[1]canine saa
[3]AGENCY
[5]December 8, 1995 _
[7]Status of Document:
[9]Assassination Records Review Board
[10]Final Determination Notification
[12]: HSCA
[13]RECORD NUMBER :
[14]RECORD SERIES :
[16]AGENCY FILE NUMBER $:
[18]180-10068-10362
[19]STAFF PAYROLL RECORDS
[21]Postponed in Part
[23]Number of releases of previously postponed information: 4
[24]Reason for Board Action: The Review Board's decision was premised on several factors
[25]including: (a) the significant historical interest in the document in question; (b) the
[26]absence of evidence that the release of the information would cause harm to the United
[28]_ States or to any individual.
[30]- Number of Postponements: 2
[32]Postponements: All the postponements in this document represent Social Security numbers. .
[34]Reason for Board Action: The text is redacted because the public disclosure of the redaction could
[35]reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
[36]privacy would be so substantial that it outweighs the public interest.
[38]Substitute Language: SSN
[40]Date of Next Review: 2017
[42]Board Review Completed: 10/24/95
[44]‘NW 88326
[46]Dochd:37243328 Page 1 f
[49]PY
[51]see Date:08/20/93
[53]_ JFK ASSASSINATION SYSTEM
[55]_ IDENTIFICATION FORM
[57]AGENCY INFORMATION
[59]“AGENCY :; HSCA
[60]RECORD NUMBER : 180-10068-10362
[62]RECORDS SERIES
[63]STAFF PAYROLL RECORDS
[65]AGENCY FILE NUMBER :
[67]| - ORIGINATOR :
[68]i FROM :
[69]TO :
[71]TITLE :
[73]DATE
[75]I 05/12/78
[76]: PAGES
[78]4
[80]SUBJECTS :
[81]| HSCA, ADMINISTRATION
[82]GREEN, CHARLOTTE
[84]DOCUMENT TYPE PRINTED FORM
[86]CLASSIFICATION : U
[88]RESTRICTIONS : 3
[90]CURRENT STATUS : P
[91]DATE OF LAST REVIEW : 07/07/93
[93]OPENING CRITERIA
[95]COMMENTS
[96]Box #:1.
[98]| _ [{R] - ITEM IS RESTRICTED
[100]‘NW 88326
[101]Dochd:37243326 Page 2
[104]PAYROLL AUTHORIZATION FORM: us , .
[105]; (Please Use Typewriter ~ . U. S: Hous 3c. oe REPRESENTATIVES: - * (Any. erasures; corrections, or changes.
[106]"or Ballpoint Pen) _ Washington, D.c. 20515, nhs form mut e initiated-by the *
[107]To the Clerk of the House of Representatives: ee
[109]‘| hereby authorize the following ‘payroll action?) >.
[111]Employee Name First-Middle-Last) ~ “Effective Date™
[113]Charlotte Green
[114]Employee Social Security Number -
[116]- 448-52- 9361
[118]Employing Office: or Committee/Subcommittee -
[120]W378 ;
[121]--- Type of Action
[123]CO) Appointment
[124]Q Salary Adjustment
[125]‘O Title Change:
[127]wie Termination (Ai close of business on effective date)
[129]U1 Leave without pay (Beginning with effective date above and ending
[131]Assassinations
[133]close of business aoe nee eee }
[134]_ Specify Date
[136](If type of action:is an Appointment; Salary: ‘Adjustment, ‘or Title, Change, ‘complete: appropriate information below.) *
[138]Position Title _ . Gross fomual Saar? =
[140] ™ If emoloyee is-a civil service annuitant: {includes U:S, House of: Representatives), the-gross annual salary: shown :should-include the annuity recéived by the employee * ‘,
[142]plus the salary received from the- employing office.:
[144](If Committee Employee, complete appropriate item below.) - oe ’
[146]1O - ane Committee: Staff—O Clerical or 1) Professional.
[148](If Employee of an Officer of the House; complete item below.)
[150]Position Number____—. oe If applicable, level. Step_._.__..
[152]| certify that. this. authorization - ‘Is “not’in -violation: of 5 U.S.C: 3110(b), prohibiting the employment: of -
[154]relatives.
[156]Date August WG | 19_78
[158]mm es Pe I LLL t —ftte- - Fe ature of Authovining Oficgh DTT TTT --—-
[160]All appointments and- salary adjustments for. employee's under the House Classification ‘Act and for: Committee. -em-.
[162]- ployees, except those of the Committee on Appropriations, the: Committee on the. Budget, and the Joint’ Committees, must °°
[164]be approved by the Committee on House Administration.’ ©
[166]APPROVED:
[168]Office of Finance use only:
[170]Office Code
[172]en
[174](Revised: August 1977
[176]Dama ee os Copy for Initiating Office.or-Committee:: .-: »-
[178]es W 88326 _ we TO ap ns Fe
[182]ii:327243378 Page 3 ; pete ,
[184]wR Oi TE pe aaladues
[186]AR Mba
[188]an
[189]eae,
[191]eeceatl 2 attend coal eaten abil Slate tated idtatnie deta dts de cPMae
[193]Nhe cuttt a eae
[194]BRC etre dead af obelieae LP
[195]a
[197]he hs
[199]hada a et
[200]a
[202]NI WA age ea ie Wath
[204]a tt Na
[206]se.
[208]4
[209]os
[212]te
[214]|
[216]+ i.
[218]PAYROLL AUTHORIZATION N FORM
[219](Please Use. Typewriter : (> Be
[220]or Ballpoint Pen)"
[222]US. ‘HOUSE OF REPRESENTATIVE fr. b led b th
[223]"Washington, D.C. 20515 a Sita oa inated by tie
[225]To the Clerk of the House of. Representatives:
[227]| hereby authorize the following payroll-action:
[229]Charioctte Green 8/12/78
[231]12) Appointment
[233]O Salary Adjustment
[235]O Title Change
[237]C] Termination (At close of business on effective date)
[239]14-52-9861 | .
[241]Employing Office or Committee/Subcommittee .
[243]C1 Leave without pay (Beginning with effective date above and ending |.
[245]"close of business wee eee )
[246]Specify Date
[248]Assassinations
[250](If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
[252]Position Title
[254]se20.09
[256]* If employee is a civil service annuitant (includes U.S. House of Representatives), the gross annual salary shown should include the annuity received by the employee~
[257]plus the salary received from the employing office.
[259]Gross Annual Salary *
[261](If Committee Employee, complete appropriate item below.)
[263]1. O Standing Committee: Staff—L] Clerical or 0 Professional.
[265]2. Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res 956 of 95ticongress.
[266]3. O) Joint Committee. a
[268](If Employee of an Officer of the House, complete item below.)
[270]. Position Number If applicable, Level_ Step_______.
[272]| certify that this authorization is not in violation of 5 U.S.C. .3110(b), prohibiting the “employment of
[273]relatives.
[275]Dote.__May 22000 ee woo ee. |
[276]: : (Signature of Authorizing Official
[277]LOUIS STOKES
[278]ot appropriate, Tignature of Subcommittee Chairman or Ranking Minority Membe) > Ten Te or print name of Authorizing Official), SOO
[279]CHA TRMAN
[281](Type or print name and title of above official) ao Title= If. Member, District and Siate)
[283]. All appointments and salary adjustments for employee's under the-House Classification Act- and for Cornmittee -em-
[285]. ployees, except those of the Committee on Appropriations; the Committee ‘on the- Budget, and the Joint Committees, must
[287]be approved by the Committee on House Administration.
[289]APPROVED:
[291]Chairman, Committee on House Administration -
[293]Office of Finance use only:
[295]Office Code
[297](Revised August 1, 977
[299](Any erasures, corrections, or changes .
[303]Employee Name (First-Widdle-Last)  —- Effective Date
[304]Employee Social Security. Number Type of Action . a
[306]wad
[310]Na st hee dope Se led et te eg ere ie
[311]CARR eS Coes alkeis ee Mal wate tin Ue tard Si atin coh
[313]te eee ate ae eS a
[314]tN bales Dea sd ie ane a LER Cale te Chant these, oP
[316]Lo rn rn vege “ae Soy et es Sat ch
[317]Aisthat asta dite NOSE Hades Ge Scad Ghd Guic an cbal
[319]a.
[322]be asta a tk eb
[326]: Nw 88326 ; ne: opr poe
[327]| Docld:32243328 Page 4 ‘ ; Oye! ;
[329]Certificate of Relationship/Nonrelationship to
[330]Any Current Member of Congress
[332]|
[334]—~y I certify that I do not have any of the following relationships to any
[335]current Member of Congress.
[337]father nephew sister-in-law
[339]mother niece stepfather
[340]son husband stepmother
[341]daughter wife stepson
[342]brother father-in-law stepdaughter
[343]sister mother-in-law stepbrother
[344]uncle son-in-law stepsister
[345]aunt daughter-in-law half-brother
[347]first cousin brother-in-law half-sister.
[349][_] I certify that I am the
[351](Relationship)
[353]Honorable
[354](Name of Member to whom related)
[356]. GPO —_16-78695-3
[358]ochd:372743376 Page 5
[360]FROM:
[362]DATE:
[364]RE:
[366]ICM: j
[368]|| NW 88326
[369]ocld:32243328 Page 6
[371]| a summer intern.
[373]MEMORANDUM
[375]Thomas Howarth, Budget Officer
[376]Elizabeth Berning, Chief Clerk
[378]I. Charles Mathews, Special counse LW
[380]May 22, 1978
[382]Charlotte Green
[384]Please be advised that effective Friday, May 12,
[386]1978, Ms. Charlotte Green joined the Committee staff as
[388]$6240.00 per annum.
[390]If you have any questions concerning this matter,
[392]please contact me at your convenience.
[394]Her effective starting salary will be