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ope of their report should one be used in your particular case. Signature Date New York/Atlanta/Boston/Chicago Dallas/Los Angeles/San Francisco Amsterdam/Geneva/Pans EFTA00187061 STOCK EXCHANGE FIRM EMPLOYEE INFORMATION RECORD ITo be completed upon acceptance of employment) Please answer all quest
ector of Personnel" J.' .../ , / 12- :;-. . .....Y 7 / ADP CODES CATEGORY 0 1 2 3 4 5 6 7 8 9 Effective Date 401 Major Medical 402 Blue Cross 403 Type Employee 404 Birth Date 392 i fi LW% Annual Salary 762 Clock Number 330 i 40 7 / 1/4 ' a. 1 354 Rev. 10/75 (8/76) PERSONNEL
their report should one be used in your particular case. Signature Date rf, New York/Atlanta/Boston/Chicago Dallas/Los Angeles/San Francisco Amsterdam/Geneva/Patis SDNY_GM_02770729 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 17 EFTA_00257537 EFTA01337181 STOCK EXCHANGE FIRM EMP
Department Had or 8finth.Monager Director of Perscel ADP CODES CATEGORY 0 1 2 3 4 5 6 7 8 9 Effective Date 401 Meier Medical 402 Blue Cross 403 type Employee 404 31 Date 392 OW ./ 4 Vernal Slant 762 lock Number 330 W 74 1/7/ i 354 Rev. 10/75 (8/76) PERSONNEL COPY SDNY_GM_0
l one? "I\ GENERAL REMARKS: Name: Title: Signature: Date: Pononz (10/75) New York/Atlanta/Boston/Chicago Dallas/Los Angeles/San Francisco Amsterdam/Geneva/Paris EFTA01700864 Bear, Steams & Co. 55 Water Street New York, N.Y. 10041 (212) 952-5000 WRITER'S DIRECT DIAL NUMBER Cooper Union 4t
h Manager Administrative Partner Director of Pe ADP CODES CATEGORY 0 1 2 3 4 5 6 7 8 9 1 . ( Effective Date 401 Major Medical 402 Blue Cross 403 i Typo Employee 404 Birth Date 392 K , , , fr 7 ' /7 • Annual Salary 762 Clock Number 330 V / 4 /4 1 Form 354 Rev. 10/75 PERSONNE
arns & Co. Thank you in advance for your cooperation. HA71-O7- fr/ Sincerely, New York/Atlanta/Boston/Chicago Dallas/ Los Angeles/San Francisco Amsterdam/Geneva/Paris EFTA01700768 1. APPLICANT'S, NAME Ms. truNINIULN iNuus HY REPRESENTATIVE and/or AGENT Mr. ---- ;AS? kis rm. FIRST)/. Middlefif No
anch Manager Administrative Partner Director of Per ADP CODES CATEGORY 0 1 2 3 4 5 6 7 8 9 Effective Date 401 t Major Medical 402 Blue Cross 403 Type Employee 404 Birth Date 392 V ;Oi l / Annual Salary 762 Clock Number . 330 '',7 /Y/ 7/ 354 Rev. 1O/75 (8/7O PERSONNEL COPY
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