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104-10123-10217 JFK Assassination Records Archives 1 (8/17/1965)

handle is hein.jfk/jfkarch39465 and id is 1 raw text is: .' ~ /1 1104-i13~O -EUEST FOR PERSONN4flN- poduce SECRET DATE PREPARED 17 1. SEi1L 4NMBER 2. NAME (Las-Firvt-Middle) / kO9784 0'comqTIm., j. p., jr._ _ _ _ _ _ _ 3. NATURE Of PERSONNEL ACTION 4. EFFECTIVE DATE REQUESTED 5. CATEGORY OF EMPLOYMENT MONTH DAY YEAR REASIG _ ANDRANSFER TO VOUE_ D MU 8 15 65 rAILA V TO V I V TO C 7 COST CENTER NO. CHARGE- 8. LEGAL AUTHORITY (Completed by Ofie of 6. FUNDS ABLE Persoomd) CF TO V CF TOO 62CF-o3oo 9. ORGANIZATIONAL DESIGNATONS 10. LOCATION OF OFFICIAL STATION )ch-/OFICE 0F SECU=~ )D/INVESTIGATIONS MD OPEMIMAL SUPO arrzCe OF THE C WAsHzGro, D. C. 11. POSITION TITLE 12. POSITION NUMBER 13. CAREER SERVICE DESIGNATION SE052 O 05_ _ _S 14. CLASSIFICATION SCHEDULE (GS, LB, etc.) 15. OCCUPATIONAL SERIES 16. GRADE AND STEP 17. SALARY OR RATE s1810.1 M16 3 $ 20.24 Telephonic Caneurrence, DDP/FE Persnnel 13 August 1965. Dat% 1 8 AUG 1965 SecuritY pproval been granted the use conteITapjdb ts pequ3 Ch 4 Persormel it lee 01. Br. 18A. SIONATURE OF REQUESTING OFFICIAL DATE SIGNED 186. SIGNATURE OF CAREER SERVICE APPROVING OFFICER DATE SIGNED Ernest L ad ..Hardt, thieftlx-rnaw IAsm SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL ' 19. ACTION 20. EMPLOY. 21. OFFICE (0O8 22. STATION 23. INTEGREE 24. 80DOT5. 25. DAl OF SilmH 26. DATE OF GRADE 27. DATE OF LEl (ODE (00E NUMERIC AHABETIC CODE CODE CODE MO. DA. YR. Mo. DA. Va. MO. DA. Vt. 28. ITE EXPIRES 29. SPECIAL 30. RETIREMENT DATA 31. SEPARATICI 32. CORRECTICANEULATION DATA 33. SECURITY 34 SEX mo. oA. YR. REFERENCE 1-C COo DATA CODE TYPE MO. DA. EOD DATA 35. T. PA ERE 6.E 36. COUP. 1E 37. LOR6. COP. DATE 38. CAREER CATEGORY 39. FE/HATH IISIRAJCE 40. SOCIAL SECURITY NO. coEt F-BOR E MO. A. D. A. YR. __/_9 coDt Cot --WAlER EALTH INS. coDE 1-5 POTEP j I-TS 41. PREVIOUS GOVERNMENT SERVICE DATA 42. LEAVE CAT. 43. FEDERAL TAX DATA 44. STATE TAX DATA coDE 0-O110 EIOU CODE FORM EXECUTED CODE NO. TAX EXEMPTIONS FORM EXECUTED CODE STT COO -No p1141 SERVICE XtNO. I STAT! O 1-N0 MAN IN SERVNISE I,.@-. 2-REAR I11 SERVICE (LESS TAM 3 YEARS) 2-10 2-0 3-REAK IN sEomi (mOR 1lA 3 TEAMS) 45. POSITION CONTROL CERTIFICATION 46. O.P. APPROVAL DATE APPROVED 14, 6 1152 USE PREVIOUS EDwTON FIII IO ROU1 SwlA t ___________~~~ ______ G*, 2L /Is '~. _

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