NOTIFICATION OF PERSONNEL ACTION - MILLS, MONTRELL EUGENE
Document Type:
Keywords:
Collection:
Document Number (FOIA) /ESDN (CREST):
0001308933
Release Decision:
RIPPUB
Original Classification:
U
Document Page Count:
1
Document Release Date:
February 19, 2008
Sequence Number:
Case Number:
F-2005-00558
Publication Date:
November 28, 1966
File:
Attachment | Size |
---|---|
DOC_0001308933.pdf | 61.43 KB |
Body:
j (Wh Filled In) za Nov cc NOTIFICATION OF PERSONNEL ACTION 1. SERI BER 2. NAME (LAST?FIRST-MIDDIE) /Y/s /~? e // S 0 3. NATURE OF PERSONNEL ACTION 4. EFFECTIVE DATE S. CATEGORY OF EMPLOYMENT M0. DA. YR. REA~iSIGNMENT GORREGTION 11 1t1aIcG REGULAR 7. COST CENTER NO. CHARGEABLE 8. CSC OR OTHER LEGAL AUTHORITY' 6. FUNDS' 5t~ USG 4~3 J 9. ORGANI2ATIONAC DESIGNATIONS 10. LOCATION OF OFFICIAL STATION DDS .~FF'l CE. OF SECUR 1 TY 11. POSITION TITLE 12. POSITION NUMBER 13. SERVICE DESIGNATION SECURITY OFFICER 14. CLASSIFICATION SCHEDULE (GS, LB, etc.) iS. OCCUPATIONAL SERIES 16. GRADE AND STEP 11. SALARY OR RATE GS 13 c 15113 18. REMARKS THIS ACTION. CORRECTS FORM 115f16 `~'~'1:VE 1! NOVEMBER 19CC AS FOLLOWS: ITEM ~1n WHICH READ WASH., D. C. ~4 ~~ ~ ~ . ~ ~ ~; A' y.l'~'. SPACE BELOW FOR EXCLUSIVE USE OF THE OFFICE OF PERSONNEL 19. ACTION 20. Employ. 21. .OFFICE CODING 22. STATION 23. ~ 24. Hdgtn. 25. DATE OF BIRTH 26. DATE OF GRADE 27. DATE OF LE~~ `(ODE.. Code (ODE NUMERIC ALPHABETIC Code MO. DA. YR. MO. DA. YR. MO. DA. ~' YR. SEC 2 t~ l I~ 1 1 ~'+ I I I , EXPIRES 29. SPECIAL 30. RETIREMENT DATA 31. SEPARATION 32. [ORRECTION/CANCELLATION DATA 33. SECURITY 34. SEX Mo. oA. rR. REFERENCE 1 . csc cooE DATA (ODE YPE Mo. DA. vR. T EOD DATA REG. N0. I I 9. FICA B -NONE ~ j 37 1~ I ~~ I cc 3S. VET. PREFERENCE 36. SERV. COMP. DATE 37. LONG. COMP. DATE 38. [AREER [ATE60RY 39. FEGII /HEALTH INSURANCE 40. SOCIAL SECURITY N0. CODE O 6 PT DA. YR. MO. MO. DA. YR. CAR. RESV. CODE CODE 0 -WAIVER HEALTH INS. CODE I I 1 -YES 2 - 1 O PT. I I I PROV. TEMP. 41. PREVIOUS GOVERNMENT SERVI[E DATA 42. LEAVE CAT . 43. FEDERAL TAX DATA 44. STATE TAX DATA CODE O . NO PREVIOUS SERVICE CODE FORM EXECUTED CODE NO. TAX EXEMPTIONS FORM EXECUTED CODE NO. TAX STATE CODE i NO BREAK IN SERVICE f -YES 1 . YES EXEMP. 2 BREAK iN SERVICE (LESS THAN 3 VRS.) 2 - NO 2 - NO 3 -BREAK IN SERVICE (MORE THAN 3 YRS.) SIGN145 URL~ ~R OTHi.R~A15 TF~ITICtiATIO,Y gin " c ? ` l: APPROVED FOR RELEASE DATE: NOV 2007 / J/^ c ~ ~. c ~. ~.; o c ~; ~ , ~ a ~~~ C.J ~/ o o: ~ oc. o c ~, ~ c .; ~ ., ~~ .. ~ ?:, c t FORM 1150 Use Previous SE ca.al t t -s2 Edition (When Filled SE~ ~ET