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![handle is hein.jfk/jfkarch72601 and id is 1 raw text is: 104-10120-10087 2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992
L'N~WY 521 -
Y~l11& A YARI Backgroun U
REQEST FOR PERSONNEL ACTIOD SiCR1 Tr To Not Reprogce
REQUESTING OFFICE: Fill in items 1 through 12 and A through D except 6B and 7 unless otherwise instructed.
If applicable, obtain resignation and fill in separation data on reverse.
1. NAME (Mr.-Miss-Mrs.-One given name, initial(s), and eurname) - 2. DATE OF BIRTH 1. REQUEST NO. 4. DATE OF REQUEST
le, . lmaw 8UNT 9 Cab 1916 173A5r
5. NATURE QE ACTION REQUESTED: -, -1YT V ,ZI 7. C.S.OR OTHER
A. PERSO EL (Specify whether appointment, promotion, separation, etc.) L'1QW LEGAL AUTHOR-
A !~nUU CON ROL DESK
I. POSITION (Specify whether establish, change grade or title, etc.)
B. APPROVED:
FROM- 8, POSITION TITLE AND TO-
NUMBER
9 SERVICE, GRADE, AND I
SALARY
1, ORGANIZATIONAL
DESIGNATIONS wpAE
5E ?oltU.osl & 1W Stafr
OMtc. Of the Cat
11. HEADQUARTERS
FIELD 7] DEPARTMENTAL 12. FIELD OR DEPARTMENTAL 7 FIELD [ DEPARTMENTAL
A. REMARKS (Use reverse if necessary)
B. REQUESTff (Name and title) D. REQUEST APPROVED BY' * -
1' :,-'- *-'Signature: --
C. R ADDI ONAL INF ATION CALL (Name and telephone extensioh) - . - OC
.`. ' r1t. wg e s Title: C. == 2'-y+ ',* %. :
1'.VETERAN PREFER NCE 14. POSITION CLASSIFICATIO ITN
NOfr WWII OTHER 5-PT. 10-POINT NEW VICE I. A. REAL f 1Y5
WI ~ DISAB. OTHER
15. 16. 17. APPROPRIATION - 18. SUBJECT TO-C. S. 19. DATE OF APPOINT- 20. LEGAL RESIDENCE
SEX RACE RETIREMENT ACT MENT AFFIDAVITS
- FROM (YES-NO) (ACCESSIONS ONLY) []CLAIMED ] PROVED
TO, STATE
21, STANDARD FORM 50 REMARKS - .-
22. CLEARANCES INITIAL OR SIGNATURE DATE REMARKS:
A.
B. CElL OR POS. CONTROL
C. CLASSIFICATION
D. PLACEMENT OR EMPL
E.
F. APPROVED BY
.S-F7CT-.
I
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