[1]‘i
[3]| NW 88326
[5]Assassination Records Review Board
[6]Final Determination Notification
[8]AGENCY : HSCA
[9]RECORD NUMBER : 180-10068-10346
[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: 15
[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
[30]_privacy would be so substantial that it outweighs the public interest.
[32]Substitute Language: SSN
[34]| Date of Next Review: 2017
[36]' Board Review Completed: 10/24/95
[40]Dochd:37243312 Page 1
[42]eRe Date: 08/20/93
[43]Page:1
[44]JFK ASSASSINATION SYSTEM
[45]IDENTIFICATION FORM
[46]AGENCY ‘ INFORMATION
[47]AGENCY : HSCA
[48]RECORD: NUMBER : 180-10068-10346
[49]RECORDS SERIES :
[50]STAFF PAYROLL RECORDS
[51]AGENCY FILE NUMBER :
[52]DOCUMENT INFORMATION |
[53]ORIGINATOR : HSCA
[54]FROM :
[55]TO :
[56]TITLE :
[57]DATE : 06/08/77
[58]PAGES : 18
[59]. SUBJECTS : .
[60]HSCA, ADMINISTRATION
[61]FARMER, JOHN J. JR.
[62]DOCUMENT TYPE : PRINTED FORM
[63]CLASSIFICATION : U |
[64]RESTRICTIONS : OPEN IN FULL
[65]CURRENT STATUS : P |
[66]DATE OF LAST REVIEW : 07/07/93
[67]OPENING CRITERIA :
[69]Box #:1.
[70]27 = ITEM IS RESTRICTED
[71]NW 88326
[73]‘Docid:32243312 Page2 PU .
[75]|,NW 88326
[77]“pecld:32243312 Page 3
[79]ae ° ° John J. Farmer, Jre
[81]“SAI Ga | 1001 R'ville Pike, #1819
[82]hy aus we Rockville, Md.
[84]“HE BC Pay en 20852
[86]on:
[88]Select ast pe Asgabsinations
[89]3331 House Annex #2 hg
[91]Octe 20, 1977
[92]Dear Toms
[94]Here, without further delay or adue, is ny repayment of the overpayment.
[95]You will note that it is made out to the U.S. Treasury or the Committee. This is
[96]due to the fact that I never recieved your note of September 15, so I was not
[97]sure who this was to be made out to. You may instruct those fine fellows at the
[98]Payroll Department, however, that I had an exquisitely ‘fine time with my unexpected
[100] Imanna from bureaucratic heaven'.
[102]‘Also, I wish you would advise Donovan to advise Blakey's office that I am
[103]still waiting breathlessly for their letter of recommendation. Please tell him
[105](them) that-I will not be able to obtain credit for my arduous labors of the summer
[106]until. T recieve some sort of recommendation.
[108]‘Thus, with all the sincerety due the occasion, I am,
[111]John J. Farmer, Jre
[113]Pede Say hello ‘to Kevin Walsh and Edwin Lopez for me. ‘fell Edwin that I am now
[114]a ‘Lifetime member of the "Reggie Jackson for Messiah" fan club.
[119]W 88326
[120]Wi:37243312 Page 4
[122]September 20, 1977
[124]_ Mr. John Farmer
[125]“1001 Rockville Pike #1819
[127]Rockville, Maryland 20852
[129]Dear John:
[131]In reference to my letter of September 15, 1977, the.
[132]House Finance Office informs me that in settling your over-
[134]payment, they will adjust various withholdings, that were made
[136]from your salary.
[138]Accordingly, the amount of the check that you send to
[140]us should be $199. 38 instead of $220.00.
[142]Sincerely,
[144]Thomas Howarth
[145]Budget Officer
[146]TH : ow
[147]cc: Finance Office
[149]wt Na
[152]+ 3 a sgt
[153]HI . Y . : aay
[154]| - en H LOUIS STOKES, OHIO, CHAIRMAN - a Lo
[156]ca] RICHARDSON PREYER, N.C. SAMUEL L. DEVINE, OHIO
[157]WALTER E. FAUNTROY, D.C. STEWART B. MC KINNEY, CONN.. i
[158]. - YVONNE BRATHWAITE ‘BURKE, CALIF. CHARLES THONE, NEBR. . : Be : :
[159]CHRISTOPHER J. DODD, CONN. HAROLD S. SAWYER, MICH. re ee / ; : aoe
[160]|! Provo. FITHIAN, INDS no Pe select, Committee on Assassinations a
[161]. ROBERT W. EDGAR, PA. re oo , a
[162]I: Goma = ES, House of Representatives
[163]f
[165]- 3331 HOUSE OFFICE BUILDING, ANNEX 2
[166]_ WASHINGTON, DB. c. (20515, me
[168] Sgagedabee is) is) a —_ oe | |
[169]Mr. John Farmer
[171]1001 Rockville Pike, #1819" BF |
[172]Rockville, MD 20852 oo, SS +
[174]Dear John:
[176]Through > an ‘oversight, the “Reséarch Unit ‘failed
[177]to notify the Budget Office that you had. terminated —
[178], your services with the Select Committee. As a
[179]oo _ consequence, you were overpaid for the month Of
[180]. . . August. . 0 nae
[182]As-I understand the facts, you worked through | _ a
[183]i Friday, August 12 and that Mr. Gay gave you vacation =
[184]through Friday, August 19. Therefore, you were
[185]overpaid for the period August 20-31, 1977 which | \
[186]amounts, to. ae “gross salary of: $220. 00.
[188]If you agree with the facts, I must request .
[189]from you in the name of the House of Representatives,
[190]the return of House funds in the amount of $220.00.
[191]The check should be made payable to the U. S.
[192]Treasury and sent to me in. care of the Committee.
[194]pot Qed
[196]If you dispute the facts, - kindly get in touch
[197]with me as soon as possible so that we can ‘settle —
[198]the matter.
[200]Kind. regards and good luck in your classes at
[201]school. .
[203]_ Sincerely,
[205]Thomas Howarth — oo to
[206]Budget Officer | |
[207]TH: rnpes CO , a . 4
[208]cc: Finance Office . . . a . |
[210]NW 88326 | i oe
[211]| ocld:32243312 Page 5 : Petal 7
[214]i m U.S. GOVERNMENT PRINTING OFFICE: 1977=80=199°
[216]PAYROLL AUTHORIZATION FORM - .
[217](Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes
[218]or Ballpoint Pen) Washington, D.C. 20515 authorizing official.) initialed by the
[220]To the Clerk of the House of Representatives:
[222]- | hereby authorize the following payroll action:
[224]Effective Date
[226]Employee Name (First-Middle-Last)
[227]John J. Farmer, dr. .
[229]231 86 6887
[231]. . (J Appointment
[232]Employing Office or Committee
[234]C] Salary Adjustment
[236]Termination (At close of business on effective date}
[238](If type of action is an Appointment or Salary Adjustment, complete the following information.)
[240]Position Title Gross Annual Salary
[244](If Committee Employee, complete appropriate item below.)
[246]1. Standing Committee: Staff—[_] Clerical or L_] Professional.
[248]2. kK] Special or Select Committee: Authority—H. Res..__465 __of 95th Congress.
[250]a
[252]3. [] Joint Committee.
[254]| certify that this authorization is not in violation
[256]3-C7-314-.0(
[257]relatives.
[259]b), prohibiting the employment of
[263]Date_- September 15 1977
[265](Type or print name of Authorizing Official) ~ ”
[267]Chairman
[269]TS Title=If Member, Districtand State). SS 7
[271]All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
[272]ployees, except those of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
[273]be approved by the Committee on House Administration.
[275]APPROVED:
[277]Chairman, Committee on House Administration
[279]Office of Finance use only:
[281]Office Code
[283]‘Monthly Annuity $
[285]'NW88326—
[287]Doechd:34243312 Page 6
[289]_- PRP AFRART AE FP. ee nn i POLE an (a REE cal mn meh Lah tnd
[291]m7 PH 323
[293](If Employee of an Officer of the House, complete item below.) 9 \5 1 PH 3: 2
[294]- o.@ FINMAMRE GFFICE
[296]Position Number aan naa—n naa If applicable, Level_____ Step. soe, FINANCE OFF
[298]PF SQ gt
[301]'
[303]uM EMO R AN DU M -
[305]September 14, 1977.
[307]TO: ey Tom Howarth -
[308]Loy “Becky Martin
[309]Tiny Hutton
[311]FROM: Donovan Le oO .
[313]_ RE: - :- John Farmer
[315]‘Early August, 1977, _ John Parmer, The Committee’ s
[316]summer intern, informed me that he would be registering:
[317]for classes on August 26, 1977, and would like some time
[319]off commencing August 15, 1977, ‘SO he could vacation with ~~~
[321]his family for two weeks.
[323]‘Based. on the countless ‘hours he devoted, and: on
[324]_. John's overall performance, which was exceptional, I took
[325]it upon myself to grant him the week of August 14, 1977
[327]“to accommodate his vacation plans. Therefore, he “should .
[329]have been» taken ‘off our payroll ending August 20, (1OTTe
[331]‘However, I erred in failing to notify you. earlier ;
[332]on the above, as I thought I had already done. © Therefore,
[334]John Farmer was in fact paid for the remainder of the month 7
[336]OF August, 1977.
[338]Should there be additional questions on this matter,
[340]' please contact me immediately. Furthermore, I can assure
[341]you that in the future, you will be notified . immediately
[342]with, regard to personnel changes.
[344]_ Thank you.
[346]“-mep_
[348]68326 oo
[350]Wi:372433127 Page f
[354]Lee on |
[355]_ CASHIER'S CHECK
[356]ie SO520"0Obb: ~~ O2@men20. an
[357]Creasiry or. Select Commitzee on Assassindations
[358]tert John J.
[361]Select Committee on Assassinations
[363]GS. Bouse of Representatives
[364]WASHINGTON, D.C. 20515
[366]q-2b~-77 |
[368]NW 88326
[370]iochd:342433127 Page 9
[373]relatives,
[375]PAYROLL ‘AUTHORIZATION : FORM
[376](
[378]Please“Usé: Typewriter ytd any erasures, :corrections,-or-changes:;.
[380]“6r Ballpoint: Pen) ~: eee
[382]~ “Washington, D.C. 20515: ~. "authorizing official.) ~
[384]To the Clerk of the:House:of Representatives: 282s 6° 5. See eres Re ne ee eer
[386]--. thereby authorize:the following payroll action:..- 6
[388]= Effective. Date . Suen oT |
[390]_ doh. 3. Farmer, dro —. f..  fegust 18, 1877 0
[391]; - Employee Social ‘Security: Number: ee See ee = Type. of Action. +: ve
[392]231 25 GBS].
[394]. Employing Office or Committee...
[396]_c.. sEmployee Name (First-Middle-Last) es
[398]O Appointment
[400]m= a Salary Adjustment. . — . . os Lee
[402]a Termination. (At close of business: On: ‘effective: date) «
[404]‘Assassinations
[406]Position Title ©... -.°- af Gross Annual Salary. |
[408]$7, 200
[410]All Committee. Employee, complete appropriate.item below.) <6 hese. cs rt yh ae ve
[412]oh CI. Standing Committee: Staff—[.] Clerical-orE] el Professional:..
[414]3, 4. Joint Committee.
[416]__(If Employee of an Officer: of the: House, complete item below.) .. @*-
[418]~ Position Number__.) 22 lf applicable, Level_. Steeple
[420]oe certify that. this.. authorization is) not: in. -violation...of:.5.; USE: -3110(b), prohibiting the» employment of.-
[422]- All_appointments:and salary adjustments: for employees under :the. House. Classification Act and:for. Committeé.em- |
[423]uployees, “except those:.of. the.Committee on Appropriations,;the Committee: on-the: Budget, andthe Joint. Committees; must 2° *:
[425]-be- approved by the Committee on House Administration.
[427]APPROVED:
[429]Chairman, Committee-on House Administration.
[431]Office of Finance: use only:
[433]- Office Code
[435]“on. this-form must: be. initialed 1 by. the. of
[437]24
[438]ad
[439]os:
[440]4
[441]3
[443]pete
[445]aphid
[447]ote tan
[449]vi (If type-of action is:an Appointment.or Salary. Adjustment,.complete the following: information)... Copaklod SMITE eet ev LB
[451]7"
[455]al hada Sel
[458]1d:32243312 Page 11
[460]September 20, 1977 —
[462]Mr. John Parmer:
[464]1001 Rockville Pike $1819
[465]Rockville, Maryland 26852
[467]Dear John:
[469]In reference to my letter of September 15, 1977, the
[470]House Finance Office informs me that in settling your over-
[472]payment, they will adjust various withholdings, that were made
[473]from your salary. _
[475]Accordingly, the amount of the check that you send to
[476]us should be $199.38. instead of $220. 06. .
[478]sincerely,
[480]Thomas Howarth
[481]Budget. Officer
[483]TH sow
[484]ec: Finance Office
[486]ore
[489]FLOYD J. FITHIAN, IND.
[490]ROBERT W. EDGAR, PA.
[492]et vee tare eneds orate eo
[494]NW 88326
[495]Docld:32243312 Page 12
[497]HAROLD E. FORD, TENN.
[499]Monthly Annuity $
[501]7 ON
[503]ee LOUIS STOKES, OHIO, CHAIRMAN oe
[504]» . .
[505]‘y ? _ RICHARDSON PREYER, N.C. - SAMUEL L. DEVINE, OHIO
[506]WALTER E. FAUNTROY, D.C. STEWART B. MC KINNEY, CONN,
[507]YVONNE BRATHWAITE BURKE, CALIF. CHARLES THONE, NEBR.
[508]CHRISTOPHER J. DOOD, CONN. HAROLD S. SAWYER, MICH.
[510]. Select Committee on Assassinations 7 .
[511]GS. Gouge of Representatives .
[513]_ 3331 HOUSE OFFICE BUILDING, ANNEX 2 7
[514]WASHINGTON, D.C. 20515 . - 7
[516]" (202) 225-4624
[518]‘September 15, 1977 —
[520]‘Mr. John Farmer
[522]1001 Rockville Pike, #1819
[524]Rockville, MD 20852
[526]Dear John:
[528]‘Through an oversight, ‘the ‘Research Unit failed
[530]‘to notify.the Budget Office that.you had terminated
[532]your services with the Select. Committee. AS a
[533]consequence, you were overpaid for the month of
[534]August. ; : :
[536]As I understand the facts, you worked through
[537]Friday, August 12 and that Mr. Gay gave you vacation
[538]through Friday, August 19. Therefore, you were ,
[539]overpaid for the period August 20-31, 1977 which
[540]amounts to a gross salary of $220.00.
[542]If you agree with:the facts, I must request |
[543]from you in the name of the House of Representatives,
[544]the return of House funds in the amount of $220.00.
[545]The check should be made payable to the U. S.
[546]Treasury and sent to me in care of the Committee.
[548]If you dispute the facts, kindly get in touch
[549]with me as soon as possible so that we.can settle
[550]the matter.
[552]“Kind ‘regards and good luck in your classes at
[553]school. .
[555]Sincerely,
[557]Thomas Howarth
[558]Budget Officer
[561]cc: Finance Office
[564]MEMORANODUM
[566]September 14, 1977
[568]TO: “Tom Howarth
[569]Becky Martin
[570]Tiny Hutton
[572]FROM: Donovan L. of)
[574]RE: John Farmer
[576]Early August, 1977, John Farmer, The Committee's
[577]summer intern, informed me that he would be registering
[578]for classes on August 26, 1977, and would like some time
[579]off commencing August 15, 1977, so he could vacation with
[580]his family for two weeks.
[582]Based on the countless hours he devoted, and on
[583]John's overall performance, which was exceptional, I took
[584]it upon myself to grant him the week of August 14, 1977
[585]to accommodate his vacation plans. . Therefore, he should
[586]have been taken off our payroll ending August 20, 1977.
[588]‘However, I erred in failing to notify you earlier
[589]on the above, as I thought I had already done. Therefore,
[590]John Farmer was in fact paid for the remainder of the month
[591]of August, 1977.
[593]Should there be additional questions on this matter,
[594]please contact me immediately. Furthermore, I can assure
[595]you that in the future, you will be notified immediately
[596]with regard to personnel changes...
[598]Thank you.
[602]ochd:372743317 Page 13
[607]|
[609]MEMORANDUM
[611]TO: Tom Lambeth —
[612]Acting Staff Director
[613]FROM: Donovan L. Gay /(&
[614]Chief Researcheryy
[615]RE:
[617]John Farmer, Jr.
[621]— June 7, 1977
[623]I recommend that John Farmer, Jr. be em-
[625]ployed as a part-time intern ata monthly salary of
[627]$300.00 effective June 8, 1977.
[629]NW 86326
[630]ochd:34243312 Page 14
[632]paar’
[634]oO
[636]MEMORANDUM
[637]TO: BUDGET OFFICER
[639]FROM: DEPUTY DIRECTOR yk
[640]DATE: JULY 19, 1977
[642]RE: JOHN J. FARMER, JR.
[644]The Chief Counsel and Director has today
[645]approved a change in work schedule and salary for
[646]John J. Farmer, Jr. Effective July 20, 1977, he
[647]will work a full day instead of a half day at a
[648]base annual salary of $7200.00 instead of $3600.00
[650]CC: CHIEF RESEARCHER
[653]~ PAYROLL AUTHORIZATION FORM. | cc
[655]Oe,
[657](Please Use Typewriter - Cu Ss. HOUSE OF REPRESENTATIVES (Any erasures, corrections. or changes
[659]oo Dee Dyes _ his form must be. ‘initialed by the -
[660]sede) BE Sb vee or Ballpoint Pen} Cae Washington, ‘D. Cc. 20515 2 en. authoring official.) woe
[661]To the ‘Clerk af the House of Representatives:
[662]a f aa . 2
[663]| hereby authorize the follaiving payroll action: ©
[664]Employee Name (First-Middle-Last) a ee . Effective Date
[665]Jonn ale, Farmer, dr. . , : : 129477
[666]~_. Type of Action
[667]7 |
[668]O Appointment :
[669]a a Salary Adjustment ~ 7
[670]- im Termination (At close of business on effective dote)
[671]me - _ 2: . . —
[672]Position Title
[673]- (If Committee Employee, complete appropriate-item below.).’
[674]| Standing Committee: Staff—[_] Clerical or [J Professional. Oo
[675]6D a E] Special or Select Committee: Authority H. Res Res. 85. of SEER Congress.
[676]3. O Join Committee. cL - 0 ;
[677]° : \ oe - a _ ;
[678](If Employee of an Officer of the House, complete item below.) . . 7
[679]_ Position Number____-____ __ If/applicable, Level... Step. 7 : a Ce
[680]: | certify that his: authorization ‘is not in violation of 5 US.C., 3110(b), prohibiting the employment of .
[681]relatives. ‘ _ ; ; a " ;
[682]i Of, — se ‘ Se ee
[683]Dotealy 13 2 Lge
[684]oo } ’ (Signature of Authorizing Official] °
[685]oe . fouls Sikes rmuitigseae ——-—
[686]_ {Type or print name of Authorizing Official)
[687]a Coot oo ag - CAAT rman
[689]t (Title - If Member, District and State}
[690]as Te A a a sss ae
[691]-.All appointments and salary adjustments for employees ‘under the House Classification Act and: for,.Gommittee .em- -
[692]“eployees wexcept’ those of the Committee on Appropriations; the -Committee on the Budget, and the Joint Committees, must
[693]- be approved by the Committee on House Administration. a oo °
[695]APPROVED:
[697]a Office of Finance use only:
[699]Office Code
[701]. Copy for Initiating Office or Committee
[703]| NW 88326 | DO lo a
[704]ocld:32243312 Page 16 ‘ Cod:
[706]oe
[709]-» PAYROLL AUTHORIZATION. FORM.» = pe
[710]ee 8 «(Please Use Typewriter: =>. m S. HOUSE ‘OF REPRESENTATIVES : <". .(Any erasures, corrections, or-changes::..
[712]__, Date. __. dune §
[714]an
[716]“or Ballpoint Pen) =. . ~~ Washington, D.C. 20518 °° 8. on Sns form cnwst ye initialed by the
[718]. A
[719]we ah eh adeeb
[720]Sa Rica dtetacat schy St ee . z
[722]To the.Clerk of the House of Representatives: BO ne
[724]- | hereby authorize the following payroll action:
[726]“Employee Name (First-Middie-Last) [Effective Date ow
[727]_dohn J. Farmer, dr. NT
[728]— . Employee Social Security Number moe pb ve Type of Action: oe
[729]231 86 6837 | (4 Appointment
[730]- Employing Office or Committee oo ; | CI Selary Adjustment ° we
[731]Assassinations ; [] Termination (At close of business on’ effective date)
[733]ON haat daria mea tienda TS CER R dh d tet
[736](If type of action:is an Appointment or Salary Adjustment,-complete the following information.) -’
[738]Position Title | «Gross Annual Salary
[740]3
[742]4
[743]rs
[745]+ Oo
[746]a
[747]4
[750]‘(If Committee Employee, complete appropriate.item below.)~.
[752]we
[754]Shee“
[758]1. [J Standing-Committee: Staff-[-} Clerical or] Professional. 0.2 2c 10 8 a a Oe
[760]2. Special or Select Committee: Authority-H. Res. #69. - of -: So th Congress,.2.0 2 see Soe ° \
[762]4
[763]4
[765]i
[766]a
[768]3
[770]3. [_] Joint Committee.
[772](If Employee of. an Officer of the House, complete item below.) nie Se a ate a  E
[774]Position Number__-___. --__- If applicable, Level_
[776]os “certify. that. this... authorization . iss not. in > violation: of — USC. Ole), Prohibiting the. employment’ ‘of s
[777]relatives. a ” -
[779]atyre? t J ao oot won,
[780]aN elke a elle enibcates Uhaik
[782]a ee ep
[784](Signature of Authorizing Official
[786]“ Aus Stokes
[788]““ - mo - oe Be . = . _ . : a “Type or print name 2 of Authorizing Official”
[790]a
[791]a Chairman
[793](Tile If Member, District ond State)
[795]lied egin Sha cue ab
[797]ERO cern te)
[799]Foe
[801]. All.appointments and: salary: adjustments for-employées under the: House- ‘Classification’ Act and -for Committee em:
[802]‘ployees; except-those. ‘of. the Committee“on: Appropriations, # the: ‘Committees on’ the’ Budget, ‘and*the: Joint ‘Committees,’ must
[803]-be’approved:-by the’ Committee: on: House: ‘Administration. « oyib te . eB oy eo er a ae er ae
[805]ae nab wf a ‘ aeter, a
[806]APPROVED: 42 Be3 SoA? Sp
[808]Oftice of Finance use only: oo:
[810]ae . a?
[811]jath. Ho.
[812]WN need soe -sptitae kh ape hati fe
[813]oe.
[815]Office Code.
[817]RCT NER TCC RT AMAT ENA TCT
[821]88326 OT ne — oe
[823]1d:32243312 Page 17 ‘ Se! ;
[827]TO: ALL STAFF
[829]RE: Payrol Certification ro
[831]— The Regulations and Accounting Procedures for “Allowances and
[833]Expenses of Committees, Members and Employees of the U.S. House of .
[835]_- Representatives require that, aiong other things, the Committee's
[837]monthly payroll certification include the relationship, if any, of — _
[838]each employee to any current Member of Congress. This certification — co
[839]is signed monthly by our Chairman. 7 ee
[841]father” . see nephew Be brother-in-law
[843]mother ae niece =. ss, SiSter-in-law
[844]SOM husband = stepfather ~
[846]~ daughter So oo wife ee § tepmother .
[848]. brother oe father-in- -law _....§tepbrother .
[850]sister = =. mother-in-law stepsister
[852]suncle son-in-law Chal f-brother
[854]aunt Oo sp Sauaners TT MANE SISter
[856]first cousin
[858]The following are the relationships: to be included in the es
[859]certification: . . a
[861]Please complete the appropriate portion below, sign and date
[863]this form, which will then become a part of your.permanent pe: "sonnel
[864]file. If this status changes, you must notify the Committee's Budget.
[866]. Office immediately of the change. . Be,
[867]all T am not related to. any current (95th congress) } Member of congress.
[869]fy I am related to a current (95th Con ongres ss) Member of Congress.
[870]“(Please specify. )
[872]AN
[873]- Signature of “Employee
[875]i cr got menos ree see ice chars wep ey eae he
[877]NW 88326
[878]1d:32243312 Page 18
[880]ot ND