Transcript of 180-10070-10170.pdf
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Assassination Records Review Board
Final Determination Notification
AGENCY HSCA
RECORD NUMBER 180-10070-10170
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: 4
Postponements: All the postponements in this document represent Social Security numbers.
Reason for Board Action: The text is 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 it outweighs the interest:
Substitute Language: SSN
Date of Next Review: 2017
Board Review Completed: 10/24/95
Xeleaser under the John
Kennedy Assassination
ecords Collection Act of
992 (44USC 2107 Note)
ase#Nw 88326Date:
P026
NW 88326
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public
public
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Date: 08/20/93
Page: 1
JFK ASSASSINATION SYSTEM
IDENTIFICATION FORM
AGENCY INFORMATION
AGENCY HSCA
RECORD NUMBER 180-10070-10170
RECORDS SERIES
STAFF PAYROLL RECORDS
AGENCY FILE NUMBER
DOCUMENT INFORMATION
ORIGINATOR HSCA
FROM
TO
TITLE
DATE 12/30/77
PAGES 6
SUBJECTS
HSCA; ADMINISTRATION
WELBURN BRENDA La
DOCUMENT TYPE PRINTED FORM
CLASSIFICATION U
RESTRICTIONS 3
CURRENT STATUS P
DATE OF LAST REVIEW 07/16/93
OPENING CRITERIA
COMENTS
Box 3
[R] ITEM IS RESTRICTED
NW 88326
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PAYROLL AuthorizatioN Form
(Please Use Typewriter U.S. HOUSE 0F REPRESENTATIVES (Any erasures, corrections, @r changes
Or Ballpoint Pen) Washington, D.C. 20515 on this form must be initialed by {he
authorizing Official.)
To the Clerk of the House 0f Representatives:
hereby authorize the following payroll action:
Employee Name ( First-Middle-Lasd) Effective Date
Brrenda Lo Welburn Deceinber 1, 1978
Employee Social Secucidy Number Type 0f Action
102-40-6872 Appointment
Salary Adjustment
Employing Oiice 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 Adjustment, or Title Change, complete appropriate information below:)
Position Title Gross Anqual Salary
s1o,800.00
If employee is a civil service annuitant (includes U.S. 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_L] Clerical or Professional:
2. I0 Special (Investigative staff of Standing Committee) or Select Committee: Authority-_H. Res.= 956__of95ghc
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
December 13
Date_ 1
(Signature gf Authorizing Official)
Lobis STOkES
'(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member)
Ype or Print ngme of Auihorizing Official)
Cha ! rwai
(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, fhe Committee on the 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 $_ 0Q as of Payroll _
(Revised: August 1, 1977)
for: Initiating Office or Committee
NW 88326
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Congress:
Budget ,
Copy:
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PAYROLL Avthorization FORM
(Please Use Typewriter U.S. HOUSE 0F' REPRESENTATIVES (Any erasures, corrections, 0r changes
or Ballpoint Pen) Washington , D.C. 20515 on this form must be initialed by {he
authorizing Official )
To the Clerk of the House of Representatives:
hereby authorize the following payroll action:
Employee_Name (First-Middle-Last) Effective Date
Brende Lo Welburt 12/31/78
Employee Social Securidy Number
Type 0f Action
102-40-6872 Appointment
Salary Adjustment
Employing Oitice or_ Commitdee/Subcommittee Title Change
Termination (At close of business on effective date)
Asea2ainatlons 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
If employee is @ civil service annuitant (includes U.S. 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-)
1 Standing Committee: Staff Clerical or Professional.
2. Special (Investigative staff of Standing Committee) or Select Committee: Authority-_H. Res.956__of
33 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_ January
19
79
(Signature of Authorizing Officiol)
LOWI: SZORES
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) (Type or print name of Authorizing Official)
CHAIRMAN
(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 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 1, 1977)
for Initiating -Office Or Committee
NW 88326
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9sebCongress:
Gopy
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PAYROLL AUTHORIZATION FORM
(Please Use Typewriter U.S. HOUSE 0 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
Rrenda Lo welbazn Decenber 30
1
1977
Employee Sociai Security Number Type of Action
Appointment
302-4-5872 Salary Adjustment
Employing Office or Committee/Subcommittee Title Change
Termination (At close of business_on effective date)
Leave without pay (Beginnirig with effective date above and ending
Aasabeinatfona
close of business _
Specify Date
(If type of action is an Appointment, Salary Adjustment, or Title Change, complete appropriate information belows):
Position Title Gross Annual Salary
Researcher 915
If employee is a civil service annuitant (includes U.S. 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:)
1 Standing Committee: Staff __ Clerical or Professional:
2E-E"Special (Investigatjve staff of Standing Committee) or Select Committee: Authority-_H. Res_AGgof 9EcCongress:
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_ Decertez 30 19_2
(Signature of Authorizing Official)
Ipuis Stokes
(If appropriate, signature of Subcommittee Chairman or Ranking Minority Member) (Type or print name of Authorizing Official)
Chairan
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 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 1, 1977)
for Initiating Office or Committee-
NW 88326
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Step__
(Type
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
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
Brenda Lo Welburn December 30
0
1977
EmployeeSocial Security Number Type of Action
0 [zAppointment
12-40-6372 Salary Adjustment
Employing Ofice or_Cemmittee/Subcommittee Title Change
Termination (At close of business on effective date)
Leave without pay (Beginning with effective date above and ending
Assaesinations
close of business _
Specify' Date
(If type ofaction is an Appointment, Salary Adjustment, or Title Change, complete appropriate information below:)
Position Title Gross Annual Salary
Researcher 815
D
If employee is a civil service annuitant (includes U.S. 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:)
1
Standing Committee: Staff- Clerical or Professional:
2 leSpecial (Investigative staff of Standing Committee) or: Select Committee: Authority-_H: Res._@GSof -95ceongress
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 Anot in -violation of 5 U.S;C: 3110b), . prohibiting the : employment: of
relatives
Date_ December 30 19_2_
(Signature of Authorizing Official)
Iouis Stokes
(If appropriate, signature of, Subcommittee Chairman or Ranking Minority Member) (Type or prinf name of Authorizing Official)
Chairman
(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 Act and for ~Committee
em-
ployees, except: those' of the Committee o Appropriations, the Committee.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
Benefiks
Monthly Annuity $ 00 as of Payroll_
(Revised: August 1977)
for Committee 'on House Administration;
NW 88326
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M E M 0 R A N. D U M
TO_ Thomas Howarth Budget Officer
Elizabeth Berning, Chief Clerk
FROM: I Charles Mathews Special Counsel
Icb
DATE : December 30 1977
RE : Ms _ Brenda Welburn
This memorandum is to advise you that Ms Brenda
Welburn as accepted the position of Researcher with
the Select Committee Her effective starting date is
December 30_ 1977
1
and her starting salary, S15,000.00 _
Your cooperation will be appreciated in familiarizing
Ms _ Welburn with staff procedures and welcoming her
aboard.
ICM: jl
NW 88326
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;#_ AiaS Z M 7 4 7~+ 33
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 0f Committees
9
Members and Employees of the US; House of
Representatives require that , among other things the Committee S
monthly payroTT certification inc]ude the relationship, if any, 0f
each employee to any current Member of Congress_ This certification
is signed monthly by our Cha irman.
The following
are
the relationships to be included in the
certification:
father nephew brother-in-]aw
mother niece sister-in-Iaw
son husband stepfather
daughter wife stepmother
brother father-in-Iaw stepbrother
sister mother-in-Iaw stepsister
unc]e son-in-Iaw ha] f-brother_
aunt daughter-in-]aw half-sister
first cousin
PTease complete the appropriate portion below= and date
this form; which Wil] then become
a 0f permanent personnel
file_ If this status_changes__YOU must_notify the Committee S Budget
Office_immediately Of the_change:
am not related to any current (95th Congress) Member of Congress_
I am related to a
current (95th Congress) Member of Congress _
(Please specify. )
EyaALintb_L Lus}huun
[/321zz
Signature 0f Emp oyee Date
NW 88326
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r
sign
part your