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HomeMy WebLinkAbout0176 rrrrs rs ~uv r~ro~rruvr aecoi+n ~s(~4~ swFSCU~r+n ~r. ~ 1. lA1T MAYL-FIIIfT NAM[-YtOOLC MAYC 2. 5[RYIC[ NUMOt SOCIA{. SECU111TY NYY\[11 < PHILLIPS ~ 1 ~ ; ~ OC~MTM[IIT~ COM~OM[MT AMO MAMCM 011 CLASS 60. C11A0[. IIA7[ 011 MMR ~~AY f. DATC DAY MOMTN •C/1A + J ilUO[ OI < _ ~wrK 0 o V € y 7. Y.3. CIT12~N - ~LAC[ OF \IRTN (r•1H QOf~ .Stol~ OI(~.OYOhy~ 9. DAT[ D11r YOMTN r[AR ~ OI ~ ~ Y[s O MO ~ 1' ~ ~IIITiI ~ ~ Y V 10~. s[l[CT~11~ ![~~~G[ tY~/K~ fCL[GTIYt ![QWC[ tOCAL ~OA110 MYMKA~ CITY. COUMTr. STAT[ AMD il? COO[ OATE ~MDUC~[D i ~ i< • T~ OAr YONTN ?CAR 1 No A lab e No~t Available ~ t 1i~. TY~[ OF TRAMS?[R OII OIfCNMi[~~f~~ ~ th ~ aTAT10N 011 INiTALlAT10N AT wMICN [I/[CTED r s c Z 11[A30N ANO AYT ORITY ~ ~ . DAY YONfN •EA11 ' v ~yF. tion of ~]iatmerit• EF~ECTIVE ~ p t DAT[ ~ 0 i 1, lAi O TT A331NIY[MT ANO OR COYMAMD „~A_' •'~ti' i Q. CN~RACTEII OF 3EIIVIC[ b, rr~c w ccwnr~c~tc ~ssuco O n c:o n rs.i~ ~ ~ NOt1e . = 11. OIfT111CT~ M[A COMMA OA C011 S TO NICM 11[ [rlYliT TRAM~F[1111[D IE. R[ENLISTM[NT COD[ < ~ S 8 ~s Tt~Y~~~l O~r[ 0/ 11C![1111[ 1. CY11R[I~T ACTIYE 5[IIYIC[ OTNER AM ~Y IMDUCTION b. TtRM ~ DATC O/ EMTIIf uYT~f O~l1YrlOA O. SOYRCE OF ENTIIY: ~F OAY MOMTN •EA4 O EMLIlT[D IFIff~ E/III=l~~OI~ ~ ENl1iTED IPrja Sftv3Cf) 3E11YICt OAr MOMTN •[A11 ' (~lOf+~ : ~ OTNC11 ~11E[NLISTED 2 J~ 1 ~ 1~. MIOII 11[fYIAR [Nl1iTY[wT3 11. iRwOt, 11wT[ O~l 11I1Mt ~7 T~V[ O? 20. VLACE OF ENTIIr INTO CY11~1EMT ACt1YE 4ERVICE ICI~ QDd StCtl~ [~TAT II~TO CYM[RT ACTIY[ !YC ; te Jacksomrille Florida ; 21. NONE OF 11EC0110 AT T~6tE Or EMTIIf 1NT0 ACTIVE 3ER111CE 22~ STATEMEMT OF 5[RVICE ?EA113 MOMTMS OA?3 'i (Str~+t~ AFD, Ctq, Cwmtr. Stat~ and Z1P Coden) 301 North West 16th Street, r~ ~R[DITAlLE 11) NET SEIIYICE TM13 PEII100 FOR lASIC VA1/ 121 OTXE~1 3E11VIC[ d,a I •Y1IPOSE3 ~ 2~~. f~[CIALT MYY~~11 i TITL[ . REIATED CIYILIAM OCCUPATION AMD ~3~ T07AL (Ltn~ ~lJ plus Line ~2~ l O.O.T. MUM~[ ~ < 5591 ~Sr~ V..w2 A~, b. TOTAL ACTIVE SEIIVICE ~ t ~.~~j iiuaiw+. i O j'j{aa~C ~~OT ~OREICM AND/OR 3E~ 3E11VICE ~ ~ . O[COIIA IOMS. ME Ati. ~ADC . M A A IOMS AM AMPA1 N Il1~~OMS AMA11 E 011 AYTN0111ZEC ~ Prs8lderrtial Unit Citation; Good Conduet Med,al (Fi~st AMard); National Defensa } ~ Se~vice Ksdal; Vietnameae Servlee Hedal W/1*; oietnam~ese Caaipa,ign Hedal W/De~riae; Keritorlous Maat; Rtile Harksman Badgs ~ 26. EpUCAT10N AMO T1IAIMIMC COM7LETED ~ ~ Collegs - 3 Years -.19bb - 3ociology ° gi.eld Kusic 3chool, Mariae Corps Beeruit Depot, Parris Island, South Carolina - 12 x~aks~ 1964 - F'ield Muaic Course 26~. MON-PA~ ?ERIOD3/TIME 103T b, Dw7s ACCI1uE0 LE~Y[ ?A~D 2TO. ~M3u~wwC[ 1~ ?O~C[ b. AMOUNT OF ALLOTMENT MOMTH AILOTMENT (Preeediny Two Yemsl (NSLJ or USGLI/ vOIiaCONTINUED . < iR7{i ~ ~o ~7E3 ~.e s ~ ~,Qable licable pY None A !ER 29. SEIIVIC[MEN'3 i110Ur LtiC iN3U~lANCE COVE11Ai[ > Y ~ • c- APPllc.able ~]s,o.ooo p se.oo~ILE~ ~?'?~D RECORDED' Y FLA. so.11LMUlR! f?FCOR~ V~r1~'~_D ~ Good Conduct Med,al Period co~enced 23 January 1967 (3eeond AMard) . w Y _ ~68 _ AUG e PN : og ` 169445 ~ ; o RFD, ti Couelp~ Stat~med ZI~~C~I ~R aw o~sc~wRSC s2. s~aNwTURC o? v[~!4 M T OIfCMA11CED CLERK CIRCUIT COURT ~ 3006~ Avsmie J, Fort Pieree, * ~ ~ M A/C T AYTNORI=IM{ O/FIC[R 1. i1iMATVR[ O/ O//IC[II AYTNOIIIt[O TO i1GM ~ r ~ ~ F. C. F03T1~t, 1stLt. ~ Synecutive Offieer M~OIIM A~~ `Y ~~~vfA1 ~~~y~pys ~ptT~OMS O/ ARM[D FORCef OR TH[ UNIT[D iTATti S~N~O~O~~SO-I3O~ INDIV-~ w~ ~Y~ ~ A~' ~W~TMI~ ?011M M[ O~lOL[TL 11EPORT OR~~F~II~D~ HA~~j~ r ~