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Assassination Records Review Board

Final Determination Notification

AGENCY : HSCA

RECORD NUMBER :

180-10070-10152

RECORD

SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER

:

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

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

44 U5C.2107 Motel. Case# Nw 89326 Date: 2025

NW 88326

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Date: 08/20/93

Page: 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION

I FORM

AGENCY INFORMATION

AGENCY : HSCA

RECORD NUMBER: 180-10070-10152

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA

FROM :

rO :

TITLE :

DATE: 08/25/77

PAGES: 6

SUBJECTS:

HSCA; ADMINISTRATION

SCHLICHTMANN, JAN

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION

:

RESTRICTIONS : 3

CURRENT STATUS

DATE OF LAST REVIEW : 07/16/93

OPENING CRITERIA :

COMMENTS:

Box 3.

[R] - ITEM IS RESTRICTED

NW 88326

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## Page 3

SCHLICHTMANN, Jan

Nimo of Employce

Address

Addross

Phone Number

Position Tilla

Level

DATE OF APPOINTMENT

8-25-77

Slep

PRIOR FEDERAL SERVICE

Months

DAY OF MONTH

32 10 10 034 13 16 17 18 19 20 21 23 237 21 23726727

AAAA

OFFICE OF THE CLERX

U.S. HOUSE OF REPRESENTATIVES

PERSONAL LEAVE RECORD

1978

YEAK

ANNUAL LEAVE

CATEGORY

1.0

1,5

2.0

Posiion Number

Month

Jan.

Feb.

Mar.

Apr.

May

June

July

AUg.

Sept.

Oct.

Nov.

Dec.

30 | 31

ACCRUED

THIS MONTH

L

AVAILADLE

THIS MONTH

Annual

Leave

Sick

Leave

/

1 7

7:

USEO

THIS MONTK

Annual

Leave

Sick

Leave

BALANCE DROUGHT

FORWARD

FROM

PRECEDING

YCAK

Annual

sick

Lesid

Leave

4

4

BALANCE

AT

CLOSE

OF MONTH

Annual

Leave

5

Sick

Leave

5

6

IMPLOYCE

INITIALS

8.

or

or

= 0.5 day annual leavo

= 1,0 day annual leavo

= 0.5 day sick leave.

= 1.0 day sick Icave

=

0.5 day administrative leave

= 1.0 day administrative leave

= 0.5 day unauthorized absenco

= 1.0 day unauthoriaed absence

= 0.5 day leave without pay

= 1,0 day lesre wilhout pay

NW 88326

Docld:32244094 Page 3

Formunated 4/26/18

CERTIFIED CORRECT:

Employed's Signatura

Dutc

(ll employee reluses do sign, state reason below."

Chiel's Signatura

Approved:

Dale

Clerk of the Housa

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 employce's official personnel folder

EXHIBITE

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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-Middle-Last)

Effective Date

Jan

Richard Schlichtmann

Employee Social Security Number

4/26/78

Type of Action

029-38-8530

Employing Office or Committee/Subcommittee

Assassinations

• 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*

$25.700

* 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

I Standing Committee: Staff—E Clerical or • Professional.

2. I Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res.256 of 25 %'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._ 3/18

. 19_78

Iif appropriate, signature of Subcommittee Chairman or Ranking Minority Member):

(Signature of Authorizing Official)

LOUIS STOKES

(Type or print name of Authorizing Official)

CGAIRMAN

(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 Committeés, 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)

NW 88326

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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)

Jan

Richard Schlichtmann

Employee Social Security Number

029-38-8530

Effective Date

Masch I, 1978

Type of Action

Employing Office or Committee/Subcommittee

Assassinations

• Appointment

*LS 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 Dote

Gross Annual Salary*

Lar Assistant

925, 700

* 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 • Professional.*

2. El Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res 256_of 95 Congress.

3. 0

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_

March 14

., 19-70

(Signature of Authorizing Official)

TONIS

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

STORES

(Type or print name of Authorizing Official)

Chaiman

(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 !

1977!

NW 88326

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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 chänges:

on this form must be initialed by the

authorizing official.)

To the Clerk of the House of Representatives:

hereby authorize the following payroll action:

. Employee Name (First-Middle-Last)

Jan Richard Schlichtmann

Employee Social Security Number

Effective Date

8/25/77

Type of Action

029 38 8530

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

$19,500

baw Assistant

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

1. Standing Committee: Staff -l Clerical or J Professional.

2. 2 Special or Select Committee: Authority-H. Res. _465

of 95th Congress:

3.1

J 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 25

., 192?

LOUIS STOKES

(Signature of Authorizing Official)

(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

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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

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.

(PTease specify.)

sidd

signature of

oyec

8/25/22

Date

NW 88326

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## Page 8

MEMORANDUM

TO: I. Howarth, Budget Officer

938-25-77

FROM:

G. Robert Blakey, Chief Counsel and Director

DATE: August 25, 1977

RE: Mr. Jan Schlichtmann

This is to inform you that. Mr. Jan Schlichtmann

has accepted the position of Law Assistant/Legal Unit with

the Committee staff. Mr. Schlichtmann's effective starting

date will be August 25, 1977, starting salary will be $19,500.

Your co-operation in familiarizing him with the

operation of the staff will be greatly appreciated.

j1

NW 88326

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