Transcript of 180-10070-10152.pdf
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Assassination Records Review Board
Final Determination Notification
AGENCY HSCA
RECORD NUMBER 180-10070-10152
RECORD SERIES STAFF PAYROLL RECORDS
AGENCY FILE NUMBER
December 8, 1995
Status of Document: Postponed in Part
Number of releases of previously postponed information: 6
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: 3
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 s0 substantial that it outweighs the interest:
Substitute Language: SSN
Date of Next Review: 2017
Board Review Completed: 10/24/95
Released under the JohnF. Kennedy Assassination Record: Collection Act of T992
[44uSC 21Z Nole Caettl 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 180-10070-10152
RECORDS SERIES
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER
DOCUMENT INFORMATION
ORIGINATOR HSCA
FROM
To
TITLE
DATE 08 /25/77
PAGES 6
SUBJECTS
HSCA ; ADMINISTRATION
SCHLICHTMANN JAN
DOCUMENT TYPE PRINTED FORM
CLASSIFICATION U
RESTRICTIONS 3
CURRENT STATUS P
DATE OF LAST REVIEW 07/16/93
OPENING CRITERIA
COMMENTS
Box 3 _
[R] ITEM IS RESTRICTED
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SCHLICHTMANN Jan OfFice Of ThE CLERX
Timo 0( Employce U,S; KQUSE QF REPRESENTATIVES:
DALANCE Qhought
forirrd Fnom
PERSONAL LEAVE RECORD Pneceping YAP
Addrc;s
197 % AnneJ Sxck
[era Leay:
Aidrass YEAK
ANNUAL LeAVE
Date Of Appointment
Phone Numbcr CATEGORY
8 -35-77
1.0
Posilion Tiria
Pricr FEDERAL ScRviCE
1,5
2.0 ACCRUED availKoLE UsEd Dalan:c
P6j7iion Number Lcvcl Slcp Ycdrs 3joiit;
This Kontk This Montk Tiis Komtk At CtCSE
Of Mohth
b
DAY OF MONTH Anruak: Sick Arnjal Sick Annual Sick Acnual Sick
Kcnth IETZLTLTITT 8 9TTT7T2T >TT Tam: 19 20 | 21 22 23/ 24 25 | 20 227 | 28 29 30 31 Leayc Lejyc Lejwc Lcave Lcave leav: Lejve Lcave
Jan:
5 5
Fcb.
ZAJ
Apr
ZLX
Junc
July
Acg
Sept;
Oct_
EAttYzt #EEeHz15
Dec,
= 0,5 day annual Icavo CERTIFIED CORRECT;
= 1,0 day annual Icavo
5 0,5 day sick Icave
=10 sick Icave Employeo'& Sicnatura ptc Chiel'$ Signaturc Dale
(I cmploycc rcluscs {0 slatc rcasan bcloi:'
= 0,5 admlnistrativc leavo
1.0 day adminiskralivc Icavo Approvcd:
Clcrk ol (hc Houso Data
= '0.5 unaulhorizcd ab.crco This rccord will be (crwardcd to thc Clcrk of thc Houcc at thc end %f cach calendar YCA : %lin asc of tcrmination, along
= 1o enaulhorizcd Jbscnc6 with tho requcst for tcrmination: Upon approval, ihc rccord will bc iled in thc cmploycc'$ ollicial personncl foldcr.
= 0.5 day Icava wilhout Pjy
= 1,0 day Iejyc wilhou: PJY
EXHIBIT
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May
Nov.
dpy
slcn,"
day
day
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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"
Jan Rdchard Sch] Ich cma@n 4126118
Employee Social Security 'Number Type of Action
029-38-8530 Appointment
Adjustment
Employing Ofice or Committee /Subcommittee Title Change
Termination (Af close of business on effective date)
Leave without pay (Beginning with effective date above and ending
Assassination$
close of business_
Specify Date
(If type of action is an Appointment; Salary Adjustment; or Title Change, complete appropriate information below:)
Position Title Gross Annual Salary
825
3
708
If employee is a civil service annuitant (includes U.S House of Representatives), the annual salary shown should include the annuity received by the employee
plus the salary received the employing office.
(If Committee Employee, complete appropriate item below:)
1_ Standing Committee: Staff_C Clerical or Professional:
2. Special (Investigative staff of Standing Committee) or Select Committee: Authority _H. Res.95.6_of96 itlCongress
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 U.S.C. 3110b} prohibiting the employment of
relatives:
Date__ 3/18 19_78
(Signature of Author Official)
LOWIS STDKES
(If appropriate, signature of Subcommittee Chairman Or
Ranking Minority Member) (Type or' print name of Aithorizing Officiol)
CBAIRMAN
(Type Or print name and title of above official) (Tidle If Member, District and State)
AlI appointments and salary adjustments employees under. the House Classification Act and for Committee em-
ployees, except those -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:
ID
Office Code_
Benefits
Monthly Annuity $_ 00 as of Payroll _
(Revised: August 19771 for Initiating Office or Committee
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Salary
gross
from
Step_
rizing
for
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PAYROLL AUTHORizATiON FORM
(Please Use Typewriter U.: 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
Jan Rlehard Sehlichtmann March 1 , 1978
Employee Social Security Number Type of Action
029-38-8530
Appointment
'Salary Adjustment
Employing Office or_Committee/Subcommittee Title Change
Termination (Af close of business on effective date)
Assas9inatJong
Leave without pay (Beginning' with effective date above and ending
close of business_
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below:)
Position Title Gross Annual Salary
Lav Aggistant 825 70
If employee is a civil service annuitant (includes U.S. House of Representatives); the gross annual salary shown should include the annuity receivedby the employee
plus the salary received from the employing office.
(If Committee Employee, complete appropriate item below:)
1_ Standing Committee: Staff Clerical or Professional:
2. ' Special (Investigative staff of Standing Committee) or Selecf Committee: Authority-__H. ~Res956_0f95€*Congress:
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 US.C 3110b), prohibiting the employment' of
relatives.
pate_ Marzh_14_ 19_78
(Signature of Authorizing Official)
SOFTIS_STOEES
(If appropriate , signature of Subcommittee Chairman Or Ranking Minority Member) (Type or name of Authorizing Officiol)
Chalooan_
(Type or print name and title of above official} (Title - If Member, District and State)
All appointments and salary adjustments for employees under the House Classification and for Committee em-
ployees, except those of the Committee on Appropriations, the (ommittee on the Budget; and the Joint Committees, must
be approved by the Committee on House Administration
APPROVED:_
Choirman, Committee on House Administration
Office of Finance use only:
ID
Office Code.
Benefits
Monthly Annuity $_ ~QQ as of Payroll_
(Revised: August 19771 for Initiating Office or Committee
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Step_
print
Act
Copy
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PAYROLLAUTHORIZATION: FORM
(Please Use Typewriter _ U,S: HOUSE OF: 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 _
Jan Richard Sch]ichtrann 8/25/77
Employee Social Security Number: Type of: Action
029 . 38 8530 Appointment
Employing_Office_or Committee Sclary Adjustment
Assass inatiens Termination (At close of business on effective' date)
(If type of action is.an Appointment*or Salary Adjustment, complete the following-information ) _
Position Title Gross Annual Salary
Law ' Assistant S19,500
(If Committee Employee, complete appropriate item below:):
1
Standing Committee: Staff: Clerical or 'Professional;
2. Speciol or Select Committee: Authority-H. Res__16E___-of_9hth_Congress:
3 Joint Committee.
(If Employee of an Officer of the House, complete item below:)
Position Number_ If applicable;Level_ __ Step____
certify that: this authorization is' not in violation: of 5 U.S.C -3110b); prohibiting: the employment of
relatives.
Date_
August_ 26 1977_
(Signature of Authorizing Official)
LQUls_STOKES
Ype or name of Authorizing Official)
CkAIRNAM
(Title ~ 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: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 $_ 00
Copy. for: Initiating Offiee or-Committee
NW 88326
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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_Allowances_ and
Expenses 0f Committees
5
Members and Employees 0f the U.S. House
Representatives requ re that among other hings the Commi ttee' s
monthly payroT1 certification include the relationship, jf 0f
each employee to any current Member of Congress _ This certification
is signed monthly by our Chairman.
The fo]owing are the relationships to be included in the
certification:
father nephew brother-in-]aw
mo ther niece sister-in-Taw
son husband stepfather
daughter wife S tepmother
brother father-in-Iaw ste pbrother
sister mo ther-in-Taw S teps ister
unc]e son-jn-]aw ha] f-brother
aunt daughter-in-]aw ha]f-sister
first cousin
PTease comp]ete the appropriate portion be]ow
5
sign and date
this form; which WilI then become a part off your permanent personnel
file_ If this status_changes you must fy_ the Commi ttee S Budget
Office imediateTy Qf the_change
1 am not related to any current (95th Congress) Menber 0f Congress
I am related to 3 current (95th Congress) Member of Congress _
(PTease specify. )
0 /:
8125122
Signature 0flcmp oyee Da te
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0 f
any ,
noti-
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MEMORANDUM
TO: T Howarth Budget Officer
412-,
FROM: G _ Robert Blakey , Chief Counsel and Director
DATE : August 25 , 1977
RE : Mr Jan Schlichtmann
This is to inform you that Mr Jan Schlichtmann
has accepted the position of Law Assistant/Legal Unit with
the Committee staff_ Mr Schlichtmann' s effective starting
date will be: August 25 1977 starting salary will be 819,500 _
Your co-operation in familiarizing him with the
operation of the staff will be
greatly appreciated.
jl
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