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Assassination Records Review Board
Final Determination Notification
AGENCY HSCA
RECORD NUMBER 180-10068-10298
RECORD SERIES STAFF PAYROLL RECORDS
AGENCY FILE NUMBER
December 8, 1995
Status of Document: Postponed 1n Part
Number of releases of previously postponed information: 3
Reason for Board Action The Revlew Board's decision was premised on several factors
including (a) the sgnificant hstorical interest In the document 1n question, (b) the
absence of evidence that the release of the Information would cause harm to the United
States or to any Individual
Number of Postponements: 1
Postponements All the postponements 1n ths document represent Soclal Security numbers
Reason for Board Action The text 1S redacted because the disclosure of the redaction could
reasonably be expected to constitute an unwarranted Invasion of personal privacy, and that Invasion of
privacy would be so substantial that 1t outwelghs the mnterest
Substitute Language SSN
Date of Next Revlew
Board Review Completed: 10/24/95
xeleased under the JohnF. Kenned Assassination Records Collection Act ot 1992 (44USC
P1Z Note)CasettNw 88326Date 2026
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Date:08/20/93
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JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
AGENCY HSCA
RECORD NUMBER 180-10068-10298
RECORDS SERIES
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER
DOCUMENT INFORMATION
ORIGINATOR HSCA
FROM
TO
TITLE
DATE 05/25/78
PAGES 3
SUBJECTS
HSCA ADMINISTRATION
ADRINE RONALD
DOCUMENT TYPE PRINTED FORM
CLASSIFICATION U
RESTRICTIONS 3
CURRENT STATUS P
DATE OF LAST REVIEW 07/07/93
OPENING CRITERIA
COMMENTS
Box #:1.
[R] ITEM IS RESTRICTED
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PAYROLL AUTHORIZATION FORM
(Please Use Typewriter U $ HOUSE 0f REPRESENTATIVES (Any erasures, corrections, or changes
Or Ballpoint Pen) Washington, D € 20515 on this form must be initialed by the
authorizing otficial )
To the Cverk offthe House of Representatives
hereby authorize the following payroll action
Employee Name (First-Middle-Last) Effective Date
Rona ]d Adrine 6/5/78
Employee Social Security Number Type of Action
302-46-7079 Appointment
Salary Adjustment
Employing Oifice or Committee/Subcommittee Title Change
Termination (At close of business on effective date)
Assassinations Leave without pay (Beginning with effective date above and ending
close of business_
Specify Date
(If type of action Is an Appointment, Salary Adjustrent, or Title Change, complete appropriate Information below
Position Title Gross Annual Salary "
Staff Counse] 27,02o.02
If employee Is a civil service annuitant (includes U $ House of Representatives), the gross annual salary shown should include the annuity received by the employee
plus the salary received from the employing office
(If Committee Employee, complete appropriate Item below
Standing Committee Staff Clerical or Professional
2 Special (Investigative staff of Standing Committee) or Select Committee Authority _H Res
~956_of_ _9StCongress
3 Joint Committee
(If Employee of an Officer of the House, complete Item below )
Position Number_ If applicable, Level_
certify that this authorization IS not in violation of 5 USC 3110b), prohibiting the employment of
relatives
June 5 78
Date_ 19
(Signature %fAuthorizing Official)
LOUIS STOKES
$
CHAIRMAG
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) (Type or Print name of Authorizing Official)
(Type or print name and title of above official) itle - If Member District and State)
All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
ployees, except those of the Committee on Appropriations, the Committee on the and the Joint Committees, must
be approved by the Committee on House Administration
APPROVED
Chairman Committee on House Administration
Office of Finance use only
ID
Office Code
Benefits
Monthly Annuity $_ 00 as of Payroll _
(Revised August 1977)
for Initiating Office or Committee
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Budget ,
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MEMORANDUM
TO: Thomas Howarth , Budget Officer
Elizabeth Berning , Chief Clerk
FROM: I Charles Mathews , Specal Counsel
DATE : June 2 , 1978
RE : Mr _ Ronald Adrine
Please be advised that effective Monday , June 5 ,_
1978 , Mr Ronald Adrine has accepted the pos1tion 0f
Staff Counsel with the Select Committee His effective
starting salary Will be s27,000 .00 per annum _
If you have any questions concerning this matter ,
please contact me at your convenience (It has not been
determined which task force Mr Adrine will be ass1gned to)
ICM: J
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Certificate of Relationship / Nonrelationship to
Any Current Member of Congress
Date
Jy254/178
To:
(ss dolCon
(Employing Authornty)
I certify that I do not have any of the following relatlonships to any
current Member of Congress:
father nephew sister-In-law
mother niece stepfather
son husband stepmother
daughter wife stepson
brother father-in-law stepdaughter
sister mother-In-law stepbrother
uncle son-in-law stepsister
aunt daughter-In-law half-brother
first cousin brother-in-law half-sister
I certify that I am the of the
(Relationabsp)
Honorable
(Name of Member to whom related)
Malac Uki_
(Employee)
GPo 16-78895-3
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