Originator: HSCA
Document date: 1977-09-06 00:00:00
Document type: PRINTED FORM

# DOCID-32239493

## Page 1

Date: 08/20/93

Page: 1

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

RECORD

AGENCY : HSCA

NUMBER: 180-10060-10485

RECORDS SERIES :

STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

DOCUMENT INFORMATION

ORIGINATOR : HSCA

FROM :

TO :

TITLE :

Released under the John F.

Kennedy Assassination

Records Collection Act of

1992 (44 USC 2107 Note).

Case#:Nw 66000 Date:

11-04-2021

DATE: 09/06/77

PAGES

:

7

SUBJECTS :

HSCA, ADMINISTRATION

MISITA, ANNE

DOCUMENT TYPE : PRINTED FORM

CLASSIFICATION : U

RESTRICTIONS : 3

CURRENT STATUS : P

DATE OF LAST REVIEW

: 06/04/93

OPENING CRITERIA :

COMMENTS :

Box 2.

[R] - ITEM IS RESTRICTED

NW 66000

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## Page 2

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)

Anne B. Misite

Employee Social Security Number

Effective Date

January 1, 1979

Type of Action

132247659

Employing Ofice or Committee/Subcommittee

Assassinatlons

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

Position Title

• Appointment

NEl 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_.

Specify Date

Gross Annual Salary*

$16,200.00

* 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.

2.0

Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res. 355

5 or 956* Congress.

3. 0

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 2

19?"

Signature of Authorizing Official)

IOUIS STOKES

Ilf 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:

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 66000

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## Page 3

PAYROLL AUTHORIZATION

(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

done to

Meita

Employee Social Security Number

November 1: 1978

Type of Action

132-24-7659

Employing Office or Committee/Subcommittee

hocessinations

• 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*

315,700.00

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

2. 0 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.

Date_

Novanber

1978

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

(Type or print name and title of above official)

(Signature of Authorizing Official)

ICUIS STORES

(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 $

Chairman, Committee on House Administration

ID --

Benefits -

Payroll _

00 as of _

Copy for Initiating Office or Committee

(Revised: August 1 1977)

NW 66000

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## Page 4

PAYROLL AUTHORIZATION FOR

(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)

Anne B. Misita

Employee Social Security Number

132-24-7659

Employing Office or Committee/Subcommittee

Effective Date

February 1, 1978

Type of Action

Assassinations

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

Position Title

• Appointment

i. 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*

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

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

87% _ 25 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.

Date_

February 16,

78

, 19_.

(if appropriate, signature of Subcommittee Chairman or Ranking Minority MemberT

(Type or print name and title of above official)

(Signature of Authorizing Official)

Louis Stokes

"Cad irman

print name of Authorizing 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 1, 1977)

NW 66000

Docld:32239493 Page 4

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## Page 5

Q0

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

Anne B. Misita

Employee Social Security Number

832-24-7659

Decenber l, 1977

Type of Action

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

#DI: 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*

secretany

574,000

* 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. I Standing Committee: Staff— Clerical or Professional.

2. El Special (Investigative staff of Standing Committee) or Select Committee: Authority-H. Res. 46F _of 25 tiCongress.

3. • Joint Committee.

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

Position Number_

If applicable, Level

Step-

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

relatives.

Decenber

Date_

- 19"

euros.

(Signature of Authorizing Official)

Louis Stokes

If appropriate, signature of Subcommittee Chairman or Ranking Minority Member

(Type or print name of Authorizing Oficial)

Cheirman

(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 66000

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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:

Anne B. Misita

132 24 7659

Employee Name (First-Middle-Last)

Employee Social Security Number

Employing Office or Committee

Assassinations

Effective Date

9/6/77

"Type of Action

É Appointment

Salary. Adjustment:

I 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

secretary

$12,000

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

1.0

Standing Committee: Staff-O Clerical or E Professional:

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

465

-of 25th. Congress: *21

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 US.C. 3110(b), prohibiting the employment of

relatives.

Date_-

September 16

(Signature of Authorizing Official)

Souls 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, muste

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 66000

Docld:32239493 Page 6

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## Page 7

Misita Anne B.

RESUNS

ROUTING

FORM

Stay JFK

Secretarial

12,000

Received

8-23-nn

Logged by

ups

Congressional

Referral

Self

Other

Comments on Referral

Abstracted by

Np8

Date

8-23-11

Acknowledged by

Date

Staff Component

Review by

Date

Recommended

Action:

File

Interview

Hold

Refer

REQUEST FOR

APPOINTMENT

Interviewer

Hutton | Klein

Suggested date

Suggested time

8-23-10

Confirmed

date

Confirmed

time

by

REQUEST FOR

REFERENCES

Hold for

Date

Notified

INSTRUCTIONS

STARTS - TUES - 9-6-78

FINAL

INTERVIEN

REQUEST

Sy

Confirmed

date

by.

Suggested date

Suggested time

Confirmed

time

Acceptance/Date of employment

Rejection

Dy_

LOTION OF

NOTIFICATION

NW 66000

Docld:32239493 Page 7

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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.

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

1 am

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

(Please specify.)

Aure B. Mista

Signature of Employee

10/14/11.

NW 66000

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