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104-10113-10025 JFK Assassination Records Archives 1 (05/24/1954)

handle is hein.jfk/jfkarch72410 and id is 1 raw text is: 104-10113-10025


2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992


STANDARUFORi 52  j
I=~~l6 etY@
RME E.                  FOR   P
         'REQUEST FOR PERSONNEL ACTION


  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.
1. NAME (Mr.-Miss-Mrs.-One given name, initial(s), and surname)       . DATE OF BIRTH       2. REQUEST NO.          4. DATE OF REQUEST



L NATURE OF ACTION REQUESTED:                                                          6 EFFECTIVE DATE       7. C.S. OTHER
  A. PERSONNEL (Specify whether appointment, promotion, separation, ete.)                A. PROPOSED:          LEGAL AUTHOR-
                                                                                                                ITY


  . POSITION (Specify whether establiah, change grade or title, etc.)
                                                                                         B. APPROlQ:


 FROM-                                              L POSITION TITLE AND   TO-
                                                      NUMBER               BY                             p

    1  teV$   oT      f- 2  P    !L S ERVICE, GRADE, AND                  A   M     1 096


    f3jx     LW&                                    10. ORGANIZATIONAL
                                                      DESIGNATIONS

    3B   M2AMB aM          i
                                                    1L HEADQUARTERS


 [7    FIELD          [     DEPARTMENTAL            12. FIELD OR DEPARTMENTAL [  FIELD          []    DEPARTMENTAL
 A. REMARKS (Use reverse if ne aary)








 B. REQUESTED BY (Name and title)                              . REQUEST APPROVED BY

                           -                                  Signature:
 C. FOR`'ADDITfIONR9NFDflN1TIN MAL  nia  Fl one >Fls n
                                                              Title:
 13. VETElfI PREFERNLt'                                       14. POSITION CLASSIFICATION ACTION
NONE WWII OTHER 5-Pr. 10-POINT                                NEW VICE L A. REAL
                   DISAB. (OTHER


 15.  16. 17. APPROPRIATION                            -  -   16. SUBJECT TO C. S. 19.    F APPOI -   20. LEGAL RESIDENCE
 SEX RACE                                            S          RETIREMENT ACT       ENT AFFIDAVI
            FROM:                                                   (YES-No)         CCESSIONS ONI.      CLAIMED    PROVED

            TO :.  .                                          _     _      _                          STATE
 21. STANDARD FORM59                                              A K
                                                                              ~for








 22. CLEARANCES             INITIAL OR SIGNATURE      DATE    REMARKS:


 B. CEIL OR POS. CONTROL
 C. CLASSIFICATION
 D. PLACEMENT OR EMPL
 E
 F. APPROVED BY


                                                                                                                 1-7a-2

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