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Assassination Records Review Board
Final Determination Notification
AGENCY HSCA
RECORD NUMBER 180-10068-10311
RECORD SERIES STAFF PAYROLL RECORDS
AGENCY FILE NUMBER
December 8, 1995
Status of Document: Postponed in Part
Number of releases of previously postponed information: 3
Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in 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: 2
Postponements: All the postponements in this document represent Social Security numbers
Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be 80 substantial that it outweighs the interest:
Substitute Language: SSN
Date of Next Review: 2017
Board Review Completed: 10/24/95
Xeleased undei JohnF. Kennedy Assassination Records Collection Act of 1992 (44UUSC ZTU/ Note)
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JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
AGENCY HSCA
RECORD NUMBER 180-10068-10311
RECORDS SERIES
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER
DOCUMENT INFORMATION
ORIGINATOR HSCA
FROM
TO
TITLE
DATE 06/17/77
PAGES 3
SUBJECTS
HSCA ADMINISTRATION
BLAKEY G ROBERT
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:S; hoUSE: @F REPRESENTATIVES (Any erasures, corrections; or' changes
or Ballpoint Pen) Washington; D.C? 20515 0n this form must be - initialed by the
authorizing official.)
To the Clerk of the House of Representatives:
hereby authorize the following payroll action:
Employee Name (First-Middle-Last) Effective Date
George Robert Blakey 1/1/77
Employee Social Security Number Type of Action
243-48-4536
Appointment
Employing Office or Committee Salary Adjustment
Termination (At close of business on effective date):
Select Committee Om Assassinations
(If type of action is an Appointment:or Salary Adjustment, complete the followingginformation:)
Position Title Gross Annual Salary
Chief Cougsel_ Director 8477500.00
(If Committee Employee, complete appropriate item below:)
1 .
Standing Committee: Staff-[clerical or 'Professional:
2: Special or SelecN eommittee: Authority H: Res_465 of_9SthCongress
3 Joint Committee:
(If Employee of an Officer of the' House, complete item below:)
Position Numberi
'applicable, Level_ Step_
~
"certify that: this aufhorization is. not in-`violation of 5 US.C: 3110b), prohibiting the employment ' of
relatives.
Date_
June 24 19_77_
(Signature of Author" Official)
LOWIS STOKES
(Type or print name of-Authorizing Official)
Chabvvan
(Title ~ If Member, District and State)
Allappointments salary adjustments: for employees under the House Classification Act-and: for Committee *em-
ployees; except thosefof the Committee *on: Appropriations; the 'Committee 'on the Budget; and the Joint Committees, muste:
be approved by the Committee on:House Administration:
APPROVED:_
Chairman, Committee on House Administration
Office of Finance use only:
Office Code_
Koh
Monthly Annuity $ 00
for Initiating Office or:Committee
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~d
rizing
~and
Copy
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PAYROLL AUTHORIZATION FORM-
(Please Use Typewriter: U.S; 'HOUSE 0F REPRESENTATIVES (Any-erasures, corrections;` or changes-
or Ballpoint Pen): Washington; D.C. 20515 on this form must be. initialed . by the
authorizing Official.)
To the Clerk of the House of Representatives:
hereby authorize the following payroll action:
Employee Name (First-Middle-Last) Effective Date
Gearge Robert Blakey 6/17/77
Employee Social Security Number Type of Action
243-48-4536
Appointment
Employing Office 0r Committee Salary Adjustment
Termination (At close of business on effective date) Select Coveittee on Assassinations
(If type of action is an Appointment or Salary Adjustment, complete the following information )
Position Title Gross Annual Salary
Chief Counse} and Dfrector
9
00o . 00
(If Committee Employee, complete appropriate item below:)
Standing Committee: Staff-C Clerical or[] Professional:
2 Special or Select Committee: Authority
7
H: Res__485 _9SthCongress
3. Joint Committee_
(If Employee ofan Officer of the House, complete item below:)
Position Number_ If applicable, Level_ Step_
certify that this : authorization zis: not in, violation of 55 US.C 3110b);' prohibiting the: employment. of_
relatives:
At
Date_June_24 977
(Signature of Authorizing Official})
LOUIS STOKES
(Type or print name of Authorizing Official)
Cha { rman
(Title ~ If Member, District and State)
All appointments: and salary:adjustments foremployees under:the House Classification:Act and for.Committee-em-
ployees; except rthose:of the Committee on Appropriations; the Committee:on.the Budget;and the-Joint -Committees, must
be approved by the Committee on House Administration;
APPROVED:_
Chairman, Committee on House Administration
Office of Finance use only:
Office Code_ __
Monthly Annuity $_
Copy for Initiating Office or Committee
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M E M 0 R A N D U M
To: ALL STAFF
RE: Payro]1 Certification
The Regulations and Accounting_Procedures for A] lowances and
Expenses of Committees
)
Members and EEmployees of the U.S; House of
Representatives require that, among other things the Committee S
monthly payroTT certification inc]ude the rela tionship, if any , of
each employee to any current Member of Congress_ This certification
is signed monthly by our Chairman_
The fo]lowing
are
the relationships to be included in the
certification:
father nephew brother-in-Iaw
mother niece sister-in-Iaw
son husband stepfather
daughter wife S tepmother
brother father-in-Iaw stepbrother
sister mother-in-Taw S tepsister
uncle son-in-Iaw hal f-brother
aunt daughter-in-Law half-sister
first cousin
Piease complete the appropriate portion below, sign and date
this form; Which w;l] them become a
part of your permanent personnel
file_ If this status changes _
9
you must notify the Committee 5 Budget
Office_Immediately of Ehe_change:
1 am not related to any current (95th ' Congress) Member of Congress _
1 am related to a
current (95th Congress ) Member of Congress _
(Please specify. )
Zhkxleal:
6-25.22
Signature of EmpToyee Da te
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