## Page 1

Assassination Records Review Board

Final Determination Notification

AGENCY : HSCA

RECORD NUMBER : 180-10068-10337

RECORD SERIES : STAFF PAYROLL RECORDS

AGENCY FILE NUMBER

December 8, 1995

Status of Document:

Postponed in Part

Number of releases of previously postponed information: 8

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: 6

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

Heleased under the John F. Kennedy Assassination Records Collection Act of 1992 44 U50

2107 Notel. Case# Nt 99826 Date: 2025

NW 88326

Docld:32243303 Page 1

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## Page 2

Date: 08/20/93

Page: 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA

RECORD NUMBER: 180-10068-10337

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA

FROM

:

TO :

TITLE:

DATE : 12/14/78

PAGES : 15

SUBJECTS :

HSCA, ADMINISTRATION

DOYLE, KEVIN SEAN

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION: U

RESTRICTIONS : 3

CURRENT STATUS : P

DATE OF LAST REVIEW : 07/07/93

OPENING CRITERIA :

COMMENTS :

вож #:1.

[R] - ITEM IS RESTRICTED

NW 88326

Docld:32243303 Page 2

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## Page 3

DOYLE

K.s.

Naine of Employee

Address

Address

"Flionic Number

Position Title

Level

OFFICE OF THE CLERK

U.S. HOUSE OF REPRESENTATIVES

PERSONAL LEAVE RECORD

1977

YEAR

ANNUAL LEAVE

CATEGORY

1,0

1.5

2.0

BALANCE BROUGHT

FORWARD

FROM

PRECEDING YEAR

Annual

Leave

Sick

Leave

Position Nümber

Month

123

• 10 11 19, 13

Jan.

Feb.

Mầr.

*Apr.

May

June

S

July

Aug.

Sept.

Oct.

Nov.

Dec.

= 0.5 day annual leave

= 1.0 day annual leave

= 0.5 day sick leave

or

= 1.0 day sick leave

= 0.5 day administrative leave

or

= 1.0 day administrative leave

=

0.5 day unauthorized absence

or

= 1.0 day unauthorized absence

= 0.5 day. leave without pay

= 1.0 day leave without pay

NW 88326

Docld:32243303 Page 3

DATE OF APPOINTMENT

12-14-76

PRIOR FEDERAL SERVICE

Stẹp

Months

ACCRUED

THIS MONTH•

AVAILARLE

THIS MONTH

USED

THIS MONTH

DAY OF MONTH

14 7 15 167 17 18 10 7 20 21 7 22

123 24 25 26

Annual

Leave

Sick

Leave

Annual

Leave

Sick

Leave

BALANCE

CLOSE

ỐF GOOSH

Annual

Leave

/

2

it

5

S

S

1

6

2

4

Terminatid 8/16/77

CERTIFIED CORRECT:

Sick.

Leave

2

3

5

3

4

EMPLOYEÉ

INITIAL'S

Eriployee's Signature

Dote

(It employee refuses to sign, state reason below.)

Chief's Signature

Date

Approved:

Clerk of the House

Dato

This record will be forwarded to the Clerk of the House at the end of each calendar year, or in case of termination,

along

with the request for termination. Upon approval, the record will be filed in the employee's official personnel folder.

EXHIBIT I

---

## Page 4

PAYROLL AUTHORIZATION FORM

(Please Use Typewriter

or Ballpoint Pen)

* U:S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes:

Washington, D.C. 20515

on this form must be initialed by the

authorizing official:)

To the Clerk of the House of Representatives:

1 hereby. authorize.the following payroll action:

Employee Name (First-Middle-Last)

Kevin Sean Doyle

Effective Date

8/16/77

Employee Social Security Number:

Type of Action*=:

077 48

6826

Employing Office or Committee

Assassinations Conmittes

• Appointment

[ Salary Adjustment

È Termination (At close of business on effective date)

(If type of action is an Appointment or Salary Adjustment, complete the following information:)

Position Title

Clerical Assiatant

Gross Annual Salary

$9,500.00

(If. Committee Employee, complete appropriate item below.)misa

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

465

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

o 25th

- Congress: ra

3.

Joint Committee.

(If Employee of an Officer of the House, complete item below.acap

Position Number__i

If applicable, Level_-

Step_1

certify that this authorization is not: in: violation: of 5 U.S.C. 3110(b), prohibiting the employment of

relatives.

Date_

August 17,1977

19

(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:

Chairman, Committee on House Administration

Office of Finance use only:

Office Code.

Monthly Annuity S-

.00

Copy for Initiating Office or Committee

NW 88326

Docld:32243303 Page 4

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## Page 5

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:

Employee Name (First-Middle-Last)

Effective Date:

Kevin Sean Doyle

Employee Social Security Number

077-48-6826

8/1/77

Type of Action

Employing Office or Committee

• Appointment

L. Salary Adjustment

• Termination (At close of business on effective date).

Assassinations

(If type of action is an Appointment.or Salary. Adjustment, complete the following information.)

Position Title

Gross Annual Salary

Clerical Assistant

9,500

(If Committee Employee, complete appropriate item below.)

1.

Standing Committee: Staff-M Clerical or E Professional.

2. 0 Special or Select Committee: Authority-H. Res..

465

of_95 th 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-

August 2

77

19

(Type or print name of Authorizing Official)

CHAIRMAN

----an---—-—--

(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-

00

Copy for Initiating Office or Committee

NW 88326

Docld:32243303 Page 5

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## Page 6

- maile

04/22107

U.S. DEPARTMENT OF LABOR

Employment Standards Administration

Office of Workers' Compensation Programs

DUTY STATUS REPORT

PART A - SUPERVISOR

1. NAME AND ADDRESS OF THE MEDICAL FACILITY OR PHYSICIAN AUTHORIZED TO PROVIDE MEDICAL SERVICES

Richard Smith

56 - 49

3-24-77

2. EMPLOYEE'S NAME pLasti first, Emiddle)

OW CP

:7-23-55

26

6. DESCRIPTION OFINJURY

3. DATE OF INJURY

(Mo., day, year)

3/24/77

4. OCCUPATION.

Clerical

Assistant

right ankle twisted

5. SOCIAL SECURITY

NUMBER

077 48 6826

PART B - PHYSICIAN

7. IS THE EMPLOYEE ABLE TO PERFORM HIS/HER REGULAR. WORK?

UrES

NO

IF YES, GIVE DATE ABLE TO RESUME WORK.

8.. IS THE EMPLOYEE ABLE TO PERFORM LIGHT WORK?

PHYSICAL LIMITATIONS WHICH ARE DUE TO THE INJURY.

O NO

IF YES, DESCRIBE BRIEFLY THE

9. IF THE EMPLOYEE IS FIT FOR NEITHER FULL OR LIGHT DUTY, GIVE A BRIEF REPORT AND PROGNOSIS

10. REMARKS

han detain

paitul for a cuples tans

11. SIGNATURE

tichad S

12. PROFESSIONAL DEGREE

13, DATE (Mo., day, year)

Far 241927

PART C - SUPERVISOR

CHAND

STATH, M.D.

14.

SEND A COPY. OF THIS REPORT TO:

15.

NAME AND ADDRESS OF EMPLOYING AGENCY, WHICH

IS TO RECEIVE THE ORIGINAL REPORT.

U.S. DEPARTMENT OF LABOR

Employment Standards Administration

Office of Workers' Compensation Programs

Select Committee on Assassinations

House of Representatives

Washington, D.C.

20515

Form CA-17

Nov. 1974

NW 88326

Docld:32243303 Page 6

---

## Page 7

-mailed 4/02/17

U.S. DEPARTMENT OF LABOR

EMPLOYMENT STANDARDS ADMINISTRATION

FEDERAL EMPLOYEE'S NOTICE OF INJURY

OR OCCUPATIONAL DISEASE

OFFICE OF FEDERAL EMPLOYEES' COMPENSATION

1. NAME OF INJURED EMPLOYEE (Last, first, middle)

Doyle

KevIN SEAN

2. DATE OF BIRTH

(Mo.

ay, yeal

7/23/551

3.

4. SOCIAL

SECURITY

28. MALE

• FEMALE

NUMBER

077-48-4826

5. HOME MÄILING ADDRESS (Number, street, city, state, zip code)

6. HOME TELEPHONE

224N. WAKEFIELD

ARL., VA. 222031

AREA CODE

NUMBER

7. NAME AND ADDRESS OF EMPLOYING ESTABLISHMEN Name.

number, street, city, state, zip code)

SELECT

155A55

8. PLACE WHERE INJURY OCCURRED (e.g., 2nd floor, building 402, Andrews Air. Force Base)

3rd FLOOR 3337

9. DATE AND HOUR OF INJURY

10. 124177

1°8

REPM

10. DATE OF THIS NOTICE

11. OCCUPATION

(Mo., day, year)

3/24/77

12: CAUSE OF INJURY (Describe how and why injury ocurred)

terrught foot on hole in carpet and

13. NATURE OF INJURY (Name part of body affected-fractured left leg. bruised right thumb, etc.)

riaht andle h

has lump

14. NAMES OF WITNESSES TO INJURY (If none, so state)

MONE

15. IF

THIS NOTICE WAS NOT

GIVEN WITHIN 48 HOURS AFTER THE INJURY, EXPLAIN REASON FOR DELAY. IF EARLIER NOTICE WAS GIVEN

VERBAL

OR WRITTEN,

STATE WHEN

AND

TO

WHOM.

certify that the injury described above was

sustained in the per.

16. SIS MATURE OF INJURED EMPLOYEE OR PERSON ACTING ON

formance of my duties as an employee of the U.S. Government and that

it was

not caused

by

my willful misconduct,

intention to

bring

about

ine

injury or death

hereby

of myself,

another, nor by my intoxication.

make claim for compensation and medical treatment to which

I may be entitled by reason of this injury.

Hive Sean

Darl

17. STATEMENT OF WITNESS: DESCRIBE WHAT YOU SAW, HEARD OR KNOW ABOUT THIS INJURY

18. SIGNATURE OF WITNESS

19. DATE (Mo., day, year)

CA-1 & 2

Rev. May, 1973

NW 88326

Docld:32243303 Page 7

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## Page 8

OFFICIAL SUPERIOR'S REPORT OF INJURY OR OCCUPATIONAL DISEASE

20. DEPARTMENT OR AGENCY

House

21. BUREAU OR OFFICE

F

EA

s. 6-021455655

22. NAME AND MAILING ADDRESS OF REPORTING OFFICE (Name, number, street, city, state, zip code)

23. DATE REPORTING OFFICE RECEIVED

NOTICE OF

INJURY

(Mo., day, year)

3/24

I VERBAL

O WRITTEN

26. AT ANIMOUR OF MARY

day, year)

3/34

JOODAM

DIPM

29. HOUR REGULAR WORK ENDS

00

DAM

УРМ

32. DATE AND HOUR STOPPED WORL

(Mo..

lay, year

DIAM

24. NAME OF SUPERVISOR IN CHARGE

WHEN INJURY

OCCURRED

DONOVAN GAY

27. CIRCLE DAY OF WEEK WHEN

INJURY

OCCURRED

T

W

F

S

30. NUMBER HOURS WORKED PER DAY

9

33. DATE AND HOUR PAY STOPPED

(Mo., day, year).-

BAM

35. INCLUSIVE DATES EMPLOYEE RECEIVED PAY FOR THE PERIOD HE DID NOT WORK

(Mo., day, year!

FROM

FROM

FROM

ANNUAL LEAVE

TO

TO

TO

FROM

FROM

FROM

SICK LEAVE

TO

TO

TO

FROM

FROM

FROM

36. WAS THE EMPLOYEEENO FURASHI ELE EXPLANATIOAT THE TIME THE INJURY OCCURRED?

IF NO, FUPNISH DETAILED EXPLANATION

25. NAME

AND TITLE OF PERSON TO WHOM

NOTICE FIRST GIVEN

SOO MOANSO

DEE

28. HOUR REGULAR WORK BEGINS

00

31. CIRCLE DAYS PAID PER WEEK

• 5.

34. DATE AY. HOUR RETURNED TO WORK

FAM

7 P.M

DAM

JPM

OTHER

TO

37. WAS THE EMPLOYEE IN PERFORMANCE OF DUTY AT TIME OF INJURY?

IT YES

OR A COPY OF THE EMPLOYING ESTABLISHMENT'S INVESTIGATION REPORT

O NO IF NO, FURNISH DETAILED EXPLANATION

INTOXICATION OR INTENT TO BRING ABOUT INJURY TO SELF OR ANOTHER?

IF YES, FURNISH DETAILED EXPLANATION

39. WAS THE INJURY CAUSED BY A THIRD PARTY? § YES NO IF YES, FURNISH NAME AND ADDRESS OF RESPONSIBLE PARTY

40. DATE

EMPLOYEE FIRST OBTAINED

41. NAME AND ADDRESS OF FIRST ATTENDING PHYSICIAN

MEDICAL CARE FOR THE INJURY

(Mo., day, year)

120137

FACTS ABOUT THIS INJURY AGREE WITH THE STATEMENTS OF THE EMPLOYEE AND/OR WITNESS?

IF NO, FURNISH DETAILED EXPLANATION

43.

SIGNATURE OF OFF

Briva

SUPERIOR

44. TITLE CHIEF

RESEANCHER

3 24/77

5. DATE (Mo., day, vea

3124/17

CA-1 & 2

Rev. May, 1973

NW 88326

Docld:32243303 Page 8

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## Page 9

INSTRUCTIONS FOR COMPLETING FEDERAL EMPLOYEES' NOTICE OF

INJURY OR OCCUPATIONAL DISEASE, CA-1 & 2

IMPORTANT: Employee and official superior should read all of the following instructions before the

page is removed.

Items 1 through 16 of this form should be completed by the injured employee or by someone

acting

on his behalf, whenever an injury is sustained in the performance of duty. The term in-

jury includes occupational disease caused by the employment. The form should be given to the em.

ployee's official superior within 48 hours following the injury. The official superior is that indi-

vidual having responsible supervision over the employee.

• In instances of a recurrence of disability resulting

an injury previously reported on form

CA-1 & 2, the official superior should complete and

submit form CA-2a.

The official superior will complete the

"Receipt of Notice of Injury" at the bottom of this page, tear

off the page, and give it to the employee. The official superior will also be responsible for obtaining

the statement of a witriess (it any), signature, and date, in items 17, 18 and 19 on the front of

A brief description of benefits provided by the Federal Employees' Compensation Act is given on

the back of this page.

INSTRUCTIONS FOR COMPLETING OFFICIAL SUPERIOR'S

REPORT OF INJURY OR OCCUPATIONAL DISEASE, CA-1 & 2

The back of form CA-1 & 2 should be completed by the employee's official superior. The form should

be sent immediately to the Office of Federal Employees' Compensation servicing the employing es-

tablishment if:

1. The injury causes disability for the employee's usual work beyond the shift it occurred, or

2. It appears that the injury will result in prolonged treatment, permanent disability or serious

disfigurement of the head, face or neck, or

3. It appears that the injury will result in

a charge for medical. or other related expense.

If none of the above occurs or appear likely to occur, the form should be

filed in the employee's

official personnel file after the official superior completes the "Receipt of Notice of Injury' and

gives it to the employee.

When additional information is required to explain or clarify any point, attach supplemental state-

ments to the form. The form should then be sent to the appropriate office of the Bureau. For fur-

ther information, see the regulations governing the administration of the Federal Employees' Com-

pensation Act (Code of Federal Regulations Title 20 Chapter 1).

RECEIPT OF NOTICE OF INJURY

TS ACHNOWLEUGES RECEIPI OF NOTICE OF NURY SUSTAND SY ME LIE SEAL DONE

(Name of injured employee)

WHICH OCCURRED ON

3/70/

_AT 3337 HOB#2

day, year)

DAIO/2X/77

SIGNATURE OF OTHE

SUPERIOR

Verase

CHIEF RESENACHEN

3/34177

CA-1 & 2

Rev. May, 1973

20. DEPARTMENT OR AGENCY

OFFICIAL SUPERIOR'S REPORT OF INJURY OR OCCUPATIONAL DISEASE

21. BUREAU OR OFFICE

NW 88326

Docld:32243303 Page 9

---

## Page 10

18. SIGNATURE OF WITNESS

19. DATE (Mo., day, year)

CA-1 & 2

Rev. May, 1973

DISABILITY BENEFITS FOR EMPLOYEES UNDER THE FEDERAL

EMPLOYEES' COMPENSATION ACT

The Federal Employees' Compensation Act ad-

ministered by the Office of Federal Employees'

Compensation (OFEC) provides the following

basic disability benefits for employment related

injuries or occupational diseases:

1.

Full medical care.

Compensation is not paid automatically-an em-

ployee or someone acting on his behalf must

claim it by filing OFEC form CA-4. This form

may be obtained from the employing establish-

ment or the OFEC. In practically all cases medical

reports are required before compensation may

be paid, therefore arrangements should be made

to have medical reports submitted to the OFEC

at the earliest possible date.

2.

Payment of compensation for wage

loss.

3.

Payment of compensation for perma-

nent impairment of certain members

or functions of the body (such as loss

or loss of use of an arm,

loss of

hearing, etc.) or for serious

disfig-

urement of the head, face or neck:

4. Vocational rehabilitation and related

services where necessary.

Medical care must be obtained from United States

medical officers and hospitals when available and

practicable. Otherwise, from any duly qualified

private physician or hospital of the employee's

choice. Qualified physicians may be used only if

U.S. or designated medical facilities are not avail

able, or if an emergency exists.

Compensation is paid by check sent to the em.

ployee's home mailing address. Compensation

for wage loss is payable only for periods when

an employee is in a non-pay status. The first

three days in a non-pay status are waiting days

and no compensation is paid for these days un-

less the period of disability exceeds 21 days or

the employee has suffered a permanent disabil.

ity. Compensation is generally paid at the rate

of 2/3 of an employee's salary if he has no

dependents, or 3/4 of his salary if he has one

or more dependents.

If an employee stops

work

as a result of an

employment related injury or occupational dis-

ease, he may:

1. Use sick and/or annual leave, or

2. Receive compensation from the OFEC.

Before compensation may be paid, the OFEC must

receive form CA-1 & 2; form CA-4; and medical

evidence concerning the nature and causal re-

lationship of the injury. Medical reports must

cover initial examination and the employee's con-

dition at the time claim for compensation is

filed. In addition, if a case involves some com.

plication or conflicting information, it.-may be

necessary to obtain supplemental information.

An employee: or someone acting on his behalf

must complete the front of the form CA-l &

2 and file it within one year after the injury or

disease occurs. However, under certain circum-

stances, the OFEC may waive the one-year re-

quirement if the front of the CA-1 & 2 is com-

pleted

and the form filed within five years.

If an employee is in doubt about his compensa:

tion benefits, he may write to the Office of Federal

Employees' Compensation servicing the employ.

ing establishment. (Obtain the address of the

OFEC office from the employing establishment).

#GPO: 1973-0-499-070

NW 88326

Docld:32243303 Page 10

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## Page 11

GPO: 1975 0 - 57-255

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

Kevin Sean Doyle

Employee Social Security Number

077 43 6826

1/3/77

Type of Action

Employing Office or Committee

Select Committee on Assassinations

as 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

Clerical Assistant

(If Committee Employee, complete appropriate item below.)

$9, 000.00

Standing Committee: Staff-_ Clerical or • Professional.

Special or Select Committee: Authority-H. Res. 2222__-_of_25th Congress.

3. I Joint Committee.

(If Employee of an. Officer of the House, complete item below.)

Position Number_

_ If applicable, Level

Step-

certify that this authorization is not in violation of 5 U.S.C. 3110(b); prohibiting the employment of

relatives.

Date_

19.

(Signature of Authorizing Official)

_Hency B. Conzalez

(Type or print name of Authorizing Official)

_Chairnan

(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 $

NW 88326

Docld:32243303 Page 11

.00

Copy for Initioting Office or Committee

---

## Page 12

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:

Kevin Sean Doyle

Employee Name (First-Middle-Last)

Employee Social Security Number

Effective Date

12/14/76

Type of Action

077 48 6826

Employing Office or Committee

Select Cormittee on Assassinations

I Appointment

D. Salary Adjustment.

• Termination (At close of business on effective date)

(If type öf action is an Appointment or Salary Adjustment, complete the following information.)-

Position Title

Gross Annual Salary

Messenger

390,000

(If Committee Employee, complete appropriate item below.)

1. 0 Standing Committee: Staff-] Clerical or ] Professional.

2. 1 Special or Select Committee: Authority-H. Res...

1540

..of 21t

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_

December 15

1920

(Signature of Authorizing Official)

Thomas Mi,

Downing, Chaisan

(Type or print nome of Authorizing Official)

Select Committee on Assessinations

(Title

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 Cöde

Monthly Annuity $

00 -

Copy for Initiating Office, or Committee

NW 88326

Docld:32243303 Page 12

---

## Page 13

MEMORANDUM

TO:

FROM:

DATE:

RE:

All Staff Employees

Budget Officer

January 3, 1977

Payroll Certification

Starting with the January, 19!! payroll, the certification

to the House Finance Office requires, among other things, the

relationship, if any, of each staff employee to any current

Member of Congress (those taking office January 3, 1977).

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

All staff employees are requested to complete this

form and return it to the Budget officer.

Approved

Richard A. Sprague

I am not related

I am related by the following relationship

Never

ea

Signature of Employee

17/72

Date

NW 88326

Docld:32243303 Page 13

---

## Page 14

Present Address:

Date of Birth:

Marital Status:

Sex:

Health:

Telephone:

EDUCATION

9/75-6/76

1/75 - 6/75

9/73 - 10/73

9/67 - 6/73

WORK EXPERIENCE

8/75 - 10/75

6/75-8/75

1/74 - 5/74

8/73 - 12/73

6/73 - 8/73

NW 88326

Docld:32243303 Page 14

RESUME OF

KEVIN SEAN DOYLE

224 N. Wakefield Drive

Arlington, Virginia 22203

July 23, 1955

Single

Male

Height:

6'2"

Excellent

Office - 225-4624

Weight: 190 lbs.

SUNY at Buffalo

University of Iowa (Writers' Workshop)

State University of N.Y. at Buffalo (SUNY)

year leave of absence

Nichols School (Grades 7-12)

Dog Census Bureau (City of Buffalo)

Census Taker (left because we counted all dogs)

Mayor's Summer Youth Program

City of Buffalo

Stockroom Supervisor (terminated-seasonal job)

Bartender in bars owned by Dennis Brinkworth

Buffalo, New York (left to travel abroad)

Doyle, Diebold, Bermingham, Gorman, & Brown

(law firm - left to find another job)

Laborer, Buffalo Sewer Authority (seasonal job)

---

## Page 15

RESUME

Kevin Sean Doyle

Page Two

SPECIAL INTERESTS

Writing, photography, music (guitar, piano), cinema

REFERENCES

Furnished upon requests

NW 88326

Docld:32243303 Page 15

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## Page 16

Present Address:

Date of Birth:

Marital Status:

Sex:

Health:

Telephone:

EDUCATION

9/75 - 6/76

1/75 - 6/75

9/73 - 10/73

9/67-6/73

WORK EXPERIENCE

8/75 - 10/75

6/75 - 8/75

1/74 - 5/74

8/73 - 12/73

6/73 -

8/73

NW 88326

Docld:32243303 Page 16

RESUME OF

KEVIN SEAN DOYLE

224 N. Wakefield Drive

Arlington, Virginia

July 23, 1955

Single

Male

Height: 6'2"

Excellent

Office - 225-4624

22203

Weight: 190 lbs.

SUNY at Buffalo

University of

Iowa (writers' Workshop)

State University of N.Y. at Buffalo (SUNY)

year leave of absence

Nichols School (Grades 7-12)

Dog Census Bureau (City of Buffalo)

Census Taker (left because we counted all dogs)

Mayor's Summer Youth Program

City of Buffalo

Stockroom Supervisor (terminated-seasonal job)

Bartender in bars owned by Dennis Brinkworth

Buffalo, New York (left to travel abroad)

Doyle, Diebold, Bermingham, Gorman, & Brown

law firm - left to find another job)

Laborer, Buffalo Sewer Authority (seasonal job)

---

## Page 17

RESUME

Kevin Sean Doyle

Page TWO

SPECIAL INTERESTS

Writing, photography, music (guitar, piano), cinema

REFERENCES

Furnished upon requests

NW 88326

Docld:32243303 Page 17

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