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104-10129-10442 JFK Assassination Records Archives 1 (6/22/1965)

handle is hein.jfk/jfkarch11515 and id is 1 raw text is: 1104-i19~O 6:' '~'Y ~', DATE PREPARED 22 JUNT 196 REQUEST FOR PERSONNEL ACTION 1. SERIAL NUMBER 2. NAME (La st-First-f iddle) 02565S PICCOLO, JO. S (- 3. NATURE OF PERSONNEL ACTION 4. EFFECTIVE DATE REQUESTED S. CATEGORY OF EMPLOYMENT .EASSIGN LNT AND C1HANGE TO MONTH DAY YEAR CONFIDENTIAL PIUNDS IREGULA1 V TO V V TO CF 7. COST CENTER NO. CHARGE- 8. LEGAL AUTHORITY (Completed by Office of 6. FUNDS I I ABLE Personnel) CF TO V CF TO CF 5135-0990 9.o RCANIZATAL DESIGNATIONS 10. LOCATION OF OFFICIAL STATION FOREi'IGTN FIELD IShANCH! 1 '1XICO CITY STATION MEXICO CITY, MEXICO 11. POSITION TITLE 12 POSITION NUMBER 13. CAREER SERVICE DESIGNATION OPS OFFICER _3__D 14. CLASSIFICATION SCHEDULE (GS, LB, etc.) 15. OCCUPATIONAL SERIES 16. GRADE AND STEP 17. SALARY OR RATE Gs ( 0136.01 09 2 $ 7,465, ... *o a a I 8. REMARKS a. e * ?20DDP /SAS /INTELLI GENCE STAPTC/R1ESrARCH SEC./0908/WASIT.D.C.** 1OM 259 1AS BEEN SUBMITTED a a TO B- EPECTIVE ON OR PEPORE 4 JULY 1965. M. PICCOLO WILT.PRAcE y. PHb vA S SIGNED , :, . 28JU NJ 81965 Security A ,yi_ has Feer tyrante fr b 1-Securityth usdst 18A. SIGNATURE OF REQUESTING OFFICIAL DATE SIGNED AU C A ICER A SIGNED ROBERIT D). CASHMAN C/lU E :/PE!S SPACE RELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL 19. ACTION 20. EMPLOY. 21. OFFICE CODING 22. STATION 23. INTEGREE 24. D0TRS. 25. DATE OF BIRTH 26. DATE OF GRADE 27. DATE OF LEI CODE CODE NUMERIC ALPHABETIC CODE (ODE CODE MO. DA. YR. MO. DA. YE. Mo, DA YR. 28. NTE EXPIRES 29. SPECIAL 30. RETIREMENT DATA 31. SEPARATION 32. CORRECTION/CANCELLATION DATA 33. SECURITY 34. SEX MO. DA. YR. REFERENCE CODE TYPE MO. DA. YR. EOD DATA 3-FICA S-NONE 35. VET. PREFERENCE 36. SERY. COMP. DATE 37. LONG. (OMP. DATE 38. (AREER CATEGORY 39. FEGLI/HEALTH INSURANCE 40. SOCIAL SECURITY NO. CODE 0-NONE MO. DA. YE. MO. DA. YR. CAR/RESV CODE CODE 0-WAIVER HEALTH INS. CODE 1-S PT. PROV/TEMP I-YES 2-10 FT. I I _ 41. PREVIOUS GOVERNMENT SERVICE DATA 42. LEAVE CAT. 43. FEDERAL TAX DATA 44. STATE TAX DATA CODE 0-NO PREVIOUS SERVCE CODE FORM EXECUTED CODE NO. TAX EXEMPTIONS FORM EXECUTED CODE NO. TA STATE CODE C-NOPREIOUSSERICEEXEMP, 1-0 BREAK IN SERVICE I-YES I-TES 2-BREAK III SERVICE (LESS THAN 3 YEARS) 2-NO 2-NO 3-BREAK IN SERVICE (MORE THAN 3 YEARS) 45. POSITION CONTROL CERTIFICATION 46. O.P. APPROVAL DATE APPROVED L . ORM 6-63 1152 USE PREVIOUS EDITION SECRET GROUP I EXCLUDEDR FOM AUTOMATIC OW916RADINR Aft DECASIICATIO0R 3L RET (When Filled In) (4)

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