FINANCE DIVISION CLEARANCE WORKSHEET

• Document Type: CREST
• Collection: General CIA Records
• Document Number (FOIA) /ESDN (CREST): CIA-RDP61-00274A000200150007-3
• Release Decision: RIFPUB
• Original Classification: K
• Document Page Count: 1
• Document Creation Date: November 11, 2016
• Document Release Date: August 27, 1998
• Sequence Number: 7
• Content Type: FORM

f Approvl%For Release I'-t1 2000200150007-3 Attachment
FINAW,E DIVISION CL'aRANGE WORKSHEET
NANE ?-.--------- . See attached for -pseudo, alias, etc.) STATUS..
.AST C"ICIAL STATION
RE4.SON FOR CLEARANbE .WIETII E DATE CF SEPARATION OR TRANSKA_
FUNDS EMPLOYEE IS PAYROLLF.D FROM: Vouohere Confidential, Mtlitery Roll No. -,q,
INFORMkTION P EIVED FROM
A. 'OR KCTr ON B C ---- w?, e~u'F~e t
General. Ledger
150.1
150.2
300.1
300.2
Date of Last
AaRgrtiri?' -- Debit _ Gradit
~~lsw.na R'~~
rw.b'am6''.w.
Z, zlg- L,ON Y ePP~ I,L' p Cll t. TAt C
W/H tax code (Overt or Covert)
REM&RK5
G TZON By 'i`k TAX AND ALLOkIAIrr r: s'P aa~w rpm Am
1. Comments on Tax Status
Signature
2. Amount of Home 9ervice Transfer Allowance Received at Headquarters
3. tsmount of Rome ':>ervice Transfer Allowance to be refundec -
General. Ledger
44k9~'MUI_& j_
140.5
14441
144.2
14403
144.5
REMARKS
.-_.- DATE FINAL t J2ARAWE GRANTED
E.l)easori Fir-al Clearance not granted.
Q2) stop Pa:ment Request submitted c~
AUTHUM4ED GRT7IFYING CSI ...R
(3) Indel" t,edness Transferred to Accoarit
;tuTHORImb .;P 'F I
Approved For Release : CIA-RDP61-00274A000200150007-3
uployee Date of Last
~A..R.~. eord r,s Debit Cered3t ?~~
Employee