Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
1455
; 1QC80FIIl[ Yi~[0 V ` Legibility of writing, tqpins or , printina onaatiaiaotory in thia _ ~ dociaaent f or aicrof f laiag. _ . - This u ~ ~woRrnMr ~ecoao . _ 1. ~ va~~? _ _ _ _ ~°~c~ SAff64M01T. _ ' 1. LAST NAM! .~IRST ~~1yE - Y1001E NNI[ 2. SERVICE NUYO[R l SOdAI SECURITY MUYS[1l ~ ~to~L~ va~: ~s ~oY ~ ~ ~ o oEVMTM[NT. COwOMt~r wMO sw~+KM ae G~wss S~. W1AOE. RATE OR I~ANK ? vw~ p~TC . o~r ror~w ~[~w J ~ ~ . GRADE pF ARTSY AUS UiiASGD ~ F~ p _ RAMK 2~ i 7. U. S. CtT12EM v~~CE Os ~ew~M (C:h +ws+~n M C~nen) f. O~r Yo~TN ~r[M r DATE ~ 0'E3C1IXO" Tr1t~L°A FORIDA s'~"*" 2 iSAR i+ 10~_ SEIECT~VE SE~tv~CE NuN~ER A SCLECT/VE SE11V1CC LOC~I BOANO MUYpER. CITY. COUNTY. STATE AND 21V CODE c. OwTE ~NOUGTEO V t OA~/ 110~fTM KM u> r~ O V `?7 l~.s LU 7~~ 1 Vil1 PI'~ ~ C~ r ~ 1 f~. T1/PE Oi TAwMSFER pR OISCMARGE A SrAT1pM p11 INS7AlLAT10N AT ~111GM EFFECTED . ~ TRFD TO USAR 3LE IT ;'.~r? ~i1G US ~.iY ' - { REwSON AND AUT/OR~TY , d O~T YOMTN VEA11 I L [iFECTI $t ~Ji~~ ~11 C., ~7 GVV ~J ~11 " . 0~1TE ( 1 ~O tj. L11ST DUr`/ A~GIWENT AMO WJOR COWIAND 1I~. C1IARACTER Of SERV~CE A~rPE OF CER7IFICATE iSSUEO . t » A BTRY 6~d 56 ARTY ~0 96307 HOtiORABLE NOii~ ~ WSTNKT. AqEA COYMAMD OR CORPS TO rNICN qEfG1v15T TRAMSFERRED 1S. pEENItSTYEMT CODE ~ ~ IkiA.R CO?tI'tiOL GROUP : AiiPtUAL : i1S ARI-iY ADAtIt: C'~ t~iTIIi ST LOt7ZS :~i0 RE-2 s ~s ~ERYN~1l DA7E OL RESERVE~ 17. CyRRENT IICTIV! 3EI~VICE OTNER TNAN S~I INOUGTION TERY OF OATE OF ENTRV ~ YMTaS O6LIGATION a SOl1RCE OF ENTRV: SERVICE p~f YOMTM •EM (Y~~) OAY ~IONTM rEU1 r ~ ~ i EMUSTEO (Fi~q EwL~dmf) U EM~tSTED (Prior Setncel ~REENLISTEO ~ 7 SEP j 2 ~_~jOTMER ~;p I~fA . 1~. PRqq REGULAR ENL15TyENTS GRAOE. RATE ON RAMK AT TIYE OF A- PLACE OF ENTRY INTO CUttRENT ACrIVE SERVICE (Ciry rd5t~[s) ~ EMTPV INTO GU~ENT I~CTIVE SvC t ~ YOi~c~ PVT E-1 t~ CORAL GABLES F ID ~ ~ t1. MptlE O~ R[Cp1O AT T~YE OF EN7RY IMTO ACTIVC SEAV/CE 22 STI~TEYEMT Oi SERV~CE YEARS rONTMS OAYS (Sbe,r. RF1D•. Cit~. Gasetr. St~te s~d ZM Cede) y~iDy 1/G :IORTH 16 TH STR~: ;r Id wET SE~vKE iM~S oEwqD 1 11 2~ ; CNEdTABIE : T T L+ L.~ iOR 9ASIC VA1I ~D OTN[11 fERYKE 1L l~ vunvoses z~a SAEC~ALr NyYSEr1 ~ TITLE ` pELATED GVIl11W OCCUPATtOM AMD tp TOTIL (Lw (U ~w.• Lb. 1 ~ 2O ~ O.O.T. NtirBER r, f A~f~i~ 31~ ~ 13~j ~ TOT+?L ACTIVE SENVICE 1 1 2V 7 t ~ . Wy~l CWK t. iORE1GM AMD~OR SEA SERVICE O ~ ; ZL OECOAAT/pNS, Y(OALS, sAOGEt, COYYENDATIOMS. CI~ATIONS AND CAYPAIfi1~ RIeOpMS A~AROEO OI~ AUTNORIZEO A ~ ~ ~ ~7ATIOi~AL DLFr~~SE Ji~I;VIC~ I~AL YIi'2'ivAcd SERVICF ;~:DAL ~ ~s VI~TNA!•1 CAi,SYYAIG?l N/D ~ p ~ ~ C~ ~ ~ n ~ ZS- EDYCATpN AND TR' W~NG COMPLETED ~ ~~1 ~ ~~°T. f - FOOD : ~z'.RVIC;: 9t~B20 CST G~•T~'~~:.5 n-p A O O~Z~ ~ ~ AD _ ~ CN _ m~~ - ~~A i NON-VRr PERIOCTS ~~~rE 105~ (Preredn/ A O.~~S KCNUEO LE~vE ouD 17i. ~MSURAMCE M/ FORCE d AYOUNT OF ALIOTYEN? ~.~MiN ~~.OT~M? ~ T~uYear~i " (XSLloIVSGI.!) WSCONIINUEO < a~ : ~ s -'.rEt ,_'~.MO ~O L~ ' i 13 J't~i~ v 0 3; s V~ CLA:Y MU~BEA b iENYICEYEN'S 6ROUP L~FL ~MSUN~NCE COY[RAGE ~x 15 Jliirt 6T :~A 1C~~swooo : ;s~°oo ,_'NO«c . ~ a ~o w[r~~Ks CIVILIAt~ :r:,3U~,r1'PIOi~ : 11 f :~tS ; ~LOQD GROUP: 'A" : IT'r3•i 5A: PF'L' ~'-3 (P) AY`i'D: 2~ wUG 6~i 4 ~f I[IM~~M[M7 ~pp1t[SS ~OA YA+LrMG MJRr f1Gt1ATYR[ Os ~(11fpN ~t~of. T11: SIEPME OA RKM~AGED - ~ ~ ~S~N. RfD. C.+?. Cawr~. SrN~ M ZIr CaM! I~/~~A ~ _ . -~.`~'j ~ ~.~s~ Y 1306 N 1~ TH C~T FT PIr. C~ FLORIDA 33~?5 ~ ` u Tv?co M+re uwwo~ ~MO ~nit o. w~»ow~:N+c orr~ctw w s~ew~tuwt orr c *'rco ~o s~cw ~ S.~iis~S~H 1LT Tc: AaS'T ADJ 31 B ii ~ OD ~a~r 214 .wsva~,s sa.a~.s o. ~»n .owr . cro •~»t o• t»•~» ARlIEO fORCES OF TlIE tMITEO STATES . , ~ of ~~a~ a aso+~ : _ ~ _ -