SECRET
NAME (PRINT FULL NAME) SERIAL NO. OFFICE/SR UV
OLD SALARY RATE NEW SALARY RATE
GRADE STEP SALARY RATE EFFECTIVE DATE SINCE STEP SALARY EFFECTIVE DATE
14 2 $10,535 07 15 56 3 $10,750 01 12 58
TO BE COMPLETED BY THE OFFICE OF COMPTROLLER
CHECK ONE: RECOMMENDED RECOMMENDED NOT IN EXCESS OF TOUR LIMIT
IF EXCESS LEAVE, CHECK FOLLOWING: IN EXCESS OF TOUR LIMIT IN EXCESS OF LEAVE
IN EXCESS OF ANY OF THE ABOVE FACTORS INITIALS OF CLERK INITIALS OF AUDITOR
TO BE COMPLETED BY THE OFFICE OF PERSONNEL
PROPOSED SALARY RATE AND EFFECTIVE DATE INITIALS
GRADE STEP SALARY MO. DA. YR. EXAMINED
14 3 $10,750 01 12 58
AUTHENTICATION
C. H. STUART
PERIODIC STEP INCREASE - AUTHENTICATION
SECRET PERSONNEL FOLDER (4)
Form No. 560a