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3 ~ TNIS IS All r1PORTANT RECORO 1~~~ ~ SAFE6UARO IT. f. LAST NAYE •~~p5~ NW! ~ w~ODIE N/WE Z~ SERV~CE NUwBEN ~ SOC~wI SECYR~TY NUY9EM ~ ~ gT~gILE~ DpNAI,D ItpgERT RA 14 970 177 266 74 7875 ~ 0 t DEPAqTMEN~ COrOOMEMT /~ND BRANCM OR CL~SS S+. GMAOE NATE OR R11NK \ PA~p~ 6. D~TE rDwiw TE~ ~ Z ARMY RA tjNASGD PVT (P) R11NK 6 Feb 67 ~ i U S C1~12EN ~-'-~-~s. OI~CE Oi BM+TN (C~tY ~eJSrne or Cwnln.i ! D~Y roM1N ?EM OI?T E '[x~.~; p•~ New York, N.Y. aw:N ? Ma?r 44 ~ ~y 10~. SEIECTIVE SERVI~E NVYBEp 4 SEIECTWE SERV~CE IOC~I BOwRD NUwBER C~TV COUN~v STAfE ~ND 2~P COOE O~TE ~NWCTED _ ~US D~r rOM~N ?EM W~° 8 40 44 91 LB ~40 Ft Pierce, Fla ~'.a. TYVE Of Tp.\NS~EA OA D~SCHAqGE A STATIpN OR INST/~LLAT104 AT rtNICM E«ECTED ' ~ Discharqed Fort Benning, Georgia 31905 Z AEA57N AND AUTNOM~~? V O~v YOMtw ~E~A N E«EC~rvE Section III Chapter 5 AR 635-200 SPN 375 (See 30) °•iE 27 !Feb 67 « OO 12. 1w57 DuT~ 4SS~GNYENT 11NU tlAJOR COYr~ND ~l• CHAqAC~Ep OF SERV~CE p. T~PE Oc CEpTictC~~E ~SSUED = t~o B l1SA REC S~? USATC Inf 3D 13SA HONORABLE DD Form 256A ~ DfSTR~C• AtiE~ COwwANOON CONPS Tp ~MI~~+ AESENV~ST TRRNSiEA~7E0 1S- AEENI~STYENr CODE ~ ` None ~-3 ~6 TEFYIM~L OATE OF NESERVE 17. CUpREMr ACTIVE SfRViCE OTNER TMnN B~ IMOUC~~ON A TERY OF 04iE OF ENTAv UYTaSOBL~GAT~ON Spuq~EO~EN7RY. SERV~CE D~r rOM~M ff~~1 ~*'tyy) DA? YJNTM TE~ ~ EnL~S~EU /Fu.r Enh.elenU ,,_j E~.USSEO ~Pr~or Sern: e3 , ~AEENLiSTEO ~ : ~ ~ ~ ,,,~~p 3 6 Feb 67 ; ~ ~ - t ~0. Mi~OR ACGUL119 EMIISTYENTS ~9 G~+AOE RA7E OR RANK ~T T~1iE O~ m. PI~CE OF ENTRV INiO CVpQENr ACT~YE SERV~CE ~C~fr a~dSt.fr~ N~~ ENTRY INiO CyRR~NT ~C=1\'E SVC ~~1 Gables, Florida 7 ri' ~P E ' ~ y 7 2~. MpYE Oi RECORD ~1T TIYE OF ENTRr ~NTO AC~~VE SEAV~CE 22 STAT£rENT OF SEAVICE vEARS YOwTnS OwvS ~ v~ e(Lj(@~ FD ~l'it y~7 Co.mts-. Aareag7 Z!P Code) 3 'iT7V i/G.i'd~re AVe ~ti MET f[11VICE Tw1f ~EAVJO ! ~ Fort Pierce(St Lucie)Fla. 33450 CRED~T/.B~E _ FOR B~S~C OAY ~T OTME/1 SE~IVVE ~ ~uFOOSES ~ 23a.5PEC11~LTY NUYBER 6 TITLE D RELATED C~VlLIAN pCCUVAT~OM ANO 701IL (l.1w!l1~/v~ G/w~I1)/ OO.T. NUrBEA ` 09B00 Taainee N~NS~ ~ T0T11L I1CTtvE ~ENV~CE ~ ~ < _ p . FORE~c:M AaD ON SEw SE4v~CE d V N. DECOR~tIONS wE0~~5 BApGES. CO~~MDATtOMS. C~T~TIONS AND CAYPAIGN RrdB'~NS ~IrAROEO 0R AUTHON~IED + iIr~II f~~ ~ > Q7 ~ Natianal Defense Service Medal ~ u' m-.. ~ x~m 3 25 iDV:.~~tON ~wD Tq~INtMG COYPIETED n A s c,i-- °rn~ t ~ Z None ~o ~ ~ ~ ~ a - c~ - cc 'a mc~ ~ i ~ n E n a ~ ~ p c ir, GZ;`; m~ c 26~. NO~!-P~+ ~ERIO'~S T~VE LC~ST fPr.~. r3n~ p. OwrS ~CCwuEO ~EwvE o~~D Z7a INSUfiANCE ~N FOQCE 6. 4VDUNT O~ Al TYE:Ni~j'~ YONTM YEM~ ' ~.Y~LI w USGth D~SCON~ ; Tnv )".~.,r.: . : ~o None ~ :.ES x~~ = NA NA i OY { ZV b, VA CLA~V NUYBER 2~1 SEpV~CEV£N~5 (iAOUP I~FE ~NSU4AA~,E COVER~:E t' . jv G - ~ z~oooo ~ ,fS000 _~~+6ME None t 3V. REM/.RKS 4 Yf~s College(Business Admin-BS) BLOOD GRO(IP:"O" Severance Pay Not Auth Firw7. type physical examination not required in view--of physical evaluation . ` board action 16 Feb 67 at Martin Army Hospital Ft Bennirrg,Ga.31905. ~ ~ Itera llc-Discharged for Not Meetir~g the Medical Standards at Time of Enlist- _ ~ ~ h 9 AR 601-210 a lies. 71. OE~AMENT AOONESS ~OR r1~fL~NG VUAGOSES ~FTER TI~ANSF Olt ~ N1~R • )j SrGNw~VpE OF PERSON BE~NG tRwMSiEppED OA ~SC.~~RGED i Z ~Snfer. RFD. C~~r. Cwwt~-. StN~ anO2/P Cadel _ ° o8~d. ~ y < s~. ~ , : V { _ )).-TVOE~ MAYE. GNApE AMO TITIE O~ AVTMORiZ~MG O~~~CEp 1~. S~GM~TUME Oi OFf1~Ep AUTMpqIZ D TO S~GN ~ ; ii. C. KtIItTZ~ CW4 l3SA, ASST AG ' < ~ ~ D D FO~ Z~ 4 "'E"'o„s Eo~.~o..s o~ TMIS .op~ G~b o- 2»-~,s AR1tEp FORCES E UMITEO STATES ~ ~ ~y~ K AqE OBSOIETE E~iECT~vE 1~~n 61~ ~I-~ REPORT OF TR ER OR DISCFIARGE ~ ~ , . , ....w , Ty.,~.i;s ' ' . . _ ' _ ' ,•.an- ~ t: _ ~~'~~n c ~ . ~ _ _ _ . . _ "Y ~yp ~'~'r^. •~w