[1]er
[3]NW 68326.
[5]o
[7]Assassination Records Review Board
[8]Final Determination Notification
[10]AGENCY : HSCA
[11]RECORD NUMBER : 180-10060-10464
[12]RECORD SERIES : STAFF PAYROLL RECORDS
[13]AGENCY FILE NUMBER :
[15]December 8, 1995
[16]Status of Document: Postponed in Part
[18]Number of releases of previously postponed information: 10
[20]Reason for Board Action: The Review Board's decision was premised on several factors
[21]including: (a) the significant historical interest in the document in question; (b) the
[22]absence of evidence that the release of the information would cause harm to the United
[23]States or to any individual.
[25]Number of Postponements: 9
[27]Postponements: All the postponements in this document represent Social Security numbers.
[29]Reason for Board Action: The text is redacted because the public disclosure of the redaction could
[30]reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
[32]_ privacy would be so substantial that it outweighs the public interest.
[34]Substitute Language: SSN
[36]Date of Next Review: 2017
[38]Board Review Completed: 10/24/95
[42]ennedy dssassination
[43]econds Collection Act of
[45]992 [44 LISC 2107 Note,
[46]aset- Nw 86326 Date:
[48]Dochd:37299472 Page 1
[50]Date:08/20/93
[51]Page:1
[52]JFK ASSASSINATION SYSTEM
[54]IDENTIFICATION FORM
[56]AGENCY INFORMATION
[58]AGENCY
[59]RECORD NUMBER
[61]HSCA
[62]180-10060-10464
[64]RECORDS SERIES ;
[65]STAFF PAYROLL RECORDS
[67]AGENCY FILE NUMBER :
[69]DOCUMENT INFORMATION
[71]ORIGINATOR
[72]FROM
[73]TO
[75]HSCA
[77]TITLE
[79]DATE
[80]PAGES
[82]12/01/76
[83]10.
[85]SUBJECTS :
[86]HSCA, ADMINISTRATION
[87]LAWSON, BELFORD III
[89]DOCUMENT TYPE PRINTED FORM
[91]CLASSIFICATION : U
[92]RESTRICTIONS : 3
[93]CURRENT STATUS : P
[95]DATE OF LAST REVIEW : 06/04/93
[97]OPENING CRITERIA
[99]COMMENTS
[101]Box 2.
[103]{R) - ITEM IS RESTRICTED
[105]| ‘NW 88326
[106]Dochd:372994727 Page 2
[108]PAYROLL AUTHORIZATION FORM
[110](Please Use Typewriter. Cc} US. HOUSE OF REPRESENTATIVES.) (Any erasures, corrections, or changes
[112]. : _ i initialed by th
[113]or Ballpoint Pen) Washington, 9.0. 20515 authorizing official. eae OY the
[115]To the Clerk of the House of Representatives:
[117]| hereby authorize the following payroll action:
[119]Employee Name (First-Middie-Last) Effective Date
[121]Belford L. Lawson IIi Decmmber 1, 1675
[122]Employee Social Security Number
[124]57955-9975
[126]. Employing Office or Committee/Subcommittee
[128]Assassinations
[130]O Appointment
[131]£1 Salary Adjustment
[132]O Title Change
[134]1 Termination (At close of business on effective date)
[136]C1 Leave without pay (Beginning with effective date above and ending
[139]Specify Date
[141]- (If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
[142]Position Title ~~ Gross Annual Salary *
[146]* 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
[147]plus the salary received from the employing office.
[149](If Committee Employee, complete appropriate item below.)
[151]1. O Standing Committee: Staff—O Clerical or (1 Professional.
[154]2. 4] Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res 28 of BOER Congress,
[156]3. 0 Joint Committee.
[158](If Employee of an Officer of the House, complete item below.)
[160]Position Number If applicable, Level_
[162]1 certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
[164]relatives. or peernecm e e mS
[165]pep 1] 78 pT ce ee De
[166]Date December 1b 1978 CO eee
[167], (Signature of Authorizing Official)
[168]‘ ’ LOUIS STORES
[169](if appropriate, signature of Subcommittee Chairman or Ranking Minority Member). oT TType or print nome of Authorizing Official), ~—SSOsSsStCSsSS
[170]Chairman
[171]~~ "type or print name and title of above official). ——=SOSsSCtCStCSCS Fe Hitle- If Member, Districtand Store) ~
[173]All appointments and salary adjustments for employees. under the House Classification Act and for Committee em-_
[174]ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
[175]be approved by the Committee on House Administration.-
[177]APPROVED: ,
[179]Office of Finance use only: | | IDL
[180]Office Code... Benefits woo
[181]| Monthly Annuity $__________-00 as of - Payroll. |
[183](Revised: August 1, 1977)
[185]. tet 2 eh le et
[186]7 soitotes tats Cane al .
[188]eT Sa a ST eT ans OTTO aE PO
[190]SAL Sea se en i A A ete we A lah oes feet ee ad oe
[193]PAYROLL AUTHORIZATION FORM OO |
[194](Please Use Typewriter A U.S. HOUSE OF REPRESENTATIVES, ) (Any erasures, corrections, or changes
[196]: : , on this form must be initialed by the
[197]or Ballpoint Pen) . Washington, D.C. 20515 authorizing official.)
[199]To the Clerk of the House of Representatives:
[201]| hereby authorize the following payroll action:
[203]Employee Name (First-Middle-Last) -
[205]Effective Date .
[207]Type of Action
[209]Employee Social Security Number
[211]§79~58-9975 : DD Appointment
[212]0 Salary Adjustment
[213]Ui Title Change
[214]Termination (At close of business on effective date)
[216]Assassinations O Leave without pay (Beginning with effective date above and ending
[218]close of business )
[220]Specify Date
[222](If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below.)
[224]Position Title Gross Annual Salary*
[226]* 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
[228]plus the salary received from the employing office.
[230](If Committee Employee, complete appropriate item below.)
[232]i. O Standing Committee: Staff—C) Clerical or 0 Professional.
[234]2. Special {Investigative staff of Standing Committee) or Select Committee: Authority—H. Res._=~ of 7 oe Congress. .
[236]3. 0 Joint Committee.
[238](If Employee of an Officer of the House, complete item below.)
[240]Position Number If applicable, Level_
[242]| certify that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of
[244]relatives.
[246]Dote. EY © ee
[247]‘ - (Signature of Authorizing Official)
[248]_ — LOUIS STOKES
[249](If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) (Type or print namie of Authorizing Official)
[250]CHATRMAN
[251]nn (Type or print name and tile of above official) = === SsS*~C*«<C*~*<“<S~S*S*~CS*S*S”:T lei Member, District ond Stee)
[253]_ All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
[254]ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must .
[255]be approved by the Committee on House Administration.
[257]APPROVED:
[259]Chairman, Committee on House Administration
[261]Office of Finance use only:
[263]Office Code Renafite
[265]iochd:32239477 Page 4
[267]fed
[269]Belford L. Lawson III. 12/31/78
[271]W 88326 | pn oe
[273]a sate
[275]Nee Bash thy RE ht te aon ebb in ma ER ace Rel eth Lat eine deine eae ln te ct
[280]PAYROLL AUTHORIZATION FORM
[282]or Ballpoint Pen) - De _ Washington, D.C. 20515 - authorizing official.)
[283]To the Clerk of the House of Representatives:
[285]thereby authorize the following payroll action:
[287]__ Employee. Name (First-Middle-Last)
[289]Effective Date mo ;
[291]Becember 1, 1977
[293]Belford L. Lawsen ILI
[295]Employee Social Security Number .
[296]5729-98-97
[298]~~ Employing Office or Committee/Subcommittee
[300]O Appointment
[301]E41 Salary Adjustment
[302]0 Title Change
[304]O Termination (At close of business on. effective date)
[306]C Leave without pay (Beginning with effective date above and ending
[308]close of business
[310]Position Title
[312]Staff Counsel
[314]_, * lf emoloyee is a-civil service annuitant {includes U.S. House of Representatives}, the gross annual salary shown:should include the annuity received by the employee — _
[315]plus the salary received ‘from the employing office.
[317](If Committee Employee, complete appropriate item below.)
[319]1. 0 Standing Committee: Staff—C] Clerical or F] Professional. ~ - -
[320]. 2.1K Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res. 289 _of 25 Scongress.
[321]3. C1 Joint Committee.
[323](If Employee of an Officer of the House, complete item below.)
[325]' Position Number If applicable, Level_ Step____
[327].- | certify that this authorization is. not in violation of .5-U.S.C. 3110(b), prohibiting the employment -of
[328]relatives. . ce we em gg
[330]eel F a
[332](Type or print name of Authorizing Official) °
[334]Chal rman
[336](Title—If Member, District and State)
[338]an a aw a a ee a ee ee ea ene eee ee
[340]All appointments. and salary adjustments for employees under the House Classification Act and for Committee em--.- -:
[341]- .ployees, except those. of the Committee on Appropriations, the. Committee on the Budget, and the Joint Committees, must. --
[343]be approved by the Committee on House Administration.
[345]APPROVED:
[347]. ed Choirman, Committee on House Administration
[349]Office of Finance use only:
[350]Office Code
[352]Monthly Annuity $
[354]- (Please. Use Typewriter - U.S. HOUSE OF REPRESENTATIVES —. -: (Any erasures, corrections, or changes ~
[356]on this form must be initialed by the. -
[358]Type of Action -
[362]EBAY cli amt ee te
[364]Jette eee ak et te
[366]eo in a eee te ta
[368]Tie te hes adhe a ett cae!
[370]ex ser ar ee Ee
[372]r
[374]i medals dae bet da at
[376]aiede DS
[378]eR cette ae a
[382]| PAYROLL AUTHORIZATION.-FORM.- Po eee on, on 7
[384]‘-(Please Use Typewriter = 2. Us: HOUSE OF REPRESENTATIVES “ ... (Any erasures; corrections, or changes.” ~..
[386]7 - or Ballpoint Pen) = =. Washington, D.C. 20515 on, this form must fe initialed. by the
[388]. sor 4
[389]ea Mes wae i
[390]we arisiva tab ee Se el a ie at
[392], To the Clerk of the House of Representatives: .
[393]- | hereby authorize the following payroll action: -
[394]2 Employee Name (First-Middle-Last) = ) : —_ - Effective Date’ 7 ° eee a
[395]elf ford L. Lawson II BATT oid
[396]Employee Social Security. Number: an ~ i Type of Action ©: 2 ow a \
[397]579-58-9975 ; CL] Appointment e \
[398]: _ ¥ _ So, ,
[399]Employing Office or Committee == iw“ (ited Salary Adjustment . - |
[400]Assassinations (| Termination (At close of business on effective date)
[402](If type of action is an Appointment or Salary Adjustment; complete the following information.) - wh
[404]Position Title ; | Gross Annual Salary .
[406]Staff Counsel 24,000
[408](If Committee Employee, complete appropriate item’below.): -~"
[410]ok . a en yo er
[411]ibe tide cra OU Ee i a A hi Lae ale ae abe ok atl! Stl
[413]1. [_] Standing Committee: Staff—[[] Clerical-or [=] Professional.
[415]2. LJ Special or Select Committee: Authority—H. Res. 465 of _S5thCongress.
[417]3. [J Joint ¢ Committee.
[419](If Employee ofan Officer.of the House, complete item below.) : 0 aN
[421]Position Number___=- __ -.__.If applicable, Level _
[423]: Ls certify that. this « authorization-is:: not “in: violation of 5 dsc. 3110(b), ‘prohibiting the employment ‘of > +=
[424]relatives. we gen - woe
[427]ug | a ne
[428]- ce AUBHBE 2 _ouee ee ee es a ———
[430]“LOUIS sroKes of Authorizing Official)
[432]. a CHAIRMAN (Type or print nome of Authorizing Official)
[433]“ Fee Titleif Member, Districtand State)
[435] All-appointments ‘and salary ‘adjustments for employee's under :the House: Classification:Act: and: for: Committee: em-* A
[436]nloyeess except those-of :the. Committee: on® “Appropriations athe ° Committee on: the: Budget, « and ‘the: Joint: Committees,” must: .
[438]_ be approved. by the: Committee. on House Administration.-
[440]APPROVED:
[442]“Chairman, ‘Committee on. House: Administration ce ie .
[444]Office of Finance use-onlys: es 52 me, ee ee oa
[446]Office Code
[448]e. . ¥ « an . . 2 .
[449]See ALSTON te aE CeCe eS a ORR ITTY AOE REO FEE CARROT ERI ECSU DES St SRST CR EE NY TO ONO LU EE TN I OE PETS NG OTT OST eT OC PORTER OCR ERC ETRE LESS
[451]Copy for Initiating Office or Committee. 4
[452]| NW 88326 ‘are eee
[454]i:37299472 Page &
[456]~ PAYROLL AUTHORIZATION. FORM
[458]ae = a on this form must. be initialed hy the
[459]‘or Ballpoint Pen) Po, Washington, D.C. 20515 "authorizing official.)
[461]‘To the Clerk. of the House of Representatives:
[463]'- thereby authorize the following payroll action:
[465]Employee Name (First- -Middte-Last) os 7 ; = J os . _ : ; Effective Date oo 3 :
[466]Belford L. Lawson Iii . B/sT?
[468]Employee Social Security Number.» |. ~~~ Type of Action.
[470]893 58 9075 - . 7 . (] Appointment
[471]. - Employing Office or. Committee oe an a  Sclary Adjustment
[473]| Assassinations L.] Termination (At close of business on effective date)
[474]- Fee ES. Be :
[475](If type of dction is-an Appointment or Salary Adjustment, complete the following information.)
[477]Position Title | ~ 7 a l _ — | Gross Annual Salary:
[479]$20, 008
[481](If Committee Employee, complete appropriate item below.)
[483]1. (1 Standing Committee: Staff—[} Clerical or.["] Professional.’
[484]2: {J Special.or Select Committee: Authority —H. Res. 465 of S5th _Congress.-
[486]3. [_] Joint Committee.
[488](If Employee of an Officer of the House, complete itém below:)”
[490]Position Number -_ __.If applicable, Level_
[492]Step. :
[494]relatives
[498](Signature of Authorizing Official)
[500]louis stekes
[502]a (Type or print name of Authorizing Official)
[503]we Chairman
[504]oa Miles “tt Member, District and ‘Site
[506]'. . be approved. by the Committee on House Administration. 3. a. 7
[508]_ APPROVED:
[510]Office of Finance use only: ..
[512]Office Code
[514]-. Copy fortInitiating Office or Committee
[516]W 88326 : So
[518]- (Please Use Typewriter ~U S$. HOUSE OF REPRESENTATIVES: etary erasures, ‘corrections; or changes: -°
[520]sola aad a ewes
[522]be certify . that this: authorization -is not .in-- violation: of 5 U.S.C “31 oN) Prohibiting the..employment® of.’ wy
[524]to satalessdE ben ou hdd aU ad,
[526]All appointments and. saldry: adjustments for-employee's: under the :House Classification Act*and for Committee: em ee
[527]- »ployeesy except: those -of the: Committee :on Appropriations, the. Committee”.on n'the-Budget, ‘and the’ Joint: Committees, MUSt eo
[529]|
[530]ee ee ny get a
[531]rf
[532]Bo
[536]set IT as ete ioy Ceplndies why CIN gtk geet oct Syutes it gia le bela pole tak ei Pe ge ats
[537]SE RACE NUR SID SCUGNTT Ce TESA SLIT OY COM DEN TERCEN CIEE Ses Pett RIOD Ste Ee NS COE I SNP PROCITE toa it Sip atts
[540]~ PAYROLL AUTHORIZATION FORM
[542](Please Use Typewriter. ~ U.S. HOUSE OF REPRESENTATIVES: - -
[543]or Ballpoint Pen) Washington, D.C. 20515
[545]To the Clerk of the House of Representatives:
[547]| hereby authorize the following.payroll action: -
[549]Employee. Name (First- -Middle- “Last)_ S
[551]“pel ford L. Lawson TIT — 4fViT?
[552]Employee Social Security Number= :
[554]879 358 S975
[556]- (1) Appointment
[558]Employing Office or Committee {gl Sclory Adjustment:
[560]_ Assassinations
[562]- (Any erasures, corrections, or changes -
[564]on this form must be. initialed by the.
[565]authorizing official.)
[567]Effective Date
[569]: Type of Action |
[571][| Termination (At close of business on effective date):
[573](If type of action is an Appointment or Salary Adjustment, complete the following information.)
[575]Position Title
[577](If Committee Employee, complete appropriate item below.)
[579]1. EJ Standing Committee: Staff—[_] Clerical or [_]-Professional.
[581]Gross Annual Salary
[583]$42, 400
[585]_ 2. LA Special or Select Committee: Authority— H. Res, 465 of_ Bh congress.
[587]3. L_] Joint Committee.
[589](If Employee of an ‘Officer of the House, complete item below.)
[591]Position Number If applicable, Level_ Step
[593]‘| certify that this authorization is not. in: violation, of 3 USC. _3110(b), prohibiting ° the ‘employment of
[595]relatives. a
[596]Date Apr ET 29° 19 FF at
[597]Serene oe (Signature of Authorizing Official)
[598]2 Louis Stokes
[599]A nn ors print name of Authorizing Officia) To
[600]ae Chaivman _
[601]we (Title If Member, District and Ste
[603]- All appointments and ‘salary adjustments” for. amployees under the House Classification-Act and-for Committee. em-
[605]” ployees, except those: of. the. Committee:on Appropriations, the Committee on the Budget and the ‘Joint Committees, must
[607]be approved by the Gommittee on House Administration: .
[609]APPROVED:
[611]Chairman, Committee on House Administration ..-° |
[613]Office of Finance use only::
[615]Office Code
[618]| 1d:32239472 Page 8
[621]PAYROLL AUTHORIZATION. FORM - ee ~ i as
[622]- + «(Please Use Typewriter--:" ° “U. S. HOUSE: OF. REPRESENTATIVES (Any erasures, corrections, or.changes ~~”,
[623]~~ or Ballpoint Pen) = Washington; D.C. 20515. ‘On| this form must be initialed by the:
[625]authorizing official.)
[626]‘To the Clerk of the House of Representatives: -
[628]| hereby authorize the following payroll action:
[630]_: Employee Name (First-Middle-Last) =. >. [|| Effective Date
[631]aa Belford L. Lawson, III 2-177
[633]Employee Social SecurityNumber =) 2 . | Type of Action -
[634]579-538-9975
[636]CJ Appointment
[638]- Employing Office or Committee "| (8 Salary Adjustment
[640]Select Committee on Assassinations (] Termination {At close of business on effective dote)
[642](If type of action.is an Appointment or Salary Adjustment, complete the following information.)
[644]Position Title : . . - Gross Annual Salary
[646]: (If Committee Employee, complete appropriate item below.) -..° .- :
[648]1. (J Standing Committee: Staff—[] Clerical or {_] Professional.
[650]2. L4} Special or Select Committee: Authority—H: Res EY ot 93 congress.
[652]3. [-] Joint Committee...
[654]- (If Employee of an Officer of the House, complete item below.)
[656]Position Number_.__._:_.___. if applicable, Level-
[658]a _ Ste | © nnn
[660]-L certify that. this. authorization .is..not in violation of 5 .U.S.E. -3110(b),: prohibiting the employment. of..
[661]relatives.
[662]Date... ERT age
[664](Signature of Authorizing Official)
[666]henry B. Gonzalez
[668](Type or - print name of Authorizing Official)
[669]Chat rman
[671](Title— If Member, District and State).
[673]» All appointments-and- salary. adjustments:for-employees under. the House: ClassificationAct ‘and. for. Committee ems esis:
[675]% . ployees, -except. those.-of. the Committee-on. Appropriations, the -Committee--on- the Budget, and the:Joint-Committees,- must:
[676]..be-approved by. the: Committee on.House Administration. 2 sc. rte a ge
[678]_ Chairman, Committee on House Administration Pe tye eg he
[680]_ APPROVED:
[682]-Office of Finance-use only:
[684]owcabauadiettie wd, he watt ge tte es NG tt Sate 26 a ee ba ee pelt an Sutastucaattbdcesh cw ftaith adh deatas te ected Sasett ot Samttd es ne esil AY do Ab Se ah is ot eed cach abe baat as CERES SE CS eee Nee Siew cooatuietbake al oh hacetatan a “s,
[686]Office Code
[687]Copy for Initiating Office or Committee ; 4
[688]Po ee
[689]W 68326 oe ae a a
[691]i:37299472 Page 9
[693]" GPO™ 1975 O = 57-285
[695]U. S. ‘HOUSE OF fF REPRESENTATIVES =. , i
[697]oo, «Washington, D6, 205189 | emer
[699]‘To the e lerko of the House of Representatives: arenas | _
[700]7 hereby authorize the fallowin payroll action:
[702]“Employee N Name (Fist Middle ‘ast)
[704]a Pees ee Effective Date ~ can a ay
[705]_ Belfort ve hanson: 1 ae eee - a ee 95-7 7s as a ae Jo,
[706]oe Employee Social Security Number ae ms Type of Action |
[707]oe 879, $8 9975 ae ae See a Appotatment ee a adbe 7
[708]= ; “Employing 6 Office or ‘Committee ba
[712]f SS
[714]“MF Ce 0 mmmittee Employee, complete appropriate item below)
[716]he go
[717]“J a Standing Committee: ta Clerical rf Oat eT Sie oe .
[720]Vis’ not ‘in: violation ro}
[722].
[724]rf
[726]A
[728]adjustments for employe: \der.s
[730]i.
[731]ee on: n_ Appropriations, th
[733]a, Committes.c on House ‘Adminis
[735]id:32239472 Page 10°
[737]al Ne
[739]PAYROLL ‘AUTHORIZATION FORM ere la
[740], - (Please Use Typewriter he U. S. HOUSE OF: REPRESENTATIVES | NS oe » Uy erasures, corrections, or chang
[741]: or Ballpoint Pen) © soe _ Washington; D.C. 20515 authorizing official.) |
[742].
[743]: _ To the Clerk of the House of ‘Representatives:
[744]| hereby authorize the following payrolhaction:
[745]|
[746]Employee Name (First-Middle-Last)
[747]be iford ¥. Lawson, it
[749]im Salary, Adjustment . |
[750]: oo _ L) Termination (At close of business on effective date)
[751]select Comittee on Assassinations
[752]Position Title |
[753]Star? counsel |
[754](If Committee Employee, complete appropriate item below.) . oe |
[755]f° . . i
[756]|
[757]. LE Standing Committee: Staff—[_] Clerical or{_] Professional. |
[758]. “|
[759]2. &_] Special or Select Committee: Authority—H: Res 1540 ot SEE Congres, .
[760]3. O Joint Committee. a, |
[761]~ |
[762]- . +
[763]> (If Employee of an Officer of the House, complete item below.) |
[764]| ~ Position Number
[765]. . ’ 4
[766]|
[767]| certify that this authorization is not in violation of 5_US. C. 3] 10(b), prohibiting the - employment of :
[768]relatives. ; ~ oS, ; |
[769]~ - _ _ : !
[770]Dote.____._ Neveiber 9 1976 wel ee |
[771]| |
[772]: . ‘ ; - ad Taos or print name of ones Official) |
[773]— ; / . “set ect Committee on Assassinations © |
[774]: , a ___Rier Member Drone) ~ |
[775]All appointments and salary adjustments for employees under the House Classification: “Act- and for Committee em- |
[776]sloyees,” except those of. the Committee-on Appropriations; the Committee onthe Budget, and the Joint: Committees, must
[777]be approved by the Committee on House Administration. Oo . ; C |
[778]oo. : — APPROVED: oo _ |
[779]. - oe ; , Chairman, Committee on House Administration |
[780]_ : 4 |
[781]= |
[782]Office of Finance use only: 4
[783]Office Code: ;
[784]|
[785]; Copy for Initiating Office or Committee “|
[789]| NW 88326 : aan
[790]Docld:372994727 Page 11 ;
[794]beat
[796]MEMORANDUM
[798]TO: All Staff Employees . |
[799]FROM: Budget officer ee ee ee
[800]“DATE: January 3, 1977 eS et De ee es ge |
[802]-RE: Payroll certification
[804]Starting with the January, 1977. ) payroll, the certification | cos
[806]“to the House Finance Office requires, among other things, the > Sete
[807]relationship, if any, of each staff employee to any current
[808]Member of Congress (those taking office January 3, 19772.
[810]. ‘The following are the relationships to be included | in
[811]“the certification: , .
[813]father nephew cose brother-in-law 7 |
[814]mother = niece sister-in-law
[815]gon husband |. stepfather S|
[816]daughter — —_ -. wife - ' stepmother. > | Poe
[818]_ sister FO mother-in-law. ss s—t~Ssttepsister 7 oS
[819]~ uncle © _ me son-in-law ot half-brother
[820]- aunt — 7 _. daughter-inlaw . | half-sister > |
[821]first cousin ee | —_ Loe ne |
[823]pret Nd
[825]All staff employees are requested to complete this fare
[826]~ form and return it to the Budget officer.
[828]-. Approved
[829]= Richard A. Sprague ,
[831]ene ee re mes ee mee ees ee ee ee meee ee re me ee ee ee ee cee ee te ee ee ee ee SE me Des Ge eee eee SO ey ee cme GD cre eS me Om See Ge oe ee oe oe eee eee oe Se oe ee cee ee
[833]ee Pe oy re Be - Pe |
[834]: - am not related v (A-Z Tr BR ee )
[836]oy am related by the following relationship
[838]| c 88326 OO a
[839]| Docid:32239472 Page 12 : ro