## Page 1

AGENCY

RECORD NUMBER

RECORD SERIES

AGENCY FILE NUMBER

Assassination Records Review Board

Final Determination Notification

: HSCA

: 180-10070-10170

: 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: 4

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.

Lennedy assassination

¡ecords Lollection &ct o

1992 (44 USC 2107 Note).

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 : 180-10070-10170

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA

FROM :

то :

TITLE :

DATE: 12/30/77

PAGES : 6

SUBJECTS :

SCA; ADMINISTRATION

WELBURN, BRENDA L.

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION : U

RESTRICTIONS: 3

CURRENT STATUS

DATE ORST SEES 0/16/93

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

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)

Brenda to Welburn

Employee Social Security Mumber

Effective Date

December do 1978

Type of Action

102-40-6872

Assassinations

Employing Office or Committee/Subcommittee

• 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*

$16,000.00

* 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.

2.1I Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res.956

_or 95 tl 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.

December 11

Date.

19

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

Signature ol

not's hor kettin)

(Type or.

print name of Authorizing Official

22171130

(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 S_.

Chairman, Committee on House Administration

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 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)

Brenda

Lo Welburn

Employee Social Security Number

102-40-6872

_ Employing Office or Committee/Subcommittee

Assassinations

Effective Date

22/31/78

Type of Action

• Appointment

• Salary Adjustment

• Title Change

I 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*

* 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 l Professional.

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

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__-

January "

79

., 19.

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

(Type or print name and title of above official)

(Signature of Authorizing Official)

LOUIS

STOKES

(Type or print nome of Authorizing Officiall

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:

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 1, 1977)

NW 88326

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## Page 5

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)

Bonda L. Welbarn

Employee Social Security Number

Effective Date

December 30, 1377

Type of Action

30240-6372

Employing Office or Committee/Subcommittee

Assassinationa

(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*

Researcher

$15,000

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

2390$Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 465of.

95 Congress:

3. I 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.

Date. December 30

(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 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 $

Benefits -

Payroll __.

.00 as of

Copy for Initiating Office or Committee

(Revised: August 1, 1977)

NW 88326

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## Page 6

eb

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

Brenda I. Welburn

Employee Social Security Number

December 30, 1988

Type of Action

902-40-6872

Employing Office or Committee/Subcommittee

Assassinations

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

Position Title

kE 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_.

Specity Date

Gross Annual Salary*

Researcher

$15,000

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

23*[8Special (Investigative staff of Standing Committee) or Select Committee: Authority-H: Res. 465of 25 tongress.

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 December

_ 30

1977

SARRA

Ibuis Stokes

(Signature of Authorizing Official):

(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:

Office of Finance use only:

Office Code.

Monthly Annuity Se

Chairman, Committee on House Administration

ID

Benefits -

Payroll

00 as of

Copy for Committee on House Administration

(Revised: August 1; 1977).

NW 88326

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## Page 7

MEMORANDUM

10: Thomas Howarth, Budget Officer

Elizabeth Berning, Chief Clerky

FROM: I. Charles Mathews, Special Counsel I C.M.

DATE: December 30, 1977

RE: Ms. Brenda Welburn

This memorandum is to advise you that Ms. Brenda

Welburn as accepted the position of Researcher with

the Select Committee. Her effective starting date is

December 30, 1977, and her starting salary, $15,000.00.

Your cooperation will be appreciated in familiarizing

Ms. Welburn with staff procedures and welcoming her

aboard.

ICM: jl

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

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.

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

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

(Please specify.)

Brend Filexthal Welleurn

Signature of Employee

2/30/21

Daté

NW 88326

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