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Home My WebLink About0122 14~6`~2 LEGENDr bsert WA b t~r ife~s Ml~a~ ~iti os ~t y~tit~Ar , 1. L~ST NAI~E-FIR9T NAhE-Ml00LE NAAE 2. SEIlVICE MI~~ER 3t. 6RAD[. MTE dt RANf OATE OF RANKtt~. lLi~?. ~ I~DBffi BILLIE RA? 03~7A0~3ii 0! 1§ g~ SPk T 84 r`~' 27 ? b6 . OEPNiT1+EMT. Cp+w~NENT AMD BRANCN t C~..rM W?r I.q~TN rE~1rt R o A/`171 M JiM ~r. ~OATE . J A ~~~i~aL~ ~ a+.wi~s BMtTH 15 \/KY ~F~ Q 7~. 1. SEX e. G~pt ~Y?1R GOLCR EYES ./E1GIR MEI(~.Ht 8. U.S. CIT12E11 9_ MARiTAL STATUS ~ ~ j'jil~ ~ ' ~~p ~res 'L~. .a $ ~ ~ IOf. HIGHEST GNILtAN EOUGITIOM I~VEL ~Etp A TAlj1EQ M' SQ~QvMi } 1 fm TYPE Oi TAAI6FER OR DiSLNARGE i. STATp1+ pR IIrSTAW?7101 AT N~iKN EFra:,;TW go 'r!'~t~'1yd t0 ~A$ ~1-~ t . : , :i:~94'~3~68s AOPtb CiTC~1~1i r e. nEI~SOM wo wrnOrt~Tr ~ g - .[.scc w?r wonTN r~e Z~ Ch 6 S~c II AA 635.~UO sPN 227 Hardahip 2(, p~ ~t~ 2. I.AST OUTf IlSSIGN4ENT /Nb MMOR GO~.~MI11f0 _ 19f. CIMNACTfA OF SOiVKE b. TVPE OF CERTfFIGJITE CO B 1~325th 71zf Tt~SI ~~fi0~Gi1$I8 ~~~'D~rN 14. SE~.ELTIVE SEINICE MlIM6ER i5. SEt,ECT1YE SER1/1CE ~OGlL 8QI11b ~R~lER. C171I, COIJNTY Alp 3YA7E 16. W1TE INp11CTED ~ > V " DAY ~AONTM YEAR u > ~ ~ ~ NS y~~ 7. DISTRIGT OR ARE/1 Gq~MiY1t4 TO MNICl1 IIESErtVlST. TAAIISiENlEO " T'lraa~sfe~sd t0 t$iB Caitrol (~t`C~1~p ~A~uai ?ra3ning) ~AAC ST ~.Oais, l~3ssOUrf 1B_ TERM1MAl DATE dt II~EAV[ 9. ~EAG~1 ~R AVICE OTiER TNAN BY IIIDtIGT10N TEqM (1F e. W1TE OF ENTitY 'JF.RVIGE ~Y ENLISTEp IFisst EaJiata~atlQEUl.ISTEOfP.is. S~nic~?OIIEEIRIST fl~t~a ~Y MONTM y~p 19 ~ ?1 a o,~: 3 20 ~ 65 =o_ r+~iat r~wur a~s~+rr o. kaeE. w~ ar w~c ~T n~ oF n. w~cE oF ~xrrtv ~~ro curu~xr ncnvE saev~cE~c.r> ..1 s..r~~ Ncsie Cc~al Q~abl~s, l~lo~3da 23. 110UiE OF I~GpRG AT TIIbE OF ENTRY IIRO AGTIVE SEqVIC£iSn~et. RFD 24. STATO~EIft OF SEAVICE YEJ1R5 ~~0lITHS pl?yg 3~~~`~S'~~~ ~i M~'C0~ s. (t) wET SFAVICE Ta~s ntA~OC (s~~ I~trod~)Blarids 33450 ~Ot*'~ 1 FOR BASIC l2~ OTilE7t 3ERN~CE °a.sPecu~~ruu~.~wu~ont~ i. RELATED GMLtAN OGCUPATION AIp P~ la1 TOTAL (L:.e (I)t Iroe (2) F Srn ~ ~ D. O_ T. NIJ~RBER t i'~~ b. ToTAL I1CTIVE SERVICE v ~ t. FONEt6N AtQ~OR SEA SEIiVICE O 0 v 26. OQOORATtON4. 11F_OIILS, BAOGES. CpMAE6DJ1T1p{S. GtTAT10NS A~O fJM~lIUCi1 RIBBONS AMARLm OR ANTppItIZ£~D > ~ Y "?rabt Ba~dg~, Natioaal Dsfe~e 3e~rios lf~dal , 27. NOll~S I~CElyEp AS A pESUI.T OF AGTION MITN ENEMV FORCES (Prce d ik. iJ 4wrN . 7l SHM[E 30~OOtSat DOl~f1. QOI~ iMANR' COUlSES MD/O! l067~C,MO~MIE OOIM56 StKC6SiW~ COWIEI~ 29.OTMER SERVtCE TRAINiMG SGIDOL OR COURSE Q~lES fFiar-rwl NN10R OOURSES - C~ ~iILY ~ ~ 6 , BYiC ' CB8 Tra3uiag ~ p~ ~ ~ Cod~ ot Caodii I~IiIJu~tTng IIasic s a. GOYERN.ENT LIiE IMSUl1ANGf iM fOi~E b MAOI)I~T Oi AL.LDTt+ENT c. MOMTH ALLO7~~E'NT - . F ~ ~ ~ ~ Gi5O0?ITIfAlED < ~ ~ ~ ° la. vw BEMEFI'S PiEV~Ot~tY APPL~ED FQR fi~rctj~ t~d - b. vA GUt~wt NUMBER < ' C- HA 32_ rt~cs. H?iOQU G~OiJP: AH 33AN: 261 80 Oi296 SGLI: $10,000 ~ Iu~ sum ~ya~nt a~?d~ t~ 2S days aaarned les~re ° j I 3ss r~c (r3 $3 APPD: 22 Msr b6 Par 9 A~ 601~1.0 applles r , z Y 2 - h ~ 33. PERhA1WENT RbORE55 fOR MI11U11G PUWL6ES AFT6: 7iMNSFER 0.~t ,31_ SIG1fAT ~ PENSCN BE R/WS at DISp4ARGE0 OISdiAitGE IStnd, RFD. Ci~~ Cwrer SWeI oath 31~t FtPfsrc~~tIuai,~)Flor~da 33~50 ~ . a Twau ~u?w~. WtA~ AND TITLE OF / z~w~ o~~c~ - sic~y?TUe~ ai a~~cot ~ur s ~ ri ~ ~A ~ ~ fl ' . ~ ~;cJ?9 t n~ ' ~s FOFa~ REPLACEyE*IT JUl 52, DD ~~v ss ~ ~s oeso~~~ ~ REPORT OF TRAl~ FER OR DISGH RGES ~ 5 . . _ , . " ~ ~ r ~ ~-,.~r~ ~ rf •.r ~e-~'`~e.~r"` - t~~'°` T'"~ ~ ~ r ~ ~ ~ ' : 7r~~> e ~i -'-,-aa~ _ " ~ -i _ - . ~s- .r w~-~+~+ 'i::~_.C i.-~ . ~."~x,+' ~ ~ R~% ~~3 Y +`g _ ~ , ~ . . . y. ; ' . _ . . ~ . . .