[1]|
[2]i
[3]|
[5]Assassination Records Review Board
[6]Final Determination Notification
[8]AGENCY : HSCA
[9]RECORD NUMBER : 180-10068-10321
[10]RECORD SERIES : STAFF PAYROLL RECORDS
[11]AGENCY FILE NUMBER :
[13]December 8, 1995
[14]Status of Document: Postponed in Part
[16]Number of releases of previously postponed information: 5
[18]Reason for Board Action: The Review Board's decision was premised on several factors
[19]including: (a) the significant historical interest in the document in question, (b) the
[20]absence of evidence that the release of the information would cause harm to the United
[21]States or to any individual.
[23]Number of Postponements: 4
[25]Postponements: All the postponements in this document represent Social Security numbers.
[27]Reason for Board Action: The text is redacted because the public disclosure of the redaction could
[28]reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
[29]privacy would be so substantial that it outweighs the public interest.
[31]Substitute Language: SSN
[33]Date of Next Review: 2017
[35]Board Review Completed: 10/24/95
[37]ennedy dssassination
[38]ecords Collection Act of
[40]992 [44 USC 2107 Note).
[41]ased- Nw 86326 Date:
[43]| NW 88326
[44]| Docld:32243287 Page 1
[47]| Docld:32243287 Page ?
[49]a th AAT ERS SENET) =P ym wim name Fama ae they gg amermratiee, 9 Meat tate | ce
[51]a A
[53]JFK ASSASSINATION SYSTEM
[54]IDENTIFICATION FORM
[55]“AGENCY INFORMATION
[57]HSCA
[59]Date:08/20/93
[60]Page:1
[62]AGENCY :
[63]RECORD NUMBER : 180-10068-10321
[64]RECORDS SERIES :
[65]STAFF PAYROLL RECORD
[66]AGENCY FILE NUMBER :
[67]DOCUMENT INFORMATION
[68]ORIGINATOR : HSCA
[69]FROM :
[71]TITLE :
[72]DATE : 08/18/77
[73]PAGES : 5
[74]_ SUBJECTS :
[75]HSCA, ADMINISTRATION
[76]DOCUMENT TYPE : PRINTED FORM
[77]CLASSIFICATION : U
[78]| RESTRICTIONS : 3
[79]: CURRENT STATUS : P
[80]| DATE OF LAST REVIEW : 07/07/93
[81]OPENING CRITERIA :
[82]| COMMENTS :
[83]Box #:1.
[84][R] - ITEM IS RESTRICTED
[85]| NW 88326
[87]PAYROLL AUTHORIZATION FORM : . - ee:
[89]. (Please: Use Typewriter: : U.S. HOUSE OF ‘REPRESENTATIVES _ > (Any erasures, corrections, or. changes ~
[91]; . ; on this form must be initialed by the .
[92]i - or Ballpoint Pen) — - Washington, D. Cc. 20515 - authorizing official.) |
[96]wate UBER
[98]_ To the Clerk of the House of Representatives:
[100]| hereby authorize the following payroll action:
[102]Fated toenail FP at.
[104]Employee Name (First-Middle-Last) 7 E Z oe no ~ Effective Date Be a
[106]Cliver J. Champlea _ ___ 8/31/78 34
[107]Employee Social Security Number. oo, Type of Action _
[109]DO Appointment :
[111]086-46-9505 _
[112]Employing Office or Committee/Subcommittee - Z ‘Cl Title Change
[114]Termination (At close of business on effective date)
[116]DO Salary Adjustment
[118]_ . . D Leave without pay (Beginning with effective date above and ending |.
[119]Agcocsiratidons ; close of business )
[121]Specify Date
[123](If. type of action is an Appointment, Salary.Adjustment, or Title Change, complete appropriate. information below.) -
[125]oo , Position Title
[127]Gross Annual Salary*
[129]~. * If emoloyee i is-a civil service annuitant (includes U.S:: House of Representatives), tthe | gross annual salary shown should include the-annuity received by the employee
[130]plus the salary received from the employing office.
[131](If Committee Employee, complete appropriate item below.) c
[133]1. O Standing Committee: Staff—O Clerical or 0) Professional. S \
[135]2. CE Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res:_ 958 of £5ENCongress 5
[136]3. C1 Joint Committee.
[137](If Employee of an Officer of the House, complete item below.) eo See
[138]Position Number_____ ____-_.___.|f applicable, Level. Step. :
[139]| certify that this authorization is not in violation of 5 U.S.C. 3110(b); prohibiting the. employment of ~~:
[140]relatives. 4
[141]Date.___September 24 20 (1948. a
[142]cb : : (Signature of Aothorizing Official) : ‘
[144](if appropriate,. signature of Subcommittee Chairman or Ranking Minority Member) (Type or print name of Authorizing Official) 3
[145]ee (Type or print name and fitle of above official)». === =S=SSC<“~*“‘“‘~™S™*:*:”SS!S!!”!”!”!”!” Gite Member, District ond Sore) :
[147]All appointments and: salary adjustments for employees under the House Classification. Act and for:Committee‘em- . ~
[149]- ployees, except those of the Committee on. Appropriations, the. Committee-.on-the Budget, and the Joint Committees; must . \
[150]be approved by the Committee on House Administration. - . ; . \
[152]APPROVED: |
[154]Chairman, Committee on House Administration
[156]Office of Finance use only:
[158]Office Code . . . ; -
[160]: . (Revised: August 1, 1977) :
[161]Copy for Initiating. Office or Committee: Ba
[163]eee ee Hae a aa - are west
[165]Tw 88326 : FO —
[166]| Docld:32243287 Page 3 : vo ;
[169]| PAYROLL AUTHORIZATION FORM - . .
[170].. (Please Use Typewriter “- U:S. HOUSE OF ‘REPRESENTATIVES . © (Any erasures, corrections,-or changes
[172]or Ballpoint'Pen) Washington, D.C.20515 on this form must be initiated by the |<
[174]authorizing official.)
[176]To the Clerk of the House of Representatives:
[178]! thereby authorize the following payroll action:
[180]Employee Name (First-Middle-Last) a a Ce | ~ Effective Date
[181]Gliver ca Champion , Harch 1, L978
[183]Employee Social Security Number - oo. Type of Action
[184]88 6-46—9 505 ; O Appointment
[186]. _. . ___|30% Salary Adjustment
[187]Employing Office or Committee/Subcommittee = === — | O Title Change
[189]OO Termination (Ai close of business on effective date)
[191]C Leave without pay (Beginning with effective date above and ending
[193]close of business... = )
[194]Specify Date
[196]Position Title ~
[198]Cierical Assistant | $22,868 |
[200]- ¥ If employee js_a civil service annuitant (includes U.S. House. of Representatives), the gross annual salary. shown should inclide the annuity received by the employee
[201]plus the salary received from the employing office.
[203]Gross Annual Salary*
[205](If Committee Employee, complete appropriate item below.)
[207]1. O Standing Committee: Staff—O] Clerical or Professional...
[209]2. 1eSpecial (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res.2 55: of S&:t!¢ongress.
[210]3. D1 Joint Committee.
[212](If Employee of an Officer of the. House, complete item below.) -
[214]Position Number. lf applicable, Level. Step.
[216]relatives.
[218]All appointments: and salary adjustments -for employees under. the House Classification Act-and. for Committee em-
[219]. ployees, except those of the: Committee on Appropriations, the Committee on the Budget; and the Joint Committees, must
[220]be approved by the Committee on House Administration.
[222]APPROVED:
[224]Chairman, Committee on House Administration
[226]Office of Finance use only:
[228]Office Code
[230]| NW 88326 SO ree |
[231]| Docld:32243287 Page 4 ; Se
[233]Bek te a daca
[235]_(If type of action is an Appointment; Salary Adjustment,‘or Title-Change, complete appropriate. information below.) - =~ = "~*~
[237]| certify that this authorization is- not in violation of 5 US.C. 311 0(b}, prohibiting the employment of -
[239]vt
[241]acd mo Nd ros 3
[242]Bay ttre Bae One arene bee ne eer ce ae
[244]Ln Ne
[247]relatives. :
[249]Date December i 19°? :
[251]ee a we ea a ae ee ee ee f ——— = 4
[253]Uf appropriate, ‘signature of Subcommittee Chairman. ‘or Ranking Minority Member) . a ” : (Type or print name of Authorizing Official) - A
[255]fo ee, boat onan, wana _ 4
[256]: ab . (Type or print name and title of above official) . a (Title-1f Member, District and State) ; 3
[257]All appointments and salary adjustments.for employees. under the House Classification Act-and for Committee em- 4
[259]ployees, except those of the Committee .on:Appropriations, the Committee on the Budget, and the: Joint Committees, must ad
[261]be approved by the Committee on House Administration. Lo id
[262]APPROVED:.___--- = _ 4
[264]Chairman, Committee on House Administration : 1
[266]PAYROLL. AUTHORIZATION FORM
[268]_ (Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES Any erasures, corrections: or changes
[270]. - : n this form must be initialed by the . 7 :
[271]or Ballpoint Pen) -Washington, D.C. 20515 authorizing official.) ooo
[273]To the Clerk of the House of Representatives:
[275]re ae, eogtares
[276]fMunete el e A a  a
[278]Benita Es TE et! da dae ala eta oe
[280]| hereby authorize the following payroll action:
[282]Employee Name (First-Middle-Last) == oe ___Effective Date | | oo
[283]iver Jo Champion | __Bacesber 3, 1977
[284]. | Type of Action
[286]0 Appointment
[290]Salary Adjustment . ; ;
[291]O Title Change _ : re
[292]0 Termination (At close of business on effective date)
[294]- ; : Bs oy WARY Ge ; 0 Leave without pay (Beginning with effective date above and ending
[296]close of business
[297]: Specify Date
[299]ESN bate Mie ke oe at
[301](If type. of action is an Appointment, Salary. Adjustment, -or Title Change, complete appropriate information below.)
[302]ae Position Title . Gross Annual Salary *
[303]Clerical Assistant $37,000 |
[304]aE employee i is.a civil service annuitant (includes U.S. House: of Representatives), the gross annual salary shown should include the annuity-received by the employee 3
[305]plus the salary received from the employing office. a
[306](If Committee Employee, complete appropriate item below.)
[307]1.0 Standing Committee: Staff—O Clerical or 0) Professional. :
[308]2. :&: Special (Investigative staff of Standing Committee} or Select Committee: Authority—H. res. 285 of 25 Ee congress
[309]3. 0 Joint Committee. 4
[311](If Employee of an Officer of the House, complete item below.)
[313]Position Number If applicable, Level
[315]| certify. that this authorization is not in violation of 5 USC. 8M 0b, Profibiting § the employment of - 4
[317]Office of Finance use only:
[319]q
[321]3
[323]Office Code . ‘
[324]. 3
[326]4
[328]4
[330]Vi (Revised: August 1, 1977}
[332]NW 88326 foe
[334]po
[335]Dochd:37243267 Page 5 ;
[337]a PAYROLL ‘AUTHORIZATION | FORM
[339]~ or Ballpoint Pen). ° ‘authorizing official.) ~
[341]To the Clerk. of the House of Representatives:..°- 0-88) Soe cece ee
[343]~ Uhereby authorize the following payroll action: "0% | va
[345]a __Employee t Name (First-Middle-Last) « eee Gone “2 Lo a Effective Date iw oe
[346]Oliver J. Champion - B/18/77
[350][x] Appointment
[354]; Employing Office or Committee... _—~(| L Sclory. Adjustment © ss
[356]Assassinations Pe, oo () Termination (At close of business on effective date)
[358].~{IF:typeof-action is an. Appointment.or. Salary Adjustment,.complete: the following information:)<° ~
[360]Position Title - a _ = 7 . a . = = 7p = “Gross Annual Salary :
[362]“Clerical Assistant _ . $9,500
[364](If Committee Employee, completé-appropriate item: below.) . 5 one oe
[366]| ce 1 Standing Committee: Staff-[] Clerical or [} Professional. 9-0 -- vgn ©
[367]22: (8) Special or Select Committee: Authority~H. Res. 465 _of B5%h Congress:
[369]3. [_] Joint Committee.
[371](If Employee of an Officer of the House; complete item below.) =: <..-.> t.2 0 ees!
[373]If applicable, Level_-
[375]i , Position Number
[377]relatives.
[379]Date Auaqust 22 19 77
[381](Type or print name of Kothvizing ‘Official
[383]LOUIS STORES » CHATRY A
[385]be approved by the Committee on House Administration.
[387]’ Chairman, Committee on House “Administration
[389]APPROVED:
[391]Office of Finance use only:
[393]Office Code
[395]ne —. - a an —— a -- ee me eee ee or . na
[397]NW 88326 | FO a
[399]Docld:32243287 Page 6 : ee ;
[401]+ (Please Use Typewriter ae °U. S. HOUSE oF REPRESENTATIVES. © (Any erasures, Corrections, or changes: -. 3:
[402]- Washington, D.C..20515* "-.. on this.form: must. be- initialed by. the. «:
[404]~Emplayee Social Security Number SS Pp Type of Action
[406]Bike, hPa hs tg ba eek al ng athe a Bae
[407]woh ieale lt a arnt hanes nae lea ethionine
[409]“A -certify. that this - authorization tis. notin’ -violation:-of 5. U.S.C. -3110(b),.. prohibiting the employment of
[411]wa BL ee a a ee te AH a. anne Bee et on rn es ee ee .
[413]All appointments and salary adjustments for*employees ‘under: the: House. Classification Act and for: Committee em:
[414]» ployees,.except. those. of the Committee on Appropriations; the. Committee~on. the’ > Budget, and ‘the Joint: Committees, must’ ~'-°
[416]A
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[440]santa GR SY scat oar tient kdl 6 oo
[442]BBE LG, gna ley EE ee ch ete a Mag tee Sth tate. UE piste one hatae ltl chile wag el
[443]Gmetad Apa ace el eats Ie ah et ols ea ee he ee ie Re Shoe bled ae be
[445]ma ON
[449]—~— wee e.
[451]4
[452]| NW 88326
[454]MEMORANDUM
[456]TO: ALL STAFF
[457]RE: Payroll Certification
[459]The Regulations and Accounting Procedures for Allowances « and
[460]Expenses. of Committees, Members and I emproyees of the U5. House of .
[461]Representatives require that, among other things, tne Committee's
[462]monthly payroll ‘certification include the relationship, if any, of
[463]each emp) oyee to any current Member of Congress. This certification
[465]is signed monthly by our Chairman.
[467]The following are the relationships to be included in the -
[468]certification:
[470]father ; _ nephew ~ brother-in-law
[471]mother niece. . sister-in-law
[472]son . . husband stepfather
[473]daughter Wwife- ~ §tepmother
[474]brother . ~ Fatner-in-law ~stepbrother
[475]sister mother-in-law . stepsister
[476]uncle son-in-law half-brother
[478]aunt . . daughter-in-law half-sister
[479]first cousin a
[481]Piease complete the appropriate portion below, sign and date
[483]this form, which will then become a part of your permanent personnel
[484]file. If this status changes, you must noti ify the Committee's Budget.
[486]Office immediately of the change.
[488]be 1 am not related to any current (95th Congress) Member of Congress
[490]f./ I am related to a current (95th Congress) Member of Congress.
[492](Please specify. )
[494]| Docid:32243287 Page fT