NOTIFICATION OF PERSONNEL ACTION

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP85-00375R000400010017-0
• Release Decision: RIPPUB
• Original Classification: S
• Document Page Count: 1
• Document Creation Date: December 9, 2016
• Document Release Date: July 23, 2001
• Sequence Number: 17
• Publication Date: October 25, 1975
• Content Type: FORM

NOTIFICATION OF PERSONNEL ACTION
1. SERIAL NUMBER 2. NAME (LAST-FIRST-MIDDLE)
PREPARED I
4. EFFECTIVE DATE 5. CATEGORY OF EMPLOYMENT
y, /} i (
YRR. COT RACPLE-TYPE A (A)
LEGISLATIVE )'AY ACJU$tM M1 M0. DA
..
++
y *
X
V TO V
V TO CF
7. FAN AND NSCA
B. CSC OR OTHER LEGAL AUTHORITY
6. FUNDS
CF TO V
CF TO CF
4 1 6-41601
9. ORGANIZATIONAL DESIGNATIONS
10. LOCATION OF OFFICIAL STATION
OtlA DIRECTORATE
V I STFt ICS' OF CULU$t3IA, USA
OF ^ I CE OF PERSONNEL
11. POSITION TITLE -
12. POSITION NUMBER
13. CAREER SERVICE DESIGNATION
SPECIAL SERVICES OFF
EX2C
MP
14. CLASSIFICATION SCHEDULE (GS, LB, etc.)
15. OCCUPATIONAL SERIES
16. GRADE AND STEP
17. SALARY OR RATE
DUC$ 02047
tr UL L' TIHE.I GS
O 30.12
10 S
$* 16800 LEII 020 Z7
18. REMARKS .. s .. .. ,. .r .. $T*Ttts INF13RMAT1 U - w+ ,.. ,. w . ,.. .. ,. - .. ..
:i I f4 TH 0A IF < 012629 SEX; 0 MARITAL STs AAA NO t EPENDENTS% 02
CITIZENSHIPS uS/BIRTH LONGEVITY COOP: 041156 PLO SERVICE COMP: 041751
TYPE, kTIREHCITz CSC H0SPITILIZATIL3NI F PLAN; 422
F GLI: YES PREV GOVT SLAVS 4 SAL, TASK LIMIT:
',4Y BASIS: A An. INO: 0 S/L I NV: 4
s .. .. .. .. +. CGNTRACT INFORMAT 1UlN .,. .. .. .,. . .,. ... ... ,,. .. .. ,. ..
EFf UAP-- 070174 FXPIR*T10N 0ATEs INDEFN DATE ORIG CONTRACT: Or!}l14
ENT ITLEMENTS!ELIGISILITIE S/ALL0NA$ ES ..~ .. _ ., .......
TAX 5rAFF% N FED EXMPI STATE EXMPI STATE:
1 F~AVa: 404 OPS I XP ISE$ N: HCIUS1NOx N POST, QUAL$ N
HOME LEAVE: 0 DIF EREIt71AL: 1 OFFSET CLAUS O STO GOVrx N
L GI SL PAY: Y PREMIUM PAYS A ALLOWANCE CORNS N EOUCAT LONx N
STEP !MCRS: Y OTN TAX ENTLI N OTHER ALLOWS* N SEPAFATION$ N
w_--_-__--..._~..~
~
.-_-
--_
4 ~. PRA NTE: NSCA: $00E3
%JtE% ItED4S PRECEDED BY AN ASTERICK * REFLECT CHAPIGED 0ATA
SIGNATURE OR OTHER AUTHENTICATION
S
(4-511
Form I,SOBAppro I"FJ elease 2001/08/14: CtgERE1P85-00375RO094009E%9d7 62r"