## Page 1

AGENCY :

RECORD NUMBER

RECORD SERIES

AGENCY FILE NUMBER

Assassination Records Review Board

Final Determination Notification

HSCA

: 180-10068-10328

: STAFF PAYROLL RECORDS

December 8, 1995

Status of Document:

Postponed in Part

Number of releases of previously postponed information: 5

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

Jeleased under the John F. Kennedy Assassination Records Collection Act of 1992(44 051

2107 Motel. Case#:NW 99926 Date: 202

NW 88326

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## Page 2

• ?

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

Date: 08/20/93

Page: 1

AGENCY : HSCA

RECORD NUMBER: 180-10068-10328

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR: HSCA

FROM :

TO :

TITLE :

DATE: 09/01/77

PAGES :

SUBJECTS:

HSCA, ADMINISTRATION

CORNWELL, GARY T.

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION

: U

RESTRICTIONS

CURRENT STATUS

DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA :

COMMENTS :

Box #:1.

(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)

Effective Date

Cary I.

Cornell

Employee Social Security Number

Залцаки 1. 1979

Type of Action

86057402379

Employing Office or Committee/Subcommittee

Assassisations

(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*

$B4.500.00

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

2. E Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 256_of 5th 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.

January 2

Date_

19

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

(Type or print name and title of above officiall

(Signature of Authorizing Official)

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 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:

Gary I, Corructl

Employee Name (First-Middle-Last)

Employee Social Security Number

Effective Date

October: 1, 1978

Type of Action

460-74-8179

Employing Office or Committee/Subcommittee

hobassinatiors

• Appointment

É 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*

$47,500.00

* 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.)

10:

Standing Committee: Staff—• Clerical or • Professional.

2. B

Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 956_of 5Cl. 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

not in violation of 5 U.S.C. 3110(b), prohibiting the employment of

relatives.

Cetobar 13

Date__.

19_

78

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

(Type or print name and title of above official)

(Signature of Authorizing Official)

10UIS SFONES

(Type or print name of Authorizing Official)

Chaleman

(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)

Effective Date

cary

CoEnveld

Employee Social Security Number

March Ry 1978

Type of Action

400-7-1279

Employing Office or Committee/Subcommittee

Assassinations

(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*

Deputy Chier Consel

94405000

* 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. -Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res. 95f of _25€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.

Date March Me

19-74:

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

(Type or print name and title of above official)

(Signature of Authorizing Official)

SPOKES

(Type or print name of Authorizing Official)

Chas aar-Tile-l Member, District and Stare)

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

1D

Benefits -

Payroll __.

00 as of

•Copy for Initiating Office or Committee

(Revised: August 1, 1977)

NW 88326

Docld:32243294 Page 5

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## Page 6

PAYROLL AUTHORIZATION: FORM

(Please Use Typewriter.

U.S. HOUSE OF REPRESENTATIVES

or Ballpoint Pen)

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: t

Employee Name (First-Middle-Last):

Gary T. Cornsell

Employee Social Security Number

460 74 1179

Effective Date

9/1/77

Type of Action

Employing Office or Committee

Assassinations

i 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

Deputy Chief Counsel

$42,500

(If Committee Employee; complete.appropriate item below.)

1. L Standing Committee: Staff-] Clerical or E Professional:

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

465

- of 25 th

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.

Date_

Septenber 15

19

(Signature of Authorizing Official)

Louts 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 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 $

.00

Copy for Initiating Office or Committee

NW 88326

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## Page 7

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

Uffice imnediately of the change

X/ 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.)

Signature of Employee

NW 88326

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