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Melvin Purvis — Part 2

104 pages · May 10, 2026 · Document date: Feb 29, 1960 · Broad topic: General · Topic: Melvin Purvis · 104 pages OCR'd
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~ : 4 a panes ’ . No ite 1 Oe as : yt , Ms TN nee oe a abate sett CERTIFICATE OF EMPLOYING AGENCY FULL MAME OF FORMER EMPLOYEE DATE OF BIRTH (Lest) (Firat) (Middle) - i? . ~ wed SERVICE nisTony ra OF en aicn, EFFECTIVE DEPARTMENT OR AGENCY, INCLUDING BUREAU, per hour, etc.) BRANCH OR OVVISION WHERE EMPLOYED MATURE OF ACTION POSITION INI FISCAL BATA (IF AVAILABLE) | | AGGREGATE BASIC EARNINGS FOR PERTODS SUBSEQUENT TO 7/31/20 DURING WHICH RETIREMENT DEDUCTIONS, IF ANY WO DEDUCTIONS WERE MADE PERIOOS OF SERVICE AGGREGATE GROSS BEG INEING EWD ING BASIC PAY BEGINNING END ING RETIREMENT DATE DATE DATE DATE DEDYCT 1Oms PEAIOOS GF SERVICE Report of all Le Without Pay in « Calendar Year When Such Leave a the The statements contained on this form are based on the official records of this of- regete is in Excess of Six Months Actress fice and are correct to the best of wy knowledge and belief. LEAVE @ITHOUT CALENDAR TEAR Td (Stanatere) es San EEEEEEEEEP-7- 7 POF eT COfteial Tithe) REMARKS: (Department or Agency) . BATE USCSCo~-waSHIMGTON DOC etn ’ a oe ee ree ‘ ae oe — fia? & e
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