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![handle is hein.jfk/jfkarch10827 and id is 1 raw text is: 104-10120-10087 T
. * REQUEST FOR PERSONNEL ACTION SECR
Sb'n
Background Use Only
Do Not Reprofige
REQUESTING OFFICE: Fill in items 1 through 12 and A through D except 68 and 7 unless otherwise instructed.
If applicable, obtain resignation and fill in separation data on reverse.
I. NAME (Mr-Miss-Mrs.-One given name, initial(s), and surname) L 2 DATE OF BIRTH S REQUEST NO. 4 DATE OF REQUEST
Mr. , Hound R 9 ot 928 173A 2S s rH
L NATURE SE ACTION REQUESTED: L T7. C.S.OR OTHER
A. PERSO EL (Specify whether appointment, promotion, separation, etc.) LEGAL AUTHOR-
CONTROL DESK
L POSITION (Specify whether establish, change grade or title, etc.)
B. APPROVED:
FROM- 8 POSITION TITLE AND TO-
NUMBER
L SERVICE, GRADE, AND
SALARY S4 32 $ M
11L ORGANIZATIONAL
DESIGNATIONS
a PoltJcoa &a1 Staff
CMtsice the Chiae
IL HEADQUARTERS
l~tbig M As C,
i_ FIELD ED DEPARTMENTAL I. FIELD OR DEPARTMENTAL F FIELD [. DEPARTMENTAL
A. REMARKS (Use reverse if necessary)
L REQUESTED4h (Name and title) D. REQUEST APPROVED 3T
Signature: - ---
C. swesquou. AT16 CALL (Name and telephone extensiob) -I JC
* y1.~~~ Title: . ~ i
1 VETERAN PREFER NCE 14. POSITION CLASSIFICATIO E IQN
Hol WWII OTHER 5-PT. 10-POINT NEW VICE I. A. REAL
DISAB. THER
15. 16. 17. APPROPRIATION D. 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. CEIL OR POS. CONTROL
C. CLASSIFICATION
D. PLACEMENT OR EMPL
F. APPROVED BY
1T- o79*S
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