[3]| ‘NW 88326
[5]9
[7]c3)
[9]Assassination Records Review Board
[10]Final Determination Notification
[12]AGENCY : HSCA
[13]RECORD NUMBER : 180-10068-10328
[14]RECORD SERIES : STAFF PAYROLL RECORDS
[15]AGENCY FILE NUMBER :
[17]December 8, 1995
[18]Status of Document: Postponed in Part
[20]Number of releases of previously postponed information: 5
[22]Reason for Board Action: The Review Board's decision was premised on several factors
[23]including: (a) the significant historical interest in the document in question; (b) the
[24]absence of evidence that the release of the information would cause harm to the United
[25]States or to any individual.
[27]Number of Postponements: 4 -
[29]Postponements: All the postponements in this document represent Social Security numbers.
[31]Reason for Board Action: The text is redacted because the public disclosure of the redaction could
[32]reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
[33]privacy would be so substantial that it outweighs the public interest.
[35]Substitute Language: SSN
[37]Date of Next Review: 2017
[39]Board Review Completed: 10/24/95
[41]| Docid:3272432794 Page 1
[43], ' ae Date: 08/20/93
[44]Page:1
[46]Ga
[47]4
[49]JFK ASSASSINATION SYSTEM
[50]IDENTIFICATION FORM
[52]AGENCY .
[53]RECORD NUMBER
[55]HSCA
[56]180-10068-10328
[58]RECORDS SERIES :
[59]STAFF PAYROLL RECORDS
[61]DOCUMENT INFORMATION
[63]ORIGINATOR :
[64]FROM :
[65]TO :
[67]HSCA —
[69]TITLE :
[71]DATE
[72]PAGES
[74]09/01/77
[75]5
[77]- SUBJECTS :
[78]HSCA, ADMINISTRATION
[79]CORNWELL, GARY T.
[81]DOCUMENT TYPE
[83]| PRINTED FORM
[84]| CLASSIFICATION
[86]> U
[87]! RESTRICTIONS : 3
[88]| CURRENT STATUS : P
[89]: DATE OF LAST REVIEW : 07/07/93
[91]OPENING CRITERIA :;
[93]COMMENTS
[95]| Box. #:1.
[97]{R] ~- ITEM IS RESTRICTED
[98]| NW 88326 oo
[99]| Decld:322743294 Page 2
[102]PAYROLL AUTHORIZATION FORM “
[104]C} U.S. HOUSE. OF "REPRESENTATIVES. ) (Any erasures, corrections, or changes
[106]Washington, D.C. 20515
[108](Please Use Typewriter. ©
[110]or Ballpoint Pen) ‘authorizing official.)
[112]To the Clerk of the House of Representatives:
[114]| hereby authorize the following payroll action:
[116]| Employee Name (First-Middle-Last) Effective Date |
[118]Garv {, Cornell January 1. 1978
[120]O1 Appointment
[122]Employing Office or Committee/Subcommittee
[124]Assassinations
[126]30 Salary Adjustment
[127]C1 Title Change
[129]C1 Termination (At close of business on effective date)
[131]0 Leave without pay (Beginning with effective date above and ending
[133]close of business... _»§ = )
[134]Specify Date
[136](If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
[137]Position Title Gross Annual Salary*
[139]_ $44,500.06
[141]* 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
[142]plus the salary received from the employing office.
[144](If Committee Employee, complete appropriate item below.)
[146]i. 0 Standing Committee: Staff—CHi Clerical or 4 Professional.
[148]3. 0 Joint Committee.
[150]- (If Employee of an Officer of the House, complete item below.)
[152]Position Number If applicable, Level_
[154]Step_
[156]| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
[158]relatives.
[159]January 2 78
[160]Date SRREY (97
[161], (Signature of Authorizing Official)
[162]LOUES STORES
[163]{If appropriate, signature of Subcommittee Chairman or Ranking Minority Member). Type or print nome of Authorizing Official)’ SSS
[164]CHA TREMAN
[166](Type or print name and title of above official) (Title ~ If Member, District and State)
[167]..All appointments and salary adjustments for employees under the House Classification Act. and for Committee em-
[168]ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
[169]be approved by the Committee on House Administration. - ce
[171]APPROVED:
[173]Office of Finance use only:
[175]|: Office Code
[177]-. Copy for.Initiating Office or: Committee -
[179]on this form must be initialed by the . -
[183]aed Sy iat Nb “peat”
[185]1 : . cas . . ’
[186]ce ant os ee Ae ae
[188]roe
[190]te ctelee ede oe Vane aad DDL oat |
[192]Employee Social Security Number Type of Action |.
[194]oe eet the tas aad,
[196]cet te ee tee ee
[198]te ath . Se he aon
[199]Sk ak Ea el ah i a pitt Shee! tate Ma
[201]. Position Title
[203]olf 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
[204]ue plus: the salary received from the employing office.
[206]PAYROLL AUTHORIZATION FO" —_ . aa
[208]- (Please Use Typewriter. Saf U. S. HOUSE. OF REPRESENTATIVES? (Any erasures, corrections;,. or changes .
[210]Washington, D.C. 20515 .., 2. On this form must be initialed by the.
[212]or Ballpoint Pen) - authorizing official.)
[214]To the Clerk of the House of Representatives:
[216][hereby authorize the following payroll action:
[218]~ Employee Name (First-Middle-Last) | etfective Date os
[220]Cary fo Cornwall? Getobar 1, 1976
[222]Employee Social Security Number 7
[224]O Appointment
[226]pial Salary Adjustment
[228]Employing Office or Committee/Subcommittee C1 Title Change
[230]O Termination (At close of business on effective date)
[232]D Leave without pay (Beginning with effective date above and ending
[234]close of business
[235]Specify Date
[237](If. type of action is an Appointment,.Salary Adjustment, or Title Change, complete appropriate’ information below:)
[239]Gross Annual Salary *
[241]$47 , 500.80
[243](If Committee Employee, complete appropriate item below.)
[245]1.0 G Stoning Committee: Staff—O] Clerical or 1 Professional.
[247]3. C1 Joint Committee.
[249](if Employee of an Officer of the House, complete item below.) .
[251]Position Number
[253]If applicable, Level
[255]| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of.
[256]relatives. .
[258]October 13 25
[259]Date. __- 2-0-2 a 220. oa. WoW ~~ ----------- (Signavure of Authorizing Office TTT
[260]TOULS GSEORES
[261]{if appropriate, signoture of Subcommiltee Chaitman or Ranking Minority Member). 777777 ae era sone of AUhonning Og TTT
[262]; Chad con
[263]Tor eo int ame ond iitie of above olfideh FO rant onde TTT -
[265]All appointments and salary adjustments for.employees. under the House ‘Classification Act-and for. Committee em- -
[266]ployees, except those of the Committee. on Appropriations, the:Committee on the Budget, and. the Joint Committees, must
[267]be approved by the Committee on House Administration.
[269]_ APPROVED: on a ------- _
[271]Chairman, Committee on House Administration
[273]Office of Finance use only:
[275]Office Code
[277]Copy for.Initiating Office or.‘ Committee 9°
[279]88326 FO en _
[280]Wi:37243294 Page 4 : Co ;
[282]Ciel Se ae ta,
[283]adi ba AD taut a hake Ie Hin See jute tbe
[285]y
[287]oo Bytes 2
[289]EN OTe SSP EOMES? SC BE T=NCOOR ON SOE Oe LETS REIN aR seat
[291].
[293]REO ET Ne eT aT Ee ida
[295]o . 1 . ’ , : . . _— ——
[296]toate he . Rose pete thet UE ty tet a Ub tet lap ae ge ee A hee
[297]wei “Unite iti at O'R a ated otal a te Ae pl te eae aber
[299]SCATTER OT
[301]Meas xan AIT Seon
[308]| Nw 88326 | ee
[310]PAYROLL AUTHORIZATION FORM
[312].. {Please Use’ Typewriter U.S. HOUSE OF REPRESENTATIVES ©. ‘Any erasures, corrections, or changes. - 3
[314]on this form must be initialed by the |
[316]or Ballpoint Pen) ~ Washington, D.C. 20515 authorizing official.)
[318]To the Clerk of the House of. Representatives:
[320]| hereby authorize the following payroll-action:
[322]Employee Name (First-Middle-Last) Effective Date
[324]sary &. Cornwell _ March 1, i873
[326]~ Employee Social Security Number foo. ___-__TypeofAction
[328]’ (1 Appointment
[329]SE¢Salary Adjustment
[331]RA a
[333]Employing Office or Committee/Subcommittee | 0 Title Change
[335](J Termination (At close of business on effective date)
[337]ASS assinats
[339]CO Leave without pay (Beginning with effective date above and ending
[341]close of business
[342]Specify Date
[344](If type of action. is.an Appointment, Salary. Adjustment, or Title Change, complete appropriate information below.):
[346]. : Position Title Gross Annual Salary*
[348]Deputy Chief Counsel S44,
[350]eats Bo
[352]+, * if 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
[354]plus the salary received from the employing office.
[356](If Committee Employee, complete appropriate item below.)
[358]1.O Standing Committee: Staff—C1 Clerical or O Professional:
[360]3. O Joint Committee.
[362](If Employee of an Officer of the House, complete item below.)
[364]Position Number__.. If applicable, Level____.___ Step________
[366]| certify that this authorization is not. in violation of. 5 U.S.C. -3110(b), prohibiting the employment -of
[367]relatives. . wee a
[369]Date__ March 14. 19_?8 -
[371]oe : : i (Signature of Authorizing Official)
[373]woe ee _ LOBES STOKES
[375](Type or print name and title of above official) (Title If Member, District and State)
[377]. All appointments and salary adjustments for employees. under the House Classification Act and for Committee em--
[379]-ployees, except those of the Committee on Appropriations, the. Committee on. the Budget, and the Joint Committees, must
[381]be approved by the Committee on House Administration. .
[383]APPROVED:
[385]Chairman, Committee on House Administration
[387]Office of Finance use only:
[389]Office Code
[396]- To the Clerk-of the House of:Representatives: :2..- oo
[398]. (If-GCommittee Employee, complete.appropriate:item below.). ..
[400]PAYROLL ‘AUTHORIZATION: FORM:* Ce ed ae ne eo
[401]. (Please-Use. Typewriters: 2 “st, Ss. “HOUSE OF REPRESENTATIVES vs. (Any. erasures, corrections,.or- changes
[403]a ee ee ee -.. . On this form must be. initiated by. the.
[404]_ or Ballpoint-Pen) °. - Washington, ‘DC. 20515" "authorizing official.)
[406]-. [hereby authorize the following:payroll action:..:: © ose.
[408]Employee Name (First-Middle- Last): wee aap “ono Effective Dates fo. ee
[409]cary 1. Cornwell — . . _ sn
[410]ae Employee ‘Social Security. Number Taeowe Fe oe pe ~ <cType of Action cn eth
[411]7) 7 17S we
[412]=] Appointment \
[413]Employing Office or Committee. 2 | 0. Solary Adjustment Se ; |
[414]. (] Termination (At close: of business:on effective dote) -.
[416]Assassinations”
[418]{IF type of action.is an Appointment. or.Salary: Adjustment, complete the following. information.):« 0.0... 080 es te
[420]Position Title  =©=° © ©. -- |. > Gross Annual Salary
[422]Deputy Chief Counsel
[424]ae or a
[425]Cis. Ae ene: Cot Seen etre
[427]ibe Soi ia bi fat eli Ae
[428]we :
[430]LE. Standing Committee:.Staff —[] Clerical or-[-} Professionals: 2.0... 0
[432]QE pb
[433]2. (A 4 Special: or Select Committee:, Authority -H. Res #3 of 2 Congress: te ae
[435]_
[437]a
[439]3. [ Joint Committee.
[441](If Employee of an Officer of the House, complete item below.):
[443]Position Number___. If applicable, Level_.
[445]Hetil i bediadwalsaitadnes ta
[446]a
[450]ool certify. that. this: authorization. is not. in violation -:of 5 USE: SMO}, prohibiting the employment. of:
[451]relatives. .
[453]as Reh td tnt PB
[455]rail Stern t are tae
[457]eR Rc
[459]‘Sep tember 1% 5 1 of?
[461](Signature of Authorizing Official)
[463]levis $ Stokes
[465]-, All-appointments and salary adjustments for employees. under ‘the: House Classification “Act and. for. Committee em--
[467]r
[469]-ployees, except. those of the Committee. on Appropriations, the-Committee.on the. Budger, and-the-Joint Committees; ‘must © 2s '
[470]be approved by the Committee on-House Administration... 0 -.: . : ;
[475]APPROVED: _
[477]Chairman, Committee on House Administration .
[479]Office of Finance use only:
[481]Office Code..
[483]shite cies Sy eae abt si ens ais US atlas cra tet lah
[485]Monthly Annuity $__
[487]— : wean ae Lo meee eee Lee ee - we ee
[489]88326 FO ee
[490]Wi:37243294 Page 6 : 7
[492]MEMORANDUM
[494]TO: ALL STAFF
[496]RE: Payroll Certification 7 _ Ce oo
[498]| . The Regulations and Accounting. Procedures for Allowances and 4
[499]Expenses of Committees, Members and Employees of the U.S. House of : —_ |
[500]Representatives require that, among other things, the Committee's
[502]A Le ee
[504]i- monthly payroll certification include the relationship, if any, of: _
[505]- . each employee to any current Member of Congress. This certification . |
[506]| iS Signed monthly by our Chairman.
[508]The following are the relationships to be included in the :
[509]certification:
[513]father oO _ nephew brother-in-law -
[514]: mother a niece sister-in-law
[515]| son . - . husband stepfather
[516]daughter . . wife stepmother . |
[517]brother . ~ father-in-law stepbrother
[519]| sister mother-in-law stepsister
[520]: uncle . Son-in-law half-brother
[521]: aunt daughter-in-law half-sister
[522]: first cousin
[523]Piease complete the appropriate portion below, sign and date ~ ne
[525][
[527]|
[529]| this form, which will then become a part of your permanent personnel
[531]| file. If this status changes, you must notify the Committee's Budget |
[532]{ .
[534]|
[536]|
[540]UF fice imnediately: of the ‘change.
[542]f/x7 Tam not related to any current (95th Congress) Member of Congress.
[544](£7 1 am related to a current (95th Congress) Member of Congress.
[545](Please specify.) _
[547]Fy 2G UBF
[548]gnature of Emplo ee | | ate
[550]| NW 88326 : ee ee
[551]id:32243294 Page 7 : Co : .