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104-10250-10032 JFK Assassination Records Archives 1 (7/31/1966)

handle is hein.jfk/jfkarch85046 and id is 1 raw text is: 104-10250-10032  2023 RELEASE UNDER THE PRESIDENT JOHN F. KENNEDY ASSASSINATION RECORDS ACT OF 1992
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SNATURE OF PERSONNEL 1


C FL NDS                  V TO V
                          CF TO V

4 CFPCANiZATIONAL DESIGNATIONS




                   r r.+N


V TO CF

CF TO CF


4. EFFECTIVE DATE REOUESTED
MONTH       DAY       YEAR


7. FINANCIAL ANALYSIS
   NO. CHARGEABLE


      N    imund Use Only

      t1     e  Rerduce

5. CATEGORY OF EMPLOYMENT




8. LEGAL AUTHORITY (Completed by Office of
   Personnel)


   7235 O O O
TO. LOCATION OF OFFICIAL STATION


'E~ SII I NG!~K.,


D.  C.


11  POSITION TITLE                                                      12. POSITION NUMBER          13. CAREER SERVICE DESIGNATION


                                  (J'S
  14.     OFICE                     (13)                                  1392                      -___________
  14. CLASSIFICATION SCHEDULE (GS. LB. etc.)  15. OCCUPATIONAL SERIES   16. GRADE AND STEP           17. SALARY OR RATE                 




  18. REMARKS

            P P/'. S  DT7R CrOTT./9997 -*'




                                                                       r.                                                                .
                            L.Dx                                                 27 JUL 133                          '

     1  -       CU.IITY

                                                                   Security Approvl^1 1s been arantd for
                                                                   the   12e   coLi .1DJ'k        -by     pis  requst


                                                                   Chief, Personne Securty                 ivision

18A. SIGNATURE OF REQUESTING OFFICIAL               DATE SIGNED         18B. SIGNATURE OF CAREER SERVICE APPROVING OFFICER  DATE SIGNED



  Rt  F   T    P71 T7, li.CFar C t i/ / E S
                                    SPACE  BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL
19. ACTION 20. EMPLOY. 21. OFFICE CODING      22. STATION 23. INTEGREE  24. HDOTRS. 2S. DATE OF BIRTH 26. DATE OF GRADE 27.    DATE OF LEI
   CODE      (ODE     NUMERIC     ALPHABETIC     CODE        (ODE          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.     REFERENCE  1-CSC       CODE            DATA CODE  TYPE       MO.   DA.    YR.   EOD   DATA           REQ. NO.
                                3-FICA
                                S-NONE
35. YET. PREFERENCE 36. SERV. (OMP. DATE 37. LONG. COMP. DATE 38. CAREER CATEGORY 39.       FEGLI,/HEALTH INSURANCE     40. SOCIAL SECURITY NO.
CODE      B-NONE     MO.   DA.    YR.   MO.    DA.   YR.  (AR/REST     CODE      CODE   0-WAIVER     HEALTH INS. CODE
          1-5 PT.                                         PRO/TEMP                      1-YES
          2-10 PT.
41. -PREVIOUS CIVILIAN GOVERNMENT SERVICE    42. LEAVE (AT. 43.          FEDERAL TAX DATA            44.           STATE TAX DATA
CODE                                             C-NO PREVIOUS SERVICE CODE FORM EXECUTED CODE NO. TAX EXEMPTIONS FORM EXECUTED CODE NO. TAX STATE CODE
                                       8-NDPREVOUS ERVIE                                                                   .  EXEMP.
         1-ND BREAK IN SERVICE                               1-YES                                      1-YES
         2-BREAK IN SERVICE (LESS THAN 3 YEARS)              2-NO                                       2-NO
         3-BREAX IN SERVICE (MORE THAN 3 YEARS)
45. POSITION CONTROL CERTIFICATION                                      46. O.P. APPROVAL                                   DATE APPROVED


USE PIEVIOUS EDITION


0


SECRET


            GROUP  1
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