[1]| (NW 88326
[3]_ Assassination Records Review Board
[4]Final Determination Notification
[6]AGENCY : HSCA
[7]RECORD NUMBER : 180-10068-10311
[8]RECORD SERIES : STAFF PAYROLL RECORDS
[9]AGENCY FILE NUMBER :
[11]December 8, 1995
[12]Status of Document: Postponed in Part
[14]Number of releases of previously postponed information: 3 .
[15]Reason for Board Action: The Review Board's decision was premised on several factors
[16]including: (a) the significant historical interest in the document in question; (b) the
[17]absence of evidence that the release of the information would cause harm to the United
[18]States or to any individual. .
[20]Number of Postponements: 2
[22]Postponements: All the postponements in this document represent Social Security numbers.
[24]Reason for Board Action: The text is redacted because the public disclosure of the redaction could
[25]reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
[26]privacy would be so substantial that it outweighs the public interest.
[28]Substitute Language: SSN
[30]Date of Next Review: 2017
[32]Board Review Completed: 10/24/95
[34]| Docid:32243277 Page 1
[36]_ - . Date: 08/20/93
[37]. . . Page:1
[38]JFK ASSASSINATION SYSTEM
[40]IDENTIFICATION FORM
[42]AGENCY INFORMATION
[44]AGENCY : HSCA ;
[45]RECORD NUMBER : 180-10068-10311
[47]RECORDS SERIES :
[48]STAFF PAYROLL RECORDS
[50]AGENCY FILE NUMBER :
[52]ORIGINATOR :
[54]TO ¢
[56]TITLE :
[58](06/17/77
[59]3
[61]DATE
[62]PAGES .
[64]ee 60
[67]HSCA, ADMINISTRATION
[68]BLAKEY, G. ROBERT
[70]DOCUMENT TYPE : PRINTED FORM
[72]CLASSIFICATION : U
[74]RESTRICTIONS : 3
[76]| CURRENT STATUS : P
[77]| DATE OF LAST REVIEW : 07/07/93
[79]OPENING CRITERIA
[81]COMMENTS
[83]Box:1.
[85]: [R] - ITEM IS RESTRICTED
[86]| (NW 88326
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[93]Ce a, A on ns
[95]- PAYROLL AUTHORIZATION FORM- . — pe ;
[96]_ «(Please Use Typewriter --. - -* U: S. HOUSE: OF “REPRESENTATIVES - “(Any erasures, corrections, or changes: °°
[97]~< “or Ballpoint Pen) >” _ Washington, D.C: 20515 oe 7 on this form must he: initialed by the. 7
[99]authorizing official.)
[101]To the Clerk of the House of Representatives:
[103]‘thereby authorize the following: payroll action: . -
[105]Employee Name (First- Middle- Last). : 5 _ a ee ; Effective Date ae 7 :
[106]George Rebert Blakey 7/1/77
[108]Employee Social Security Number: Type of Action
[109]243 4b-4536
[111]Employing Office or Committee
[113]_CJ Appointment
[115]&) KJ Salary Adjustment
[117]CT Termination {At close of business on n effective date): ~
[119]Select Committee on Assassinations
[121]. (If type of action isan Appointment-or Salary Adjustment, complete the following,iaformation)
[123]7.
[125]7560.00
[127]Position Title Oe - ft Gross Annual Salary oe
[131]Chief € Suse? sand rector f
[133]73
[135]- (If Committee Employee, compe porbie iter belpwe)-
[140]hey
[142]. 3. | Joint Committee. cae 4
[144](If Employee of an Officer of the House, complete item below}
[146]. Position Numbéis ay oo ‘applicable, Level_
[148]4
[150]relatives.
[152]a
[153]eget Rts iG Dene aS toe aoe
[155]al
[157]. H
[158]Dote.__ VRE 28 NG Gt Re re _
[159]oy . Foont (Signature of Authorizing Official) -
[160]OY | A AGUIS STOKES
[161]rd “ Type oF print name of Authorizing Official) re
[162]Charvean
[163]~ rn a Member, District ond Stole) Sa _
[165].All-appointments-and:salary adjustments. for-employee's under. the. House-Classification- Actvand: for. Committee ‘em: :
[167]ho ployees, except: those‘ of ‘the:Committee-on:Appropriations, the ‘Committee ‘onthe * Budget, and the Joint Committees, muster
[169]- -be approved. by the Committee on:House‘Administration. » 28. o> =
[171]_ APPROVED:
[173]Office of. Finance use only:
[175]Office Code.
[177]wa tebe Mela aah Nene tial ab bw ated abi lid oe ee ee OO ib a ee tad ih
[179]lL. certify - that this ‘authorization iss not.-in.-violation~ OES. U;s.C: 3140(b), prohibiting the employment of.’ -
[181]sant tad ob
[183]wb eves 2
[185]So Rata A teint bts
[187]Che Le ert ne ke peacetime ULL ate ne at a oe a
[189]wid EEN es we a
[191]; .
[192]Micaela, Le tthe k en warkemen at ae
[194]"Stake tad
[196]ane
[198]i :
[199]18
[202]i
[206]|
[208]i
[212]PAYROLL AUTHORIZATION FORM. me a,
[213]+. :.(Please-Use Typewriter’ -. “US: HOUSE. ‘OF. REPRESENTATIVES: Ba (any erasures, corrections, or.changes ’:
[215]ree ; . von n this. form must be. initialed by the...
[216]or Ballpoint Pen). -- . Washington; D.C. 20515 eo authorizing official.) . ~.
[218]To the Clerk.of the House of Representatives: © 220 0
[220]| hereby authorize the following payroll action:
[222]Employee Name (First- “Midale- -Last) | nn i ee oe ' Effective Date -
[223]George Robert Blakey 6/17/77
[225]Employee Social Security Number... «- - fo. ~ oss. Type of Action
[228]{{] Appointment
[230]Employing Office or Committee’. «|: C1 Salary Adjustment
[232]we - . ene > . L] Termination (At close of busines on effective dote)
[233]Select Committee on Assassinations
[235](If typeof action is an Appointment or Salary Adjustment, complete the following information.): ~~
[237]Position Title _ Gross Annual Salary
[239]Chief Counsel and Director $27,000.00
[241](If Committee Employee, complete appropriate item below.)
[243]- a 0 Standing Committee: Staff—[-] Clerical or [-] Professional.
[245]2 ac) F§] Special or Select Committee: Authority —H. Res. 465 of 9B th ¢ Congress. °
[247]3. (J Joint Committee.
[249](If Employee of-an Officer. of the House, complete item below.) ..
[251]Position Number: If applicable, Level _
[253]AL ce that. this authorization .:is not -in- violation - of 4 USE. — 3110(b);: prohibiting: the: employment. of..
[254]relatives. at
[256]; sateRI a SAT. aca hea
[258]flee \Gignoture of Authorizing Official) :
[260]/0uts STOKES
[262]. ee ttype or print name of Authorizing Official) SSS
[263]oe z,
[264]; Chairman
[266]ett rr i ee a ee ee ee en oe en
[268]: All: appointments. cand salary:.adjustments for employees..under.the House Classification-Act and for.Committee-em-::
[270].- ployees; -except those.of. the: Committee on: Appropriations, # the Gommittee: on..the -<Budgets and. the Joint « ‘Committees, must.’
[271]‘be approved by:the. Committee on ‘House Administration: ba ae
[273]APPROVED:
[275]Chairman, Committee on House. Administration Sas
[277]Office of Finance use only:
[279]Ofee Code... -
[281]Ww 88326 ee
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[284]EOSIN Ai Oe ODDS aT OOS SPE LR SNL IPILE SLO WOE NT STOTT BON Sie CTS TLE RON DOL AE RD Fe CSTR aOR
[286]Bid cen ei lecnctsZ lan a Nala 62
[288]wee Ee thn me terbied eee mn hee ak le,
[290]. . bole o .
[291]tbe aengpe tn Bante ins fees! SO
[293]te Alone Pha ob
[295]Dba etter tk achngene aD setatni len Chat! otis aa Baar wake
[297]oe
[299]co Ne
[301]MEMORANDUM.
[303]TO: ALL STAFF
[305]RE: -Payrol Certification
[307]moe The Regulations and Accounting Procedures for Allowances and
[308]_xbenses of Committees, Members and Employees of the U.S. House of -
[310]Representatives require that, among other things, the Committee's
[311]- monthly payroll certification include the relationship, if any, of —
[312]each employee to any current Member of Congress. _ This certification
[313]is. signed monthly by our Chairman. . a
[315]\ The Following are the relationships. to be included in the
[316]certification: eo, . . Co
[318]father re nephew . : brother-in-law
[319]mother Cs niece ©. Sis ter-in-Taw
[320]son — -. fusband  .——— .. .. stepfather
[321]daughter . wife -. . . §tepmother -
[322]brother - . father-in-law ... | stepbrother
[323]sister _ ~~ mother-in-law... - stepsister
[324]uncle. son-in-law ~- .. fal f-brother
[326]aunt - oo . daughter-in-law shal f-sister
[327]first cousin: eo, : .
[329]Please complete the appropriate portion below, sign and ‘date
[330]this form, which will then. become a part of your permanent personnel
[332]file. If this status changes, you must notify the Committee's Budget
[333]‘Office immediately of the change. . -
[335]ean not related to any current (95th congress) Member of Congress.
[337][J 1 am related to a current. (95th Congress) Member of Congress.
[338](Please specify. )-
[340]be a&- 22 -
[342]Date
[344]A a :
[345]Signature: of Enproyee SN |
[347]see ease een naan ee ee a ON en nS ON a NS ER a
[349]7 FOP yeetegt ce ae ey ee eee GG Rate ae ae he nae ee eam eee a ee - ; ; ae
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