About | HeinOnline Law Journal Library | HeinOnline Law Journal Library | HeinOnline

104-10250-10032 JFK Assassination Records Archives 1 (07/31/1966)

handle is hein.jfk/jfkarch78296 and id is 1 raw text is: 104-10250-10032  2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992
_ I__ILE                          I 

S,4 D             2 i  .  NA:AE (L,si-F~irv,-Atliddlr)
SNATURE OF PERSONNEL 1

C FL NDS                 V TO V
CF TO V
4 CFPCANiZATIONAL DESIGNATIONS
r r.+N

V TO CF
CF TO CF

4. EFFECTIVE DATE REOUESTED
MONTH       DAY        YEAR
7. FINANCIAL ANALYSIS
NO. CHARGEABLE

N   imund Use Only
t1    Re     duce
5. CATEGORY OF EMPLOYMENT
8. LEGAL AUTHORITY (Completed by Office of
Personnel)

7235 O O O
TO. LOCATION OF OFFICIAL STATION

D. C.

11 POSITION TITLE                                                              12. POSITION NUMBER             13. CAREER SERVICE DESIGNATION
(J'S
14.       OFTICE                      (13)                                      1392                         -___________
14. CLASSIFICATION SCHEDULE (GS. LB. etc.)        15. OCCUPATIONAL SERIES      16. GRADE AND STEP              17. SALARY OR RATE                    
18. REMARKS
_;. ICS IS                  EPLACING HO                                       IZ    DIrG ! EASSIGNED).                                  .
L.Da                                                           27 JUL 13                              '
1 -         CU.IITY
Security Approvl^1 1s been arantd for
the    12e    coLi .1DJ'k       -by      pis   requst
Chief, Personne Securty                    ivision
18A. SIGNATURE OF REQUESTING OFFICIAL                    DATE SIGNED           18B. SIGNATURE OF CAREER SERVICE APPROVING OFFICER       DATE SIGNED
Rt  Fi   T    P71 T7,  li.CFar        C   tl /   F/mE  S
SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
19. ACTION  20. EMPLOY. 21.  OFFICE CODING        22. STATION   23. INTEGREE   24. HDOTRS. 2S. DATE OF BIRTH   26. DATE OF GRADE     27.    DATE OF LEI
CODE       (ODE      NUMERIC      ALPHABETIC      CODE           (ODE          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.      REFERENCE  1-CSC         CODE              DATA CODE  TYPE        MO.     DA.    YR.    EOD    DATA            REQ. NO.
3-FICA
S-NONE
35. YET. PREFERENCE  36. SERV. (OMP. DATE  37. LONG. COMP. DATE  38.  CAREER CATEGORY     39.        FEGLI,/HEALTH INSURANCE         40. SOCIAL SECURITY NO.
CODE       B-NONE      MO.    DA.     YR.   MO.     DA.    YR.  (AR/REST       CODE       CODE   0-WAIVER       HEALTH INS. CODE
1-5 PT.                                               PRO/TEMP                        1-YES
2-10 PT.
41. -PREVIOUS CIVILIAN GOVERNMENT SERVICE         42. LEAVE (AT.  43.           FEDERAL TAX DATA               44.              STATE TAX DATA
CODE      C-NO PREVIOUS SERVICE                      CODE       FORM EXECUTED CODE        NO. TAX EXEMPTIONS   FORM EXECUTED         CODE   NO. TAX STATE CODE
8-NDPREVOUS ERVIE                                                                             .  EXEMP.
1-ND BREAK IN SERVICE                                    1-YES                                          1-YES
2-BREAK IN SERVICE (LESS THAN 3 YEARS)                    2-NO                                           2-NO
3-BREAX IN SERVICE (MORE THAN 3 YEARS)
45. POSITION CONTROL CERTIFICATION                                             46. O.P. APPROVAL                                         DATE APPROVED

USE PIEVIOUS EDITION

0

SECRET

GROUP 1
E1.  ID, ICufFROM. 05 1C11  DCn.GRA IR

.(.                                    AN 000O LASSII  +O
7-.',                                           ,,        i J
,'ITC                    .'`   'tt
,T-ST
1.                           'T  l

'u t :SII I.G r .'. .

4..

Fo=M' 1152
2-66

I4)

What Is HeinOnline?

HeinOnline is a subscription-based resource containing thousands of academic and legal journals from inception; complete coverage of government documents such as U.S. Statutes at Large, U.S. Code, Federal Register, Code of Federal Regulations, U.S. Reports, and much more. Documents are image-based, fully searchable PDFs with the authority of print combined with the accessibility of a user-friendly and powerful database. For more information, request a quote or trial for your organization below.



Contact us for annual subscription options:

Already a HeinOnline Subscriber?

profiles profiles most