HomeMy WebLinkAbout0438 1498Q0 ~
IEGfMD: Mwd N/A 4 tlr M~ LdK ~I~i ~n wf
1, LAST NAME - FlRST NAME - RIIOOIE NAME 2. SERVSCE NUMB~R 3zC•RADE,RATEORRAPI 6_ ~jEOF RAlVK(Osp.
gZgIy q1gTLgg gDGgl~ I 63
~ A. DEPARTMEKT. COMPONENT AND 5. PL/1CE OF BIRTH (A' ~d S+sw er Cow1ry1 ~Y MONTH YEAR
~ RRANC?i OR GU\SS pF
~
~ BIRTN
Z 7a RACE d SIX c GOLOR HAIR dOOLOR EYES w HEIGHT L WEIGHT 9. U.S. CITIZ 9. MARITAL STATUS
N NA Kale Bro~ Gs+~n 5' 8" 145 m YES ? No ~tarriad
W
IOa.HIGMEST CMLWV EWGTION IEVEI d MlUOR CWRSE OR FlELO
ATTAtNEO
12 Years Gensral
lle. TYPE OF TRANSFER OR UISGHARGE d STATION OR WSTAWTION AT WHICH EFFEGTED V ~a'
0 o Retired - 362~ 8th Ave So~ Bi~omiagho, Alabao~s 35222
; REASON AND AUTHflRITY UP ZO U~S~C. 3914 8.pN__?39_$etiremant Aftar EFiEC- DAY MONTH YE11R
a~ I~~I~~~Va F - wTE 6
~ v 12, IJIST DUTY /~SSIGNMENT AND MAIOR COMMMlD 13a. L'HARACTER QF SERVICE b. TYPE OF CERT1FiGAYE
~ S~ ~at~ I~SUED
o gpN06l1gvt D~ Fosm 363A
~ It. SELECTIVE SERVICE PiUMBER 15. SElECT1YE SERVICE IOGAL BOARD NUMBER. C17Y. COUNTY MID ST 16. p/?TE INDUCTED
" DAY MONTH YEAR
_ ~ i Uak:wMa ~ 7 43
17. UISTRICT OR ARE ~ GOMMAND TO WMICH RESERVIST T SFERRED ~
4 .SZ
j ~ n :.u. ~
~ -~~o
~ tg. TER611NAL R OF 19. CURRENT AC VE SEItYiCE OTHER THAN BY INDUGTION Mt OF p~T ~1TRY "
i RESERVE OHLKaATtON d 5p~)RGE OF EMRY -
OAY MONTH YEAR ~~~TEFNF~rsr Ed~~es~ewd ?ENLi57ED(Irior S~f.kej ~IREENLRSTEO - N~~ ' OAY M ~ YEAR
~ ?OTNER: •3~ Y~a J , 6y
20. tRlQR REGL'LA~ EKt~SitlfNIS 21 - GRAAE_ RATE OR RA/iK A7 T{ME OF 22. PLAGE OF ENTRY INTO ~1QRENT A E SER~~~ od S~ore1
I Sii 6 f~~OANivO CURRENT AG~1VE SERVICE "
a7iV o7
~ 23. HOME OF RECORD AT TIME OF EN7RY t(YTO ACTIVE SERVIGE 24. STAYEMEPIT'OF ~iR'VICE YFJ1R5 A! S DAYS
fAre~R ~a. Gy, Ceun?~ oed 5Mte1
I ~1502 South 33d Stroet, Ft Pi.ssce, ` c~n~uate ~!~T sE`""~~?+'S ~R'°° . -
_ fOR BAS~C ~ l2t'OTY.ER S£RVIC6 Q
( _ PAt •
250_ SPECUtTY NUMBER ANO R TE[T~GVIIiAN OGGUPATI~1 ~ ~Q?OS~ . l31 IQT~I~~lIs~1~I~'~M n.~l
TRLE MID UA T. NUMBE~ ~
~ Q ach Acct Sp~c Sortina 1~? Opr ~ TaTM. ~rm?E~nc~ 00
0 74D40 • 1-?S b3 . ~.~ir~cttr nt+i ioR sew ~ 00 06 07
~ u 26. DECORATIO?dS. EDALS. BACiCsES. COMMEIWrlT10N5. G(TATIQNS M7D :AMP \ RIBBONS AWARD OIZ AIJTHORIZEO
> ood Co~duat ~tedal (Sth A~tasd) s` li~tiat~tl ~!pce` 8ervic~ M~dal (IsC ~C)_
W > ' .
~ '
27_ WOUNOS RECEIVED AS A R~VLT OF ACTIOfi W~TH Ef~MY' F~eS ~~s ~ b~!4~~1
I3. SEllntf 'SCNOOIS OR COtEfeES, COLtFiE iRAUGKG C61;RSfS A?~/OQ POST-CIUWIAiE G S-AICCE lLT CGYPLfTEO 29. O7HER SERV~CE TRAWiNG
couasEy wcc~uu.r
SCt1001. O~R COURSE QATES 6~-!oJ - lrtAJOR COURSfS CpMPlEtEO
c
~ pOQe
None
30a. GOVERNAAENT LIFE INSIiRANCE ~M fORCE- b~ AlMOUNT OF ALLOTMENf c MONTH ALLOTMENT
~ _ ~ q~$GONTINUED
Q ? Y~: ~1 No cl!?
31 a VA BENEFITS PREV~OUSI.Y APPt.tED FOR~ ISp~r MWI 6. VA CWM NUMBER
<
> - C~
! ~a1a
' 32. REMARKS ~ ` -
~ Raferenc.e it~m 12: Orlr~ndo Subaectoi~C~and, Florida Sector, IV USA Corpa,
Orlaado, Florida ?hird US Amy
~ z Blood Group: O
r~: 0
~ SSA~I: Z67-24-9321
= SGLI: $10,000
= Luip p~r~nt aads for 0 days accsued laava
~ 33. PERMANENT AODRE55 FOR MAIIWG PURP066 AFTER TRANSFER OR 34. SIG RE OF SF REn OR DISCHARGED
~ DISGMARGE (SI~~ RfO, :1ry, Co+~h ~ S~/
PO Bo~c 73 F "
35 n TYPEO NAME. GR/lDE AND LE OF AUTHORIZING OFFlGER 6. NATU OF AlJ R D TO Sft'zN
L ,
p~g ~ ACtAss
FOR~.+ ~ ~ s~ ARMED fORGES O THE UNITED ST TE
DD ~ r:ov ss 21 ~ ~ REPORT Of TR/1NSFER OR DISC~F4~~ 4~~ i
" ' r~-~~ e~~
- - ~r .;r~,x_~~ -
1~~'. _
_e'_ 1
:.s
_
- ,