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104-10123-10286 JFK Assassination Records Archives 1 (05/23/1962)

handle is hein.jfk/jfkarch72886 and id is 1 raw text is: 104-10123-10286 2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 DATE PREPARED 23~ MWZ( . SE A R 2. NAME (Last-First-Middle) 2.0713 00P. b. 3. NATURE OF PERSONNEL ACTION 4.EFFECTIVE DATE REQJESTED 5. CATEGORY OF EMPLOYMENT - w oQMNTH DAY YE AR C e MWnu V TO V V TO CF 7. COST CENTER NO. CHARGE. 8. LEGAL AUTHORITY (Completed by e. FUNDS ABLE Office of Personnel) CF TO V CF TO CF 9. ORGANIZATIONAL DESIGNATIONS 10. LOCATION OF OFFICIAL STATION _ _ _ _ _ _ _ _ C1. DD e 11. POSITION TITLE 12. POSITION NUMBER 1S. CAREER SERVICE DESIGNATION 800=11W Gei0-3 32es - 14. CLASSIFICATION SCHEDULE (GS, L8. etc.) 15. OCCUPATIONAL SERIES 16. GRADE AND STEP 17. SALARY OR RATE cc I. Rie3 ____________________ *0 L/.ALG }.1 JUN Voi 006, si W53/QS/W /,sS / 1/x/Oygo Security Approval has been gtgded fc the use contemplated by this request a Chief. Personnel Security Diviion ..... jawtwoms !ME am (t.. Wj= ) *'' VW -iutiv aft to( a c. t to 1 18A. SIGNATURE OF REQUESTING OFFICIAL DATE SIGNED 18B. SIGNATURE OF CAREER SERVICE APPROVING DATE SIGNED OFFICER SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF. PERSONNEL 19. ACTION 2O. EMPLOY. 21. OFFICE CODING 2.STATION 23. I1TEGREE 2., HIOTRS 25. DATE OF BIRTH 26. DATE OF GRADE 27.DATE OF LEI CODE CODE CODE CODE CODE JMIIERIC ALPHASETIC M. DA. YR. MO. O. TR. M. DA. TR. 28.NTE EXPIRES 29. SPECIAL 30. RETIREMENT DATA 31. SEPARATION 32. CORRECTION/CANCELLATION DATA 33.SECURITT 3A. SEX MO. 0A R. REFERENCE 1 - CSC CODE DATA CO TYPE . D. RED. N0. 3 - FICA .[EOD DA TA 5 - NONE 35. VET. PREFERENCE 36.SERV. COMP. DATE 37. LONG. COP. DATE 38.MIL.SERV, CREDIT/LCD 39. FECLI / HEALTH INSURANCE %O.SOCIAL SECURITY NO. CODE - NONE M. OA. YR. MO. OA. TR. 1 - TES CODE CODE 0 - WAIVER HEALTH INS. COD 5 2-N 1 -TEs 1PT. L2m E 41. PREVIOUS COVERNMENT SERVICE DATA 2.LEAVE CAT. 43. FEDERAL TAX DATA bL. STATE TAX DATA CODE CODE - NO PREVIOUS SERVICE FORM EXECUTE CODE 0. TAN EXEMPTIONS FORM EXECUTED CODE NO.TAX STATE COOE 1 - NO BREA IN SERVICE 1 - YE 1 - TES EXEP- 2 - SREAK IN SERVICE (LESS THAN 12 NS 2 - NO 2 - SNo 3 - BREAK IN SERVICE (MORE THAN 12 Mus 45. POSITION CONTROL CERTIFICATION 46. O.P. APPROVAL DATE APPROVED FORM I152 USE PREVIOUS 'ITIO'. 14) SECRET 18. REMARKS y i REDIIESIFOR PERSONNEL ACTION

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