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104-10128-10260 JFK Assassination Records Archives 1 (01/02/1970)

handle is hein.jfk/jfkarch73072 and id is 1 raw text is: 104-10128-10260 SECRET (W'hen Filled in) , a DATE PREPARED REQUEST FOR PERSONNEL AtTION DT PRPAE 1. SERIAL NUMBER 2. NAME (Last-First-Middle) 2434 PHTLLPS, DAVTD A. 3. NATURE OF PERSONNEL ACTION 4. EFFECTIVE DATE REQUESTED 5. CATEGORY OF EMPLOYMENT MONTH DAY YEAR REEAP TA MRNT1 A01 11 L.. RfGUT.ARt I ITO V TO CF 7. FINANCIAL ANALYSIS NO. 8. LEGAL AUTHORITY (Completed by Office of 6. liUNDS CHARGEABLE Pronl CN TO V CF TO CF 7. FNNA A LIN . 9. ORGANIZATIONAL DESIGNATIONS 10. LOCATION OF OFFICIAL STATION DDP/WH FOREIGN FIELD BRANCH 5 16-2m [RIO DE JANEIRO, BRAZIL STATIOJ -4 f1Tn E .ANETRTl B : 11. POSITION TITLE 12. POSITION NUMBER 1 . CAREER SERVICE ESIGNATION 1st SECRETARY, POLITICAL OFFICR 0186 D 14. CLASSIFICATION SCHEDULE (GS. LB, etc.) 15. OCCUPATIONAL SERIES 16. GRADE AND STEP 17. SALARY OR RATEC' FSR 03 7 23 646 1 B. REMARKS , FROM: DDP/WE/COG/OFF OF THE CH/POS #1105 HOME BASE WH , APPROVED 259a attachcd - 1 - Finance 2 - Security 18A. SIGNATURE OF REQUESTING OFFICIAL DATE SIGNED 18B. S NATURE OF CAREER SERVICE APPROVING OFFICER DATE SIGNED HENRY L. BERTHOLD SPACE BELOW FOR EXCLUSIV U OF THE OFFICE OF PERSONNEL 19. ACTION 20. EMPLOY. 21. OFFICE CODING 22. STATION 23. INTEGRE 24. HOOTRS. 25. DATE OF BIRTH 26. DATE OF GRADE 27. DATE OF LEI CODE CODE NUMERIC ALPHABETIC CODE CODE CODE MO. DA. YR. MO. DA. YR. MO. DA. YR. 28. NTE EXPIRES 29. SPECIAL 30. RETIREMENT DATA 31. SEPARATION 32. CORRECTION/CANCELLATION DATA 33. SECURITY 34. SEX Mo. DA. YR. REFERENC CSCM CODE DATA CODE TYPE MO. DA. YR. EOD DATA REQ. NO. 3-FICA 35. VET. PREFERENCE 36. SERV. COMP. DATE 37. LONG. COMP. DATE 38. CAREER CATEGORY 39. FEGLI/HEALTH INSURANCE 40. SOCIAL SECURITY NO. CODE 0-NONE MO. DA. YR. MO. DA. YR. CAR/RESW CODE CODE 0-WAIVER HEALTH INS. CODE 1-S FT. PROV/TEMP I-YES 2-10 FT. 41. PREVIOUS CIVILIAN GOVERNMENT SERVICE 42. LEAVE CAT. 43. FEDERAL TAX DATA 44. STATE TAX DATA CODE CODE FORM EXECUTED CODE NO. TAX EXEMPTIONS FORM EXECUTED CODE O TAX STATE CODE 1-N0 IREAK IN SERVICE I-YES I-YES 2-BREAK IN SERVICE (LESS THAN 3 YEARS) 2-NO 2-N0 3-BREAK IN SERVICE (MORE THAN 3 TEARS) 45. POSITION CONTROL CERTIFICATION 46. O.P. APPROVAEL URN TO CIA DATE APPROVED Background Use Only Do Not Reprod& (4) EXCLDED ROM UTOWIC OWNGIRADING 2022 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992 3-67 1152 USE PREVIOUS EDITION SECRET

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