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104-10128-10260 JFK Assassination Records Archives 1 (1/2/1970)

handle is hein.jfk/jfkarch39725 and id is 1 raw text is: 14-10128- 0260 SECRET T(Whept Filled In) , a DATE PREPARED REQUEST FOR PERSONNEL AtTIOD __________________________________ Jnuaory 1970 1. SERIAL NUMBER 2. NAME (Last-First-Middle) 024345 PHTLLTPS, DAVTD A. 3. NATURE OF PERSONNEL ACTION 4. EFFECTIVE DATE REQUESTED S. CATEGORY OF EMPLOYMENT MONTH DAY YEAR CREARS T(WET7 I 01 11 17 !ini TT.AR TO V V TO CF 7. FINANCIAL ANALYSIS NO. 8. LEGAL AUTHORITY (Completed by Office of C TO CF CHARGEABLE Peronnel) 6. FUNDSVTOVVT 7.FNNAANYSSN. .Pon) CPTOV 0135 06A94 9. ORGANIZATIONAL DESIGNATIONS 10. LOCATION OF OFFICIAL STATION DDP/WH FOREIGN FIELD BRANCH 5 16-Zo 11. POSITION TITLE I . SITION NUMBER 13. CARhtRIshva..t asIUNATION lst SECRETARY, POLITICAL OFFICE 14. CLASSIFICATION SCHEDULE (GS, LB. etc.) 15. OCCUPATIONAL SERIES 16. GRADE AND STEP 17 SALARY OR RATE,' PER 03 7 0M 646 I -7 1 . REMARKS FROM: DDP/W/COG/OFF OF THE CH/POS #1105 HOME BASE WH APPROVED 259a attached 1 - Finance 2 - Security 18A. SIGNATURE OF REQUESTING OFFICIAL DATE SIGNED 1B NATURE OF CAREER SERVICE APPROVING OFFICER DATE SIGNED HENRY L. BERTHOLD C/WRF/Pkrs SPACE BELOW FOR EXCLUSIV U OF THE OFFICE OF PERSONNEL 19. ACTION 20. EMPLOY. 21. OFFICE CODING 22. STATION 23. INTEGRE 24. HD1T1S. 25. DATE OF BIRTH 26. DATE OF GRADE 27. DATE OF I (ODE CODE NUMERIC ALPHABETIC (ODE CODE CODE MO. DA. YR. MO. DA. YR. MO. DA. YR. 28. NTE EXPIRES 29. SPECIAL 30. RETIREMENT DATA 31. SEPARATION 32. CORRECTION/CANCELLATION DATA 33. SECURITY 34. SEX Mo. DA. YR. EODDCODE TPE MO. DA YR.REQ. O . 3 FICAI 5-1199 T O I I-YES 35. VET. PREFERENCE 36. SERV. COMP. DATE 37. LONG. COMP. DATE 38. CAREER CATEGORY 39. FEGLI/HEALTH INSURANCE 40. SOCIAL SECURITY NO. CODE 0-MONE MO. DA. YR. MO. DA. YR. CAR/RES CODE CODE 0-WAIVER HEALTH INS. CODE 1-5 T PROV/TEMP 1-TES 2-10 IT. I III I 41. PREVIOUS CIVILIAN GOVERNMENT SERVICE 42. LEAVE CAT. 43. FEDERAL TAX DATA 44. STATE TAX DATA CODE B-R0 PREVIOUS SERVKE CODE FORM EXECUTED CODE NO. TAX EXEMPTIONS FORM EXECUTED CODE NO. TAX STATE CODE 1-NO BR Ea I SERVICE ...IaEXEMP. '-OII NSRIEI -YES II-YES 2-BREAK IN SERVICE (LISS THAN 3 YEARS) 2-110 I2-NO 3-REAK IN SERVICE (MORE TNAN 3 YEARS) 45. POSITION CONTROL CERTIrICATION 46. O.P. APPROVAL DATE APPROVED Background Use Only Do Not Reprod EXLUEDfe UTMTC O I A11101 OECLAISE FORM 1152 USE PREVIOUS EDITION (4) SECRET

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