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HomeMy WebLinkAbout0544 • TNIS IS AN WPORTANT RECORD ~~~~5 SAFEGUAROIT. ~ ~AS~ M/WE ~~~AST ~+~VE - riDQLE N4YE 2. SERV~CE Nu1~eEA ~ 50C~A~ SEC•I~+RY NI:~aBER ~ i ~ ~ ~ ~ ~ ~ ~ 0 QEpApTYEN1 COV~'OVE!~~ AND P4AYiti OQ CLASS S]. GRADE. RATE OR RAI{K A PAV pATE D1~ WMtM ?[~A , i ~ GNADE OF . Z ~ RAMK ~ N ~ A - ~ S G~T~Z'_N vLACE O~ 9~RTM ~Cth' anJSrN~oa C.w~~r~~) 9. O~Y ~.oM~w vEW+ ' Qi_; Q\' i~~ + BRTH ~ ~ ~ ~W M,. SE:ECTIYE SERVICE NUYBEN ' p, SElECT1VE SEAVICE LOCAL BOARD NUMBEF. CITY. COUNtY STAT! ~NO 2~P CO'1E DATE ~NDUC7 ED f V< Da? rort+ vEu rK ~ , ° ~l 2Z~1 ~M 1t Mft~~ t3~ori4 ~ ~ K 7 i i~. TtlPE O~ 1i14NSiEA OA O~SCNARGE L S~ATION OR IMSTA~,LA~IOM AT Mr~tLN E~iECTEO ° ~ ~~as (N~~i~ ~t ~ilt.~a~ Zi~r ?ia~ r 2 O M IT d. O~? Y3MT~: ?E~1N s ~ ~ ~ EscEC7~v ~ ~ ~ ` pATE ~H OQ 12. LAST DU~`/ ASSIGNYENT AlID YAJpq CO~ANO CMARACTER OF ~qWCE h TvPE OF CERT~FICATE ISSUED ~Z s x~. ~tr ~ s.~~ a.~ =~uu~ a~ < O~STN~CT •NEA CyW11N0 ON CO~tPS TO ~M~CH NESERVIST TqANSFERREO ~S. NEENLISTYEN7 CODE ~ w Mt~l ~ ~ ~t ~S ~i~~Q~ TEFr~NAL OATE O~ RESENYE 17. CURRENT ALTIVE SERVICE OTMEN TMAN BY INOl/CT10M 6. TERM OF DATE OF EMTRv UYT~S OBLiGATtpN ~~RCE Oi EMTRr: ~pr~~E p~~ rpYTM YEM _ (Ytrs) DA1I YO11TM ?EY1 . 1 ' ENUSTED (P~~st Enli~tsmtl ~j ENUSTEO (Pnor Sevnoe/ `jREEN~~STED . ~ ~ ~ ~ `-.,QTMEN ~ ~ ~ ~ tt M1pR RCGU~AR EMLKTYEN7S b GpwOE FwiE OR RApR AT T1ME OF 2p. PLACE OF ENTRV iMTO CURREnT ACTwE SERV~CE (Grf adSrurl t ENTN~' 1MT0 CYRRENT ACTtVE SVC j n t7~at Mblres ~3+ia ~ a jt. NqfE OF NECOAD A~ TIYE OF EMTNY 1NT0 AC~1vE SERV~CE ~2 STI~TEMEMT OF SERVICE rEAAS wONTNS owrs » IS aw. RFO. C~~i. Castr. Sr~tr a~.1 ZIP Codrl i~~ = e- MET SEwvICE TM15 K11qD ~ CAE017ABLE FOR BAS~C PAr ~Z~ OTNEp SENVKE ' ~i~.~.i~ (st ~..i~.) ~i~a oURPOSES 2)s. ScEC~w~iv aUY9Ep ~ T~~~E 0. pEIATEO C~ViL1AN OCCUPIITION ANO (j'. 70TAL (Liv~ ~lr~ L/w!l)J 't D.O.t. wu~BEN < TOi~1L ACT~VE SERVICE F p ~ iO~iE1GN AND OR SEA SERV~CE ~ r Y 2~. OECORAT~ONS rEO~lS BADGES COYyENOA~~ONS CITATiONS ~!+D CAYVA:GM qIBBONS A~ARDED OR AUTNORI2ED ~ r ~1N 1iN~a1 v~ f ~ ~ ~ ~qMt~+ra 1iNal (~a'lii) _ ~ r= 23. EDUC~TION I~NU TNAINIIK COYPIETEO ~ ~ v ~ C :7~~ C~t~: '-p ' ~ -z~ -c ~ -a rn Z A ~ ~ ~c70 ~ C~ ~ ~ CO~ AZ' ~ IIZn c o j' o '-'-~t~ 25~- NJM P,~~ PEw•O~5 '~wE tOST :pr~,~rd.nQ s. O~~S ACC4uE6 LE~vE v~uD I7i ~MSUAANCE ~N ~0~7CE p. A~UNT OF • iMQN YON l~ YENT r... r.-..., r~w o. <<scu; ' u~ o~xo+.A 'f ~r ~o ~q ~ - _ : . E~ Ma f ~A ! t • ~ ~Y ~ iV ~ VA CL~~w YVrOCp 2f S[Rr~CErEw'S G40uv ~iFE ~r.WR~vCE COVE~7AGE ~ ~ <t ~ ~ I c Lo 00o ss o00 ..o»e ~ b M(YAAKS ~ ~ ~ ~ ~ i ~ ~ : ~ LNi ~M~r 1~i0 ~ 2T !w ii t~s+~ ]~Ti~i7 ` a~ ~ I~ i~l+-~.i~ ~lia . ; ~ PE~~MEMt ~DG4ISS f~A Y~~~tYi Pt1 PO S / •M H u yry~IJAC Of Of45(YI ~E~YG 1p~tiSf[lMCD Qp D'SC`~~R~FO ~ ~ xrn c.r. c:...:n s.... ~,auvcoa'~ ~ Y ~ ~ ~Lu~~r~iG = i~ ~ O CEw K YGw~~L~E O~ O~~ ~utHOw.Z(O tp t~0« ~ n•.~[o «~rc ow~at ~~o •,~~c o~ •JtwOA~ s., ss~ 3 t ~ ~i~! ~T ~ ~ ~ DD ,ras 214 •,a.,o.,s ~~.-ro.. o= ~a.. ARMED FORCES Of TFIE t11NTEQ STATES « •wc c~v~.c•c c~•cc* ~r b~ ~ RErORT Of TRANSfE1t Olt DlSCHAItGE 1 ~ ~ _ _ ,4;~ ,:.a _ _ . _ " . . - 4.,~~ -m ~ _