

с 22001У

2

Date.

79

. 19

Tif appropriate, signature of Subcommitlee Chairman or Ranking Minority Member)

(Type or print name and title of above official)

(Signature of Authorizing Official)

LOUIS

STOKES

lype or print name of Authorizing Official

CHAIRWAL

(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 Administratión

ID

Benefits

Payroll -

00 as of

• Copy for Initiating Office or Committee

(Revised: August 1, 1977)

NW 88326

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## Page 4

PAYROLL AUTHORIZATION FOOM

(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)

Bovarly

Ans Saith

Employee Social Security Number

Effective Date

octobar 2, 8978

Type of Action

235-98-3124

Employing Office or Committee/Subcommittee

Assassinationa

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_

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

Position Title

Specify Date

Gross Annual Salary*

$13,000.00

- * 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.)

10

Standing Committee: Staff— Clerical or [ Professional.

2. El Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res. 256:

6 of 2ch

-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.

October 13

Date_

78

19

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

Signature of Authorizing Official)

IOUIS

BLOKES

(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:

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 l 1977)

NW 88326

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## Page 5

Select Committee on Assassinations

U.2. House of Representatibes

WASHINGTON, D.C. 20515

October 13, 1978

Mr. Chairman:

We missed one. Beverly Ann Smith has

been with the Committee a few days short of

year without any salary increase.

rem

0911

10/13/28

a

NW 88326

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## Page 6

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)

Beverly. Ann Smith

Employee Social Security Number

235-94-3124

Employing Office or Committee

Assassinations

October

Effective Date

30 28

2, 1977

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

$11,500.00

Clerk Typist

(If Committee Employee, complete appropriate item below:)

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

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

of 95th_ 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_

October 31

19

77

eD

(Signature of Authorizing Officiall

Louis 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 emi-

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 $_

Copy for Initiating Office or Committee

NW 88326

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## Page 7

Howarth

MEMORANDUM

TO: Thomas Howarth, Budget Officer

FROM:

Thomas How Mah, Bu, Specifi Counsel Ne. M.

DATE:

October 21, 1977

RE:

Ms. Beverly A. Smith

Ms. Beverly A. Smith has accepted the position of

Clerk Typist with the John F. Kennedy Task Force.

Her

effective starting date will be October 31, 1977, and

her starting

salary will be $11,500.00.

Your full co-operation will be appreciated in

familiarizing Ms. Smith with staff procedures and welcoming

her aboard.

ICM: J1

NW 88326

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## Page 8

MEMORANDUM

TO: ALL STAFF

RE: Payroll Certification

The Regulations and Accounting Procedures for Allowances and

Expenses of Committees, Members and Employees of the U.S. House of

Representatives require that, among other things, the Committee's

monthly payroll certification include the relationship, if any, of

each employee to any current Member of Congress. This certification

last his certificat

is signed monthly by our Chairman.

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

Please complete the appropriate portion below, sign and date

this form, which will then become a part of your permanent personnel

file.

If this status changes, you must notify the Committee's Budget

Office immediately of the change.

I am not related to any current (95th Congress) Member of Congress.

I am related to a current (95th Congress) Member of Congress.

(Please specify.)

Beverly Ann,

Smith

signature

Employee

10/31/77

Date

NW 88326

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