PAY CHANGE NOTIFICATION
SECRET
EMP. SERIAL NO. 006102
NAME [Redacted]
ASSIGNED ORGAN. DP/SA 7
T-RECORD 7
ALLOTMENT T-20
OLD SALARY RATE
GRADE GS-14
STEP 4
SALARY $12,990
LAST EFFECTIVE DATE 07/12/59
NEW SALARY RATE
GRADE GS-14
STEP 5
SALARY $13,250
EFFECTIVE DATE 01/08/61
TO BE COMPLETED BY THE OFFICE OF COMPTROLLER
CHECK ONE: [ ] Time Worked [X] Excess LWOP [ ] Number of Hours LWOP
[ ] In Pay Status at End of Waiting Period
[ ] In LWOP Status at End of Waiting Period
INITIALS OF CLERK
AUDITED BY
TO BE COMPLETED BY THE OFFICE OF PERSONNEL
TYPE OF ACTION
[ ] RA [ ] LA [ ] Not Assignment
AUTHENTICATION
[Signature]
PAY CHANGE NOTIFICATION
SECRET OFFICIAL PERSONNEL FOLDER