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  • Eric Borden Sf181 & H.R. 194

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    277 views5 pages

    Eric Borden Sf181 & H.R. 194

    Uploaded by

    AhanuWajihBey
    public notice

    Copyright:

    © All Rights Reserved
    Download as PDF or read online from Scribd
    Flag for inappropriate content
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    TX Result Report Pa (02/25/2015 18:15 Serial No. —anPoo1 1000051 Te: 208577 Destination | Start Tine [Tine Prints | Resutt] Note 2nza7saaee 02-25 18:12 [0:02:08 | on4,004 | 0K Note GR: IRE TE BAN OR Hy adr REE Ms earn EF Paneeai oa TEER afc ig hls NERS eg Be Bee Result OK: Connunication OK, $-OK: Stop Connunication, PH-OFF: Power Switch OFF, TEL: RX fron TEL, NG: Other Error, Cont: Continue, Wo Ans: No Answer, Refuse: Receipt Refused, Busy: Busy, M-Full:Memory Full, LOVR:Receiving length Over, POVR:Receiving page Over, FIL:File Error, DC:Decode Error, MON:HON Response Error, DSN:DSN Response Error. ambSt9o Pack, Ship % Print Center 9500 Arena Drive Site tat Cary e Matyas LOS Bi Lae 8 Le BEEP MIA FAX TRANSMISSION "bane 240-019-3991 pate: Z /zs/eors ro: S.OCFes OF Pe Senne MAUKOE MENT FAX: z =< 2 Re Corre iovy Of Fe tniorty and Pace Ident Crcekon NUMBER OF PAGES INCLUDING THIS Pace: POOF Website: ww packehipnpnnt com Email: prinigapackshinnpanLeac Largo Pack, Ship & Print Center (A Maryland Based Authorized Shipping & Printing Company) 9500 Arena Drive, Suite 106, Largo Maryland 20774 Ph.240-619-4001 Fax.240-619-3998 VIA FAX TRANSMISSION pate: Z, /2s/201s- To: US OFFICE OF Résonne MANADE MENT FAX: 2Ot 270-3988 FM: ce: RE: (orreckiovy of Etanie. ty and Quce Ident Orcodion NUMBER OF PAGES INCLUDING THIS PAGE: Pour Email: print@packshipnprint.com Website: www.packshipnprint. com US. Office of Personne! Management ETHNICITY AND RACE IDENTIFICATION Guide to Personnel Data Standards (Pease read the Privacy Act Statement and instructions before completing form) | Name (Last, First, Middle initia "| Social Security Number Birthdate (Month and Year) Bordon, te Antony 2 ans ‘Agency Use Only Privacy Act Statement a = Ethnicity and race information is requested under the authority of 42 U.S.C. Section 2000e-16 and in compliance with the Office of Management and Budget's 1997 Revisions to the Standards for the Classification of Federal Data on Race and Ethnicity. Providing this information is voluntary and has no impact on your employment status, but in the instance ‘of missing information, your employing agency will attempt to identify your race and ethnicity by visual observation, ‘This information is used as necessary to plan for equal employment opportunity throughout the Federal government. It is also used by the U. S. Office of Personnel Management or employing agency maintaining the records to locate individuals for personnel research or survey response and in the production of summary descriptive statistics and analytical studies in support of the function for which the records are collected and maintained, or for related workforce studies. ‘Social Security Number (SSN) is requested under the authority of Executive Order 9397, which requires SSN be used for the purpose of uniform, orderly administration of personnel records. Providing this information is voluntary and failure to do so will have no effect on your employment status. If SSN is not provided, however, other agency sources may be Used to obtain it ‘Spocific Instructions: The two questions below are designed to identify your ethnicity and race, Regardless of your answer to question 1, go to question 2. i Question 1. Are You Hispanic or Latino? (A person of Cuban, Mexican, Puerto Rican, South or Cantal American, oF other Spanish cure or origin, regardless of race) Ces “68 No = ‘Question 2. Piease select he racial category or catogoios with which you mest cosely ently by placing an box Check as many 8s apply. Cin the appropriate | RACIAL CATEGORY (Check as many as apply) DEFINITION OF CATEGORY BB American Indian or Alaska Native ‘A person having origins in any of the original peoples of North and South America {including Central America), and who meiotains tribal aflition or community attachment, asian | A person having origins in any of the original peoples of the Far East, Southeast | Asia, or the Indian subcontinent including, for example, Cambodia, China, India, ‘Japan, Korea, Malaysia, Pakistan, the Philppine islands, Thailand, and Vietnam, (1 Black or atrican American ‘A person having origins in any of the black racial groups of Africa Gi Native Hawailan or Other Pacific stander | A persan having origins in any of the original peoples of Hawai, Guam, Samoa, or other Pacific Islands 5 White | A person having origins in any ofthe orginal peoples of Europe, the Middle East, or | Noth atic, | —_ a is ‘Standard Form 181 Revised August 2005 ravens etions not usable 42USC, Section 2000-16 NSN 7540-01-009-3446 Text of H.Res. 194 (110th): Apologizing for the enslavement and racial segregation of Af... Page 1 of 2 Report Cans fo 2014 congregate) x Sc Ing resonate snr) Search HOME} BROWSE Y/START) TRACK USTART) ABOUT UAOUT) USE OUR DATA /DEVELOPE UDEVELOPERS) ‘[eteinimnisonaind BLT “ “

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