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![handle is hein.jfk/jfkarch11542 and id is 1 raw text is: 1O4~iO13O~1O267
STA % F0 Ao52
V S. aSiiblCE COMMtSMN
JANUARY 1eVM&% PERSS.
MANuAM qiPrER I-
/ ' REQUEST FOR PERSONNEL ACTION
REQUESTING OFFICE: Fill in items 1 through 12 and A through D except 6B and 7 unless otherwise instructed.
If applicable, obtain resignation and All in separation data on reverse.
L NAME (Mr.-Mis-Mrs.-One given name, initial(s), and surname) L DATE OF BIRTH 3. REQUEST NO. k DATE OF REQUEST
Mrs. Anna Tarasoff 5M 1923 26 June 5
'. NATURE OF ACTION REQUESTED: L EFFECTIVE DATE 7. C. S. OR OTHER
A. PERSONNEL (Specify whether appointment, promotion, separation, etc.) A. PROPOSED; LEGAL AUTHOR-
ITY
. POSITION (Specify whether establish, change grade or title, etc.)
B. APPROVED:
FROM- L POSITION TITLE AND TO- C73 / 7
os-o30lr.26-6 $35.00 P AD6ja.i$,Opa
05-0301.26-4 $31a5.oo p~a. IL SERVICE, GRADE, AND W40.2w % *Dpa
DDS/Office of P orm ol SALARY WPAI saff
Personnel Asigrament Divisi n 10, GATAL Division D
Plaement Pranch (clerical)Prjc nx
Inei gssrnst Section ojcrpejinl
ashngte D C 11. HEADQUARTERS B',h 2
FIELD DEPARTMENTAL 12. FIELD OR DEPARTMENTAL RTMENTAL
A. REMARKS (flee reverse if necessary)
-'resent i~nbent in pendfrM rsasig~unt.
B. REQUESTED BY (Name and title) D. REQUEST APPROVED 7.
Signature:
C. FINFORMATION CALL (Name and telephone extension)
o31P ot 4 1 Title:
13. VETERAN PREFERENCE 14. POSITION CLASSIFICATION ACTION
NONE WWIIOTHER $-FT. 1POINT sNEW VICE EPT. REAL
-AABjOH ~17. SUBJECT--C. S. - 9 ...GA- EIDN.
--. -6 A-PRO-RA iO.. ...... ...... .RETIREMENTAJ~r-. MENT- AFFIDAVITS---
FROM: (YES--NO) 1 (ACCESSIOMS oNLY) f ] CLAIMED [] PROVED
r iT: 7-2306-23 Yes 8AP-r11IL27 SA-D, G
B. STANDARD FORM ES REMARKST.APRED
21.CLEARANCS INITIAL OR SIGNATURE DATE REMARKS: - . >ip
A.
B. CITL OR POS R CONTROL
C. CLASSIFICATION A TO CTION
R. PLACEMENT OR EMPL [RaMcground Use On y
es 80 A iot Reprodu1e
A.
B. CEIL. ORPOS. CONTRO
F. APPROVED BY
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