[1]Assassination Records Review Board
[2]Final Determination Notification
[4]AGENCY : HSCA
[5]RECORD NUMBER : 180-10068-10337_
[6]RECORD SERIES : STAFF PAYROLL RECORDS
[8]AGENCY FILE NUMBER : .
[10]December 8, 1995
[11]Status of Document: Postponed in Part
[13]Number of releases of previously postponed information: 8
[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: 6
[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]| (NW 88326
[35] Docld:32243303 Page 1 -
[38]wx)
[40]Zo)
[41]<b
[42]MA
[43]i)
[45]| os 7 Date: 08/20/93
[46]oo . . ‘Page:1
[47]JFK ASSASSINATION SYSTEM a :
[49]IDENTIFICATION FORM
[51]| - AGENCY INFORMATION |
[52]| AGENCY : HSCA |
[53]RECORD NUMBER : 180-10068- 10337
[55]- RECORDS SERIES :
[56]STAFF PAYROLL RECORDS.
[58]AGENCY FILE NUMBER ae
[60]“ORIGINATOR :
[61]FROM ;
[62]TO:
[64]TITLE :_
[66]DATE
[67]PAGES
[69]12/14/78
[70]15
[72]- SUBJECTS
[73]HSCA, ADMINISTRATION
[74]DOYLE, KEVIN SEAN
[76]| DOCUMENT TYPE’: PRINTED FORM
[78]CLASSIFICATION : U
[80]RESTRICTIONS. : 3.
[82]CURRENT STATUS : P_
[83]DATE OF LAST REVIEW :
[85]07/07/93
[87]OPENING CRITERIA :.
[89]_ COMMENTS
[93]{R) - ITEM Is RESTRICTED
[95]| 'NW 88326
[96]Decid:322743303 Page? .
[98]Seager maple SR tM
[100]5 oFFICe OF THE CLERK
[101]U.S. HOUSE OF REPRESENTATIVES ©
[102]_.s.- PERSONAL LEAVE RECORD
[104]AGAR
[106]* YEAR
[108]. a Lt Name of Employee ~ - ws
[109]: os rn . BALANCE BROUGHT —
[110]; we . FORWARD FROM .*
[111]".sPRECEDING YEAR =.
[113]Address
[115]Adgress
[117]oo
[119]“ANNUAL LEAVE.”
[120]_» CATEGORY.
[124]_ DATE OF APPOINTMENT | -
[126]1B 1H 2E
[128]—“Fitane Humber
[130](Se entrees even nec tieren ante tat
[132]Pétion Title 7 irene ee er i
[133]een ee 4 — [prion rederat service | 2 25° Coe a ee :
[134][cea nEn enn n rE ot een ga wo Pie lee ‘ategeoes - - “20 ve o ; Sen ACCRUED "AVAILABLE. > ¥sep BALANCE, . ‘ey t
[135]“Position Number.) Ravel ce ~ ont So Rec) PTHIS MONTH: f cTHIS MONTH 2° {THIS MONTH |. AT CLOSE. - ¥2 a
[136]. . . si : : fe a . ; poe - ute . | een - . ee “ . a + ae _ in oo . z poe iH
[137]~ “DAY OF MONTH ; =
[139]‘Annual Sick.
[140]Leave . | Leave’
[142]“rf 16 i]
[144]is [iad [15 [ie] 17] te | t9T 20 ' a2) 2a] 24] 25
[146]= 0.5 day annual leave |
[148]“CERTIFIED CoRRECT:© 3
[150]‘day annual leave
[152]“t
[154]L
[157]day sick leave .. _
[159]“Employee's Signature _ : Mate re “Chie's Signature
[160](If employee refuses to sign, state reason below.) — > Bot es
[162]day sick leave. - -
[164]aye
[166]day administrative leave
[170]*. - . Approved: —— ; i +
[172]day administrative leave pte ae
[173]- ead . "Clerk of the House s>..- 2 ate
[175]5 day unauthorized absence Pe oe 2 no _ _ ; . - . : eae ue
[176]‘This record will be forwarded to the Clerk of the House at the end of each calendar year, or in.case of termination, along. —.
[177]“with the request for termination. Upen approval, the record will be filed in the employee's official personnel folder. eee
[179]0 day unauthorized absence -
[181]“day leave without pay oe
[183].0 day leave without pay Lo
[186]3 anyce ‘erasures; corrections; oF change
[187]-on- this -form: ‘must. be. initialed. by th
[188]~authorizing official: ye. = noe
[190]' ae or: "ello msi SOI ae ~ Washington, D. c. 20515:
[192]- To. the Clerk of-the House of Representatives:
[194]“hereby, authorize the following payroll action:..' gs sce Us vee CBee AR OMS Ati ee
[196]— Employee Name (First: -Middle- -Last) -2
[197]Kevin Sean Doyle
[199]ane "Employee ‘Social Security Numbe a
[201]Og Appointment a
[203]: a Salary ‘Adivstment
[205]oo Standing Committee: Staff= yy “Clerical: or Ey [:-} Professional: :
[207]a 62[4 [4 Special or Select: Committee: Authority H. Resse ss cree nth Congress. since ees
[209]3. [_] Joint Committee. ow
[211](If. Employee ofan Officer. of the House, complete item below} Se a ets
[213]Position Number_. 2.) ale applicable, Level_- Stepan etis.. . Oe awe
[215]pot taal cl. “certify: that:. this: authorization - isnot ins violation. of ,.5.. U.S.C. .3110(b),: ‘Prohibiting the’ -employment.. of :.-.
[216]relatives.
[218]Giguere of ‘Authorizing Official) -
[220]LOUIS STORES |
[221]. {Type or print name of Authorizing Official) -
[223]Chainman
[225]- (Title—If Member, District and State)
[227].Alt.appointments,and: salary adjustments. for.employee s~under..the. House’Classification:Act and: for. Committee: em:
[228]= _-ployees, except those. ofthe Committee on.Appropriations; the Committee: ‘onthe Budget;-and:the Joint: -Committees;: must*:
[229]be approved by the.Gommittee on. House Administration... ; ae
[231]APPROVED:
[233]Office of Finance use ‘only: -
[235]Office Code
[237]ocld:32243303 Page 4 i, —- VIG | sy
[239]PAYROLL AUTHORIZATION -FORM..-
[241]~ (Please: Use Typewriter..." - -U Ss HOUSE. OF: REPRESENTATIVES: _. (Any erasures, corrections, or.changes®:- 4
[243]or Ballpoint Pen)» = Washington, D.C.20515 “ane form it be initiated by.the.
[245]» . To the Clerk of the House. of Representatives: . =
[247]| hereby authorize the following payroll action: «=. --
[248]aw Employee Name (First-Middle-Last)-.. @ ccs. 2 i Effective Date... 200. |
[249]. : : ; , |
[250]Kevin Sean Doyle I. B/V77 | 7 |
[251]_Employee Social Security Number. cue es Type of Action
[252]| 877=48-6826 . [_] Appointment
[253]___Employing Office or Committee. Gh Salary Adjustment a -
[254]: _ Assassinations O Termination (At close of business on effective date)
[255](le type of action is an Appointment-or Salary. Adjustment, complete the following information.)
[256]Position Title = . - . Gross Annual Salary. —
[257]Clerical ASSistant | |
[258](If Committee: Employee, complete appropriate, item below.) | ny
[259]1.0) Standing Committee: Staff-[] Clerical or [-] Professional. — es ee e ~
[261]2. a Special or Select Committee: Authority = H.: Res. #89. f 2985 Congress. - ne: \
[262]3.1 Joint Committee. - -
[263](If Employee of-an Officer-of the: House: complete item’below.) «=. a a a
[264]~. Position Number
[265]A -f certify that. this - authorization. Lis-.not -in violation: of 5. U: 8; Ce 3110(6). Prohibiting: the..employment.-of
[266]“relatives, J
[267]., Date_ __ humus. 2 wee ee
[268]“ ra (Type « or print name ‘of Authorizing Official).
[270]a Se ee Title If Member, DistrictandStote)) = ststi‘“s~<S CS
[271]All appointments, and. salary:adjustments.for employees.-under.:the: House: Classification Act ‘cand:for;Committee-em-- 2 -
[272]oy -ployees: -except.:those. of: the Committee. on ‘Appropriations. ‘the-Gommittee -onm the- Budget, ‘and: the: Joint Committees;- must °- \
[273]-. be approved by the Committee. on House. Administrationinnge 20 8nd 8k bry pat to a \
[274]he \
[275]APPROVED: Mare ton woe eee a
[276]. Chairman, Committee: On: n House ‘Administration: : 3
[277]| Office of Finance use onlyr-..85. 8 3
[278]4
[279]Office Code__- = 4
[280]ewe A
[281]| NW 88326 re | oe
[282]| Docld:37743303 Page 5 a Cy! j
[284]U.S. DEPARTMENT OF LABOR SO .
[285]Employment Standards Administration es : ba ’ DUTY. STATUS REPORT ,
[286]Office of Workers’ Compensation Programs ~ ne vo _ . . ae
[287]| oe . PART A— SUPERVISOR. -_
[288]: 1, NAME AND ADDRESS OF THE MEDICAL FACILITY OR PHYSICIAN AUTHORIZED TO PROVIDE MEDICAL SERVICES : a
[289]| Richard Smith . wa _
[290]| “69 7 ero4 “17° oi tee Me aa > a | | |e
[291]vo 7 eye TEES NAME Bebe arf) - 7 3. DATE OF INJURY i 4. OCCUPATION. a 5. SOCIAL SECURITY - |."
[292]| 2 ~23- “85. Mic cele s Mow dev yea | Clerical on NUMBER |
[293]|} | 26 oe | 8f2A/77 | assistant. oe ae 077 48 6826
[295]6. SescRiPTION OF INJURY = gs
[296]‘|... -pight ankle twisted ~
[298]PART B— PHYSICIAN. an
[300]2 is THE EMPLOYEE ABLE TO PERFORM HIS/HER REGULAR. WORK? -
[301]$ []no.- IF YEs, GIVE DATE ABLE TO RESUME WORK,
[303]| “B..1S THE EMPLOYEE ABLE TO PERFORM LIGHT WORK? - “DY YES. ie NO | IF YES, DESCRIBE BRIEFLY THE |
[304]| PHYSICAL LIMITATIONS WHICH ARE DUE TO.THE INJURY, ete
[305]| re
[307]|
[308]9, IF THE EMPLOYEE IS FIT FOR NEITHER FULL OR LIGHT DUTY, GIVE A BRIEF REPORT AND PROGNOSIS
[309]“10. REMARKS | —
[311]14, “SEND A COPY. OF THIS REPORT To: ; —_ . 15, “NAME AND ADDRESS OF EMPLOYING “AGENCY, WHICH
[312]er re rcs : AS. TO RECEIVE THE ORIGINAL, REPORT,
[314]U.S. DEPARTMENT OF LABOR” See GES aS pe Select: Committee on Assassinations
[316]Employment Standards Administration | House of Representatives
[317]Office of Workers’ Compensation Programs Washington, D.C. 20515
[318]— : : — : a - — Foam GAT
[319]_ . . oe ee a ; Nov, 1974 - .
[324]U.S. DEPARTMENT OF LABOR
[326]EMPLOYMENT STANDARDS ADMINISTRATION
[327]OFFICE OF FEDERAL EMPLOYEES’ COMPENSATION
[329]1. NAME OF INJURED EMPLOYEE (Last, first, middle)
[331]Doyle
[333]5. HOME MAILING ADDRESS
[335]FEDERAL EMPLOYEE’S NOTICE OF INJURY
[336]. OR OCCUPATIONAL DISEASE
[338]. 2. DATE OF BIRTH 3. 4, SOCIAL SECURITY
[340]. (Mo., day, year , A, MALE NUMBER
[342]— i = CO FEMALE
[344]Ev ie SEAN af a 3 S.
[346](Number, street, city, state, zip code)
[348]aoe lV. Ware FIECD, Ake. VA. 22203
[350]7. NAME AND ADDRESS OF EMPLOYING ESTABLISHME
[352]En, ECT
[354](Name, number, street, city, state, zip code)
[355]929 Geto vt
[357]SSASS
[359]8. PLACE "Brot ke OCCURRED (e.g., 2nd floor, building 402, Andrews Air- Force ot
[361]Flak 3337 Hob 2
[363]9. DATE AND HOUR OF INJURY
[365](Mo., day, year)
[367]10. DATE OF THIS NOTICE
[369]oO 11. OCCUPATION
[370](Mo., day, year) i
[371]3)a¢l? 7 )
[373]ClEAMAL
[375]13. NATURE OF INJURY (Name part of body affected—tractured left leg, bruised right thumb, etc.)
[377]15. 1F THIS NOTICE WAS NOT GIVEN WITHIN 48 HOURS AFTER THE INJURY, EXPLAIN REASON FOR DELAY. IF EARLIER NOTICE WAS GIVEN
[378]VERBAL OR WRITTEN, STATE WHEN AND TO WHOM.
[380]: 16, SIGNATURE OF INJURED EMPLOYEE
[381]| certify that the injury described above was sustained in the per- HIS BEHALF
[382]formance of my duties as an employee of the U.S. Government and that
[384]it was not caused by my willful misconduct,
[385]the injury or death of myself, or another
[387]OR PERSON ACTING ON
[388]intention to bring about
[390]nor by my intoxication. |
[391]hereby make claim for-compensation and medical treatment to which
[393]1 may be entitled by reason of this injury
[395]17. STATEMENT OF WITNESS: DESCRIBE WHAT YOU SAW, HEARD OR KNOW ABOUT THIS INJURY
[399]18. SIGNATURE OF WITNESS
[401]19, DATE (Mo., day. year)
[403]| | CA-1 & 4
[405]ay AREA CODE.
[406]NUMBER ores
[408]OF 7- VEEP AE
[410]- Rev. Maye 1973
[411]i |
[413]- pom
[415]ce
[417]23. DATE REPORTING OFFICE RECEIVED
[418]NOTICE OF INJURY (Mu., day, year)
[419]i
[421]CT] VERBAL
[422]( WRITTEN
[424]: 26. DATE AND HOUR OF INJURY
[425]. (Mo., day, year,
[427]3/9 £ Loe PR Joo “pay
[429]29. HOUR REGULAR WORK ENDS
[431]6 °°
[433]32, DATE ANC HOUR STOPPED WORK
[434](Mo., day, year)
[435]a. LIAM
[436]oe Tc} PM
[438]{Mo., day, year}
[439]ANNUAL LEAVE
[441]f
[443]FROM To
[444]FROM TO
[445]FROM TO
[448]f
[450]40. DATE EMPLOYEE FIRST OBTAINED
[451]MEDICAL CARE FOR THE INJURY
[453]_(Mo., day, year) _
[454]S/R, J>~
[456]37. WAS THE EMPLOYEE IN PERFORMANCE OF DUTY AT TIME OF INJURY? é
[457]OR A COPY OF THE EMPLOYING ESTABLISHMENT’S INVESTIGATION REPORT
[459]38. WAS THE-INJURY CAUSED BY WILLFUL MISCONDUCT,
[460]: {] YES NO IF YES, FURNISH DETAILED EXPLANATION
[461]f™.
[463]39. WAS THE INJURY CAUSED BY A THIRD PARTY? {J Yes
[465]42; DOES YOUR KNOWLEDGE OF THE FACTS ABOUT THIS INJURY AGREE WITH THE STATEMENTS OF THE EMPLOYEE AND/OR WITNESS?
[466]YES” QO NO IF NO, FURNISH DETAILED EXPLANATION ; ;
[468]OFFICIAL SUPERIOR’S REPORT OF INJURY OR OCCUPATIONAL DISEASE
[470]20. DEPARTMENT OR AGENCY . f 21. BUREAU OR OFFICE
[471]lam ou s =
[473]oe hee SC. om Assn ss
[475]22, NAME AND MAILING ADDRESS OF REPORTING OFFICE (Name, number, street, city, state, zip code)
[477]24. NAME OF SUPERVISOR IN CHARGE 25, NAME AND TITLE OF PERSON TO WHOM
[478]WHEN INJURY OCCURRED pone FIRST. piven
[480]af
[483]Dee ovAN Gry revs, Ire kgs
[487]Diat ETER OF ek
[489]27, CIRCLE DAY OF WEEK WHEN 28, HOUR REGULAR WORK BEGINS
[490]INJURY OCCURRED .
[492]“2 OG
[493]SM T W G) F ;
[495]30. NUMBER HOURS WORKED PER DAY
[497]F
[499]33. DATE AND HOUR PAY STOPPED 34. DATE AND HOUR RETURNED TO WORK
[500](Mo., day. year) | seen ee eomenneni ; (Mo., day. year)
[501]CVAM
[502](10 PM
[504]35. INCLUSIVE DATES EMPLOYEE RECEIVED PAY FOR THE PERIOD HE DID NOT WORK
[506]SICK LEAVE ; OTHER 7
[507]FROM . TO FROM - TO
[508]FROM To FROM TO
[509]FROM TO : FROM . TO
[511]36. WAS THE EMPLOYEE ENGAGED IN HIS USUAL OCCUPATION AT THE TIME THE INJURY OCCURRED?
[512]wes [7 NO IF NO, FURNISH DETAILED EXPLANATION:
[514]C] NO’ -IF NO, FURNISH DETAILED EXPLANATION
[516]f
[518]INTOXICATION OR INTENT TO BRING ABOUT INJURY TO SELF OR ANOTHER?
[520]J NO IF YES, FURNISH NAME AND ADDRESS OF RESPONSIBLE PARTY
[522]41, NAME AND ADDRESS OF FIRST ATTENDING PHYSICIAN
[524]45. DATE (Mo., day. year)
[526]mR fret fr
[527]ad 4
[529]CA1& 2
[531]Rew. May, 1973
[533]44, TITLE
[536]20. DEPARTMENT OR AGENCY than cK
[538]INSTRUCTIONS FOR COMPLETING FEDERAL EMPLOYEES’ NOTICE OF
[539]INJURY OR OCCUPATIONAL DISEASE, CA-1 & 2 |
[541]IMPORTANT: Employee and official superior should read all of the following instructions before the
[542]page is removed.
[544]Items 1 through 16 of this form should be completed by the injured employee or by someone
[545]acting on his behalf, whenever an injury is sustained in the performance of duty. The term in-
[546]jury includes occupational disease caused by the employment. The form should be given to the em-
[547]ployee’s official superior within 48 hours following the injury. The official superior is that indi-
[548]vidual having responsible supervision over the employee. ,
[550]‘In instances of a recurrence of disability resulting from. an “injury previously reported on form
[551]CA-1 & 2, the official superior should complete and submit form CA-2a.
[553]- The official superior will complete the “Receipt of Notice of Injury” at the bottom of this page, tear
[554]off the page, and give it to the employee. The official superior will also be responsible for obtaining
[556]the statement of a witness (if any), Signature, and date, in items 17, 18 and | ‘19 on the front ‘of
[557]the form.
[559]A brief description of benefits provided by the Federal Employees’ Compensation Act is given on
[560]the back of this page. ~
[562]INSTRUCTIONS FOR COMPLETING OFFICIAL SUPERIOR’S
[563]’ REPORT OF INJURY OR OCCUPATIONAL DISEASE, CA-1 &'°2 °°
[565]The back of form CA-1 & 2 should be completed by the employee's official superior. The form should
[567]be sent immediately to the Office of Federal Employees’ Compensation servicing the employing es-
[568]tablishment if: .
[570]1. The injury causes disability for the employee’s usual work beyond the shift it occurred, or
[572]2. It appears that the injury will result in protonged treatment, permanent disability or serious
[573]. disfigurement of the head, face or neck, or ©
[575]3.
[577]lt appears that the injury will result in a charge for medical or other related expense.
[579]If none of the above occurs or appear likely to occur, the form should be filed in the employee’s
[580]official personnel file after the.official superior completes the
[581]gives it to the employee.
[583]“Receipt of Notice of Injury’ and
[585]When additional information is required to explain or clarify any point, attach supplemental. state-
[586]ments to the form. The form should then be sent to the appropriate office of the Bureau. For fur-
[588]ther information, see the regulations governing the administration of the Federal Employees’ Com-
[589]pensation Act (Code of Federal Regulations Title 20 Chapter 1).
[591]*. RECEIPT OF NOTICE OF INJURY.
[593]THIS ACKNOWLEDGES RECEIPT OF NOTICE OF INJURY SUSTAINED BY
[595]Rev. May, 1973
[597]OFFICIAL SUPERIOR’S REPORT OF INJURY OR OCCUPATIONAL DISEASE
[599]21. BUREAU OR OFFICE
[603]q
[606]18. SIGNATURE OF WITNESS
[608]19, DATE (Mo., day, year)
[610]CA-1 & 2
[612]DISABILITY BENEFITS FOR EMPLOYEES UNDER THE FEDERAL
[613]EMPLOYEES’ COMPENSATION ACT
[615]The Federal Employees’ Compensation Act ad-
[616]ministered by the Office of Federal Employees’
[618]Compensation (OFEC) provides the following .
[620]basic disability benefits for employment related
[621]injuries or occupational diseases:
[623]1. Full medical care.
[625]2. Payment of compensation for wage
[626]loss.
[628]3. Payment of compensation for perma-
[629]nent impairment of certain members
[630]or functions of the body (such as loss
[631]or loss of use of an arm, loss of
[632]hearing, etc.) or for serious disfig-
[633]urement of the head, face or neck.
[635]4. Vocational rehabilitation and ‘related
[636]services where necessary.
[638]Medical care must be obtained from United States
[639]medical officers and hospitals when available and
[640]practicable. Otherwise, from any duly qualified
[641]private physician or hospital of the employee's
[642]choice. Qualified physicians may be used only if
[644]U.S. or designated medical facilities are | not t avail:
[646]able, or if an emergency exists. ae
[648]Compensation is paid by check sent to the em-
[650]ployee’s home mailing address. .Compensation .
[652]for wage loss is payable only for periods when
[653]an employee is in a-.non-pay status. The first
[654]three days in a non-pay status are waiting days
[655]and no compensation is paid for these days un-
[657]less the period of disability exceeds 21 days or -
[659]the employee has suffered a permanent disabil-
[660]ity. Compensation is generally paid at the rate
[662]of 2/3 of an employee's salary if he has no:
[664]dependents, or 3/4 of his salary if he has one
[665]or more dependents...
[669]Compensation is not paid automatically-——an em-
[670]ployee or someone acting on his behalf must
[671]claim it by filing OFEC form CA-4. This form
[672]may be obtained from the employing establish-
[673]ment or the OFEC. In practically all cases medical
[674]reports are required before compensation may
[675]be paid, therefore arrangements should be made
[677]~ to have medical reports submitted to the OFEC
[679]at the earliest possible date.
[681]If an employee stops work as a result of an
[682]‘employment related injury or occupational dis-
[683]ease, he may:
[685]1. Use sick and/or annual leave, or
[687]2. Receive compensation from the OFEC.
[689]Before compensation may be paid, the OFEC must
[690]receive form CA-1 & 2; form CA-4;. and medical
[691]evidence concerning the nature and causal re- .
[693]lationship of the injury. Medical reports must
[695]cover initial examination and the employee’s con-
[696]dition at the time claim for compensation is
[698]_ filed. In addition, if a case involves some com-
[700]plication or conflicting, information, it»may be
[701]necessary to obtain supplemental ‘information.
[703]. An“employee*or someone acting: on his: behalf
[704]’ must complete’ the front of the form CA-1 &
[706]2 and file it within one year after the injury or
[707]disease occurs. However, under certain circum-
[708]stances, the OFEC may waive the one-year re-
[709]quirement if the front of the CA-1 & 2 is com-
[711]pleted and the form filed within five years.
[713]If an employee is in doubt about his compensa-
[714]tion benefits, he may write to the Office of Federal
[715]Employees’ Compensation servicing the employ-
[716]ing establishment. (Obtain the address of the
[717]OFEC office from the employing establishment).
[721]Wi:37243303 Page 10
[724]GPO ; 1975 O - 57-255
[726]PAYROLL AUTHORIZATION FORM
[728]‘(Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes
[730]F ’ on this form must be initialed by the
[731]or Ballpoint Pen) Washington, D.C. 20515 authorizing official.)
[733]To the Clerk of the House of Representatives:
[735]| hereby authorize the following payroll action:
[737]To Employee Name (First-Middle-Last) Effective Date |
[739]Kevin Sean Dayle | 1/3/77
[741]: oo Employee Social Security Number Type of Action
[743]‘| 077 48 6826
[744]Employing Office or Committee
[746]Select Comittee on Assassinations
[748]hk] Appointment
[749][] Salary Adjustment —
[751](J Termination (At close of business on effective date}
[753]- (IFtype of action is an Appointment or Salary Adjustment, complete the following information.)
[755]i 7 _ Position Title Gross Annual Salary -
[757](If Coimmittes Employee, complete appropriate item below.)
[759]1. Oo Standing Committee: Staff— —O Clerical or [_] Professional.
[760]2. ays Special or - Select Committee: Authority— H. Res. 222 ____of 85th Congress.
[762]3. ‘Og Joint Committee.
[764]he (IF Employee of ‘an, Officer of the House, complete item below.)
[766]- (Type or print name of Authorizing Official)
[768]“All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
[769]% ployees, except ‘those. of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
[770]>. be approved by the Committee on House Administration.
[772]APPROVED:
[774]Chairman, Committee on House Administration
[776]Office of Finance use only:
[777]Office Code
[779]| fuses Page 1° woe Copy for Initiating Office or Committee
[782]Ss
[783]a
[785]teipbentone
[787]Somat phi ba Set ate
[789]. Position Number oo If applicable, Level________. Step_______-
[790]| “cettify” ‘that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of |
[791]relatives. . a —
[792]Date_2 , 19. ae eee.
[793](Signature of Authorizing Official)
[794]_Henry 8, Gonzalez
[796]a Sietearisyus ei.
[800]Seiten
[804]a
[806]‘ Lot
[809]7
[810]Hl
[812]Sebi attic teeta ig
[814]“plovecs, except thosevof: the Committee on: Appropriations; the--Committee «on the Budget, and the Joint Committees, must “0
[816]|
[818]oN
[819]d
[820]Eo a gene nt tte yee nnner tact n
[822]PAYROLL AUTHORIZATION FORM Loe Ce =
[824]a 2
[826]| (Please Use Typewriter | Cu. U-S.: HOUSE: ‘OF: REPRESENTATIVES ( Co. (Any erasures, corrections; or changes:
[828]. n this form, must be initialed, by the
[829]oF Ballpoint Pen) mae Washington, D.C. 20515 f authorizing official. )
[831]To the Clerk of the House of. Representatives: 2, ne
[833]' | hereby authorizé-the following ‘payroll action:
[835]) Appointment
[837]C. Salary Adjustment.
[839]siect Committes on Assassinations —
[841]Position Title
[845](If Commie ‘i complete-appropriate item: Pelow) oe . oe ‘, _
[846]VE] Standing Committee: Staff— “UO Clerical or {_] Professional. 5 oo ~
[847]a 2. ©] Special or Select Committee: Authority— H. ges, 1549 f* 2422 Congress. | \
[848]i 3. o ‘Joint Committee. _ So a ; eo, 7 : | = So |
[849](if Employee of an: | Officer of the House, complete item below.) | . - fo . calieed
[850]Position Nene ——— uae. If applicable, Level... Pana -
[851]. . .
[853]E l 3
[854]Dote Deceaber 15 a 1978 A ne
[855]yo : (Signature of Authorizing Official} i : }
[856]/ a ‘Thomas 0, Downing, Chaiqman — sO
[857]eae a Ce (Type or printname of Authorizing Official) ~~ SSt=C~CS
[859]7 a . Select Comaittee on Assassinations
[861]All ‘appointments and: salary adjustments for employees .under the: House Classification: Act and ,for.Committee em-
[863]be approved by the Committee on House Administration. Ss ot - He - 3}
[864]ae APPROVED: oe
[866]. Office of Finance use > only:
[868]Office Code._ . 7 ae oo 7 _ -
[872]‘Copy for Initiating Office or Committee
[877][d:32243303 Page 12 5, | Boe gy!
[879]TO: All Staff Employees
[880]PROM: ‘Budget Officer
[881]DATE: January 3, 1977 |
[883]ORE. Payroll Certification _
[885]ke! the House Finance Office requires, among other things, the -
[886]-relationship, if any, of each staff employee. to. any current |
[887]Member of Congress ‘(those taking office January. Sy (1977).
[889]-. the certification: ~
[891]"Approved
[892]. Richard. A. Sprague
[894]Tam not related a 7
[896]I am related by the following relationship. Z
[898]ii:37243303 Page 13 S ; Yoon
[900]fie, Sea. 2
[902]OME MORAN D.UM
[904]Starting with the January, 1977 payroll, ‘the , certification
[906]‘The following are the relationships ‘to be. included in
[908]father) : nephew PE oo brother-in-lew
[910]mother= | . es mete ee Sister-indlaw oo.
[911]son a husband > stepfather.”
[912]~ daughter os wife - sa. stepmother.
[913]brother 0 father-in-law - oo  stepbrother
[914]sister - : - mother-inJaw 9. 5: stepsister) 0
[915]uncle a sonsinelaw. half-brother.
[916]aunt daughter-in-law 0 0 9 half-sister CPEB E
[917]first cousin ce rr a
[919]All staff employees — are ‘requested ~ to complete this
[920]form and return it to the. Budget | officer, = a ee
[922]Signature of Empl
[925]_ )Present Address:
[927]Date of pirth:
[929]“Sex: >
[930]Health:
[932]| -Pelephone:
[934]|). EDUCATION —
[942]WORK EXPERIENCE
[944]8/78 - 10/75.
[946]6/75, 8/75 _
[950]8/73.
[954]I
[956]6/73 - 8/73.
[958]July 23,
[959]as Marital Status: Single
[960]- Male ,
[962]Excellent
[964]_ RESUME OF
[965]KEVIN SEAN DOYLE
[966]224. N. Wakefield Drive
[967]Arlington, Virginia - 22203
[968]1955,
[970]“Height: 612" Weight: 190 lbs.
[972]| Office | - 225- 54624
[974]SUNY at Buffalo
[976]University of. Towa Writers’ Workshop) _
[978]State University of N.Y. at Buffalo. (soy)
[979]year leave of absence &
[981]| ‘Nichols School (Grades 7- 12),
[983]peg Census Bureau (city of Buffalo)
[985]Census Taker (left because we counted all dogs)
[987]Mayor' s ‘summer Youth Program
[988]City of Buffalo .
[990]Stockroom Supervisor (terminated~ seasonal job).
[992]Bartender in bars owned ‘by Dennis Brinkworth
[993]_ Buffalo, New York (left to travel abroad) |
[995]“Doyle, Diebold, Bermingham, Gorman, & Brown
[996](Claw firm _ “left to find another job) —
[998]Laborer, Buffalo Sewer Authority: (seasonal job).
[1000]| NW 88326
[1001]ocld:32243303 Page 14
[1003]Kevin Sean Doyle
[1004]Po 3Page TWO Po hs aS Bae ee
[1006]“SPECIAL INTERESTS
[1008]Jo “Writing, photography, music (guitar, piano), cinema ~
[1010]' REFERENCES ©
[1012]' “Furnished upon requests
[1014]| Nw 88326 FO
[1015]ocld:32243303 Page 15 a oy.
[1018]' RESUME OF
[1020]KEVIN SEAN DOYLE.
[1022]present Address: 924 N. Wakefield Drive © nee
[1023]ee . Arlington, Virginia 22203 00
[1025]| Pate of ‘Birth: _ oe July 23, 1955
[1026]“Marital Status: Single (eo _ SES Ane |
[1027]sex Male Height: 612" Weight: 190 bs. ;
[1029]“Health: eee “Excellent:
[1031]“Telephone: nae Office - (225- 4628
[1033]| SEDUCATION _ et
[1035]| 9775 - 6/76 ~~ sUNY at Buffalo
[1039]U/T5 6/75 . ‘University of Towa  (writers'” Workshop)
[1043]9/73 (10/730 _, State University of N. Y. at Buffalo isu)
[1045]year leave. of absence
[1047]t
[1049]9/67 = 6/73. Nichols | School (Grades 7- “12),
[1051]_ “WORK EXPERIENCE -
[1053]“B/75 - 10/75> a Dog Census ‘Bureau. (City of Buffalo) ee
[1054]ne Census Taker (left because we counted all dogs)
[1056]6/75 8/75 | 7 ‘Mayor! s “Summer Youth Program a Y
[1057]. oe City of Buffalo . a
[1058]; Stockroom Supervisor (terminated- ~seasonal job) |
[1060]|
[1062]a T4 BS T4 : Bartender in bars owned by Dennis Brinkworth
[1064]Buffalo, New York Geft to travel abroad) |
[1066]8/73. 12/73 Doyle, Diebold, Bermingham, Gorman, & Brom
[1068](law firm - ‘left to find another Job).
[1070]6/73 8/73 - "Laborer, Buffalo Sewer Authority, (seasonal Job)
[1072]| NW 88326 7 fen sp ae a
[1073]ocld:32243303 Page 16 i, Boe: : ;
[1075]| ° RESUME
[1076]oO SRevin Sean Doyle
[1077]"Page Two
[1079]: “SPECIAL INTERESTS
[1081]oo REFERENCES
[1083]W 88326
[1084]1i:37243303 Page 1f
[1086]" purnished upon ‘requests. -
[1088]“Writing, photography, music (guitar, piano), cinema