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HomeMy WebLinkAbout0049TINS IS AN IMtORTANT RfCORO 18114 cAUe~um ET T LAST MAYS • FIRST NAYE ~ MIDDLE NAME 2. SERVICE NUMBER - 3. SOCIAL SECURITY NUYBER o iiILLIAbS JERRY LAbAR VS S3 580 139 262 86 2586 ~ DEPARTMENT. COMPONENT AND BRANCH OR CLASS Se GRADE RATE OR RANK ! PAY GRADE E GATE OAr tWNTH YEAR ~ = ARIiY-~bS- INF SP4 (T) >~- ~ OF RANK 17 NOV 68 • T. U S UT12EN B PLACE OF BIRTH (CM- ad Sled p Low.71 9 DATE CA\ MONTH vEww ~ ~ YES NO D B RTH ST TESB RO GEO w~. 23 ~Ct 47 I Oo SELECTIVE SERVICE NUYBER 4 SELECTIVE SERVICE LOCAL BOARD NUMBER tlTr. COUNTY STATE ANO 21P CODE _ < DATE INDUCTED W ~ ~ ~ r R ~ ~\YP OA• KONTM YEAR ~ 0 tlt ~ 3 I D 2 - 67 11 o TYPE OF TRANSFER OR DISCHARGE D STATION OR INSTALLATION AT WHICH EFFECTED ~ - Trusf~rrei T• BAR (iM - It>r Ali) Fart Lwis , -- _ v .T~ c REASON AND AUTNORITV o I EFFECTIVE Ow• rJNT.c .EAA_ a' ~ Sea •II S ~ i8S-ZSO S!1 411 (an]reei4/ ~ltolEMS) DATE 22 Jul 69 O p 12. J~1~T Oy[V ~Sg~j1i~~T ATK~1+~~ C~y~INpi- 3r 1N j$ n Y { 1 j/ jiT j 2 T l to CHARACTER OF SERVICE D TTPE OF CERTIFICATE ISSUED M . + _ r N~Q~a~F = ~ f • DISTRICT AREA COMMAND OR CORPS TO WHICH RESERVIST TRANSFERRED IS REENl15TYENT CODE 1 F rr ~~ Y 16 TERMtlyll` SATE ~RRVE/ T • OBL IT CURRENT ACTIVE SERVICE OTHER THAN Br INDUCTION D TERM OF OF ENTRY SERVICE ~ DATE OF ENTRY OA• MONTH TEAR o SOURCE (T~.Y•i a ENLISTED (f.N E••I,vn•e••rl ~ ENLISTED 1h.« Sew ••n1 ~ REENLISTEO OAr MONTH T[AA ~ OTHER ~ 1 ~ 10 PRIOR REGULAR ENLISTYENT3 1! GRADE RATE OR RANK AT TIME OF 20 PLACE OF ENTRY INTO CURRENT ACTIVE SERVIC E IC•!r and So!el ENTgr INTO CURRENT ACTIVE SVC ><0~ t'R E-1 D ~ 2t HOME Oi RECORD AT TIME OF Sari od 11- Co Sw n !iD G• + ENTRY INTO ACTIVE SERVICE Codel 22 STATEY ENT OF SERVICE YEARS MONTHS DAYS - w e r r i I ~~ S 6~2 ~ t~ treet ° • I • NET SERVICE THIS PERIOD ~ - OU CREDITABLE FOR BASIC PAV •b OT HER SERVICE • { 23e SPECIALTY NUYBER • TITLE D RELATED C/VILIAN OCCUPATION AND O O T NUMBER PURPOSES • 3• TOIµ IuNE 111 N + t•ne 1111 i { r ~~ D TOTAL ACTIVE SERVICE I O < FOREIGN AND OR SEA SERVICE i1C1O'~ W~iY - V 2• DECOR IONS. MEDALS. BADGES- COMYENDAT/ONS CITATIONS AND CAMPAIGN RIBBONS AWAR DEO OR AUTHORIZED a ~~ VSb VCb CIB ARCOb w/ "V" BSIY EXP M-16 2 0/S Bars i - -AND RECO~l08D~ , _ 2S EDUCATION ANO TRAINING COMPLETED ST. LUCI r RECD - 18114 N(YIE ~ '69 JUL 2 $ PN 2:10 26 o NON-PAT PERIODS TIME LOST (-ncebq D DAYS ACCRUED LAVE PAID 2)o INSURANCE IN FORCE D A ~~OU tI MONTH ALLOTMENT K CI `~ 1, nlscONTINUED NSU « uSGlq r_° Teo•I) ~ ; LER + t ~ p ~ Yes B NO s ~ ~ - 1 ` V ~ 2B VA CLAIM NUMBER 29. SERVICEMEN'S GROUP LIFE INSURANCE COVERAGE ~ ~ ! 11AVt• ~- j ~t0 000 a SS 000 ~ NOHE 'v- . j 30 REMARKS ~ vi t i~i~E iH~r~~~ i iL Dlssi firsrt: A Positive j Itea SAs PFC (P) E-3 Appointed 8 bay 68 3T. PERMANENT ADDRESS FOR MAILING PURPOSES AFTER 1RANSFER OR DISCHARGE 32 SIGNATURE Oi PERSON BEING TRANSFERRED OR DISCNAR O z O ~ (SI.~/ EFD Grr CaMr Sane aM III C°dei ~ ~ ~ / // // , // / V/ z 33 TTPED NAYE GRADE ANO TITLE OF AUTHORIZING OFFICER t NATURE OF OFFICER AUTHORIZED SIGN iEw~~