HomeMy WebLinkAbout1166TITS IS AN ~ORTANT RECORD
- - ~ - - ~ swFESU~RD Ir. 181J65
LAST NAY[•FIRST NAPE-YIODIE NAVE :. SERVICE NUw[w 3. SOtul S[CUItlTY NUwEII
~~,~Tgg ~g ~pyp AF14916330 261 1391
O SL GRADE. RATE OR RANI ~- SAY .. OAY YONTN YEAR
•. OE/ARTYWT. COYIONENT AND BRANCH OR CLAM GRADE DATE
Z AIR FOtCE REGAF SGT E4 R""R 1 OCT 67
T. U. S. CITIZEN .- iLACE OF MRTN (~ Nr 3tiBR M ~7/ B' DATE DAY YONTN YEAH
W D<
~ YES ~ NO l+T PIERCE FL BIRTFI 23 DBC 44
W W /Oa SEL[CTIVE SERVICE NUWER 3ti SELECTIVE SERVICE LOCAL BOARD NUYSER. CTTY. COUNTY. STATE ANO 2/- CODE A DATE INDUCTED
~Ll< DAY YONTN YEAR
WNO 8 53 ~I n
b. STATION OR INfTALLATgN AT 1II//N:N EiiECTEO
H 1 1 .. TY~E~ TRA~ER OR DISCIIARGE~ ~ Fi r~~ ~T FL
.~u RELBASE FBOM ACTIVB DDTY ~n~ p) y TSAYIS~SAFB FAIBFIBLD CA
V C RGSON ANO AUTNQMTY~C B, C~P ~, PARR 3-17C, AF!!I 39-1 (BOLT 411, E1FFECTIVE owY YONTM YEAR
O < C.O.G. °ATE 11 AUG 69
~ C /2. LAST DUTY ASSKiNYENT AND MAJOR COYYANO 13 t CNARACTEII OF S[RVICE -- TYrf OF CERTIFICATE ISSUED
8 SUPPLY SQ, PACAF >~pOEABI.S ~
N 1~ REENLISriENT CODE
` I t OUJTRICT. AREA COAIYAND OR CARlS TO w1110/ RESEIM87 TIIANSFERRED
AFBBS 1
Id TERMINAL GATE Oi RESERVE IT CURRENT ACTNf SEMKE OTME11 THAN 1Y INDUCTION A.TERL OF G DATE OF ENTRY
YTQS OBLIGATION SOU RC( OF ENTRY- SERVICE
DAY YONTN YGR ~ (Y.Rn) DAY YONTN YEM
ENl15TED (/i/FI LRdNwAS) QENLISTED (/-tOl apYilr) QREENIlSTEO n
16 AUG 71 oDTNER AFQT: 7C 48-III 4 17 AU`II 65
/• IItlOR REAUI.AR ENUSTIIENT3 IB. GRADE. RATE OR RANK AT TIME OF 20. -LACE OF ENTRY INTO CURRENT ACTIVE SERVKE (GYj RRd SIRtr)
AIRMA>li sASIC~~ OOltAL GABLBS, FL
I~(~
21 N~OM~E ~O/Fp R~EyC.OR~ AT TyI.M~E. ~OF ENTRY INTO ACTIVE SERVK[ 22. STAT EVENT OF SERVICE rEARS NONTNS DAYS
5/~'y-TT.fpQ;'~F'~' a III NET SERVICE THIS VERWD
ST L~.~ W . i FLi 133450 CREDITABLE 121 OTHER SERYKE
TOR BA51C -AY
23a IJPECIALTY NUMBER Q TITLE ~ RELATED CMLIAN OCCII~ATION AND wRVOSES 131 TOTAL (LYM (II ~J LIRt /2)) 3
L~ v.I~I~ O.O.T. NUWER j~'~~~~~!
~ 647SO MAIL FACE REC~BIYI»/5+~+~~ ~^' 6. TOTAL ACTNE SEINKE
p SP$Cj. ~ FOiYRO1S 5-99.070 G FOREIGN AND.OR SEA SERVICE
~ 2A. D[OORAT/ONS. MEDALS. BADGES. COYYOiDAT1ONS. CITA71ON5 ANO CAWAION RMSONS ASIAROED OR AUTHORIZEO
h ~; OSK Q/1BSSs ~~ (17AUG65-16AUCsG8) AFM 900-3/ RVClI, AFl~ 900-3//
23 EDUCATION AND TRAINING CDYKETED
BASIC SUPPLY CRSB 64000 (BCI) 66/MATE FACE SPECL CRSB 64750 (BCI) OOMPL 66//
FILED ANO RECORDED
ST. LUCIE COUNTY. FLA.
=rpR~ V~Rf~11=D
181965
2Bl NON-IAY -ER/ODS/TWE LOST 3L DAYS ACCRI/ED LEAVE PAID 27a1NSUMNCE IN FO ~. NT ALL E11T C YO ONTINU EO ENT
(rNariRt TRw TiRn) pQT PAID SEE (NSU a iIdOL4 ~/~C
~ o NOIi-PAY 15 DAYS ITBM 30 OYES ®"O ' !TT NA
~~ (27DBC68*-lOJAii69) :S VA CLw11/NUYSER 2B SEIMCENEIi'S GIIOU-N(C~I~ li1RLiV11 yOURT-
j N ~ TIi~ LOST ~ ~~ 310.000 ~] 3 3.000 Q NON E
30 REYARRS
Hg-GRAD/nL00D GP 0 POB/M~iO ASS GSS E45 U>~ATSD/B1LGB88 LV 15 DA7[B~~IAC 118EP65 4TH
DIST OBI/I HAYB ESN COUI18BL1iD AS TO COImITI01~ FOR ~[ REBpTlY Tl110 THE AIR FORCE
W Al®I UINERSTAI~ID TEAT EVERY FORMER AIR FACE MBI~ER MAST ll1~ THB ENLISTMB>IIT STAt1D-
AaDB IF EFFECT AT TIDE TIlOL OF HIS APPLICATION. //
3r oERYANENT ADDRESS 1011 YAlLINO wR-OSES AFTER TRANSFER OR DISCHARGE 32 SIGNA UERSO-I ,E~; G TgANSFERRGIED OR OtSCNARGiD
ST Lt~CIE 00. , FL 33450
W 33 TYPED NAPE. GRAD[ AN~TITLE 0• AUTMOR121N0 OfitCER >•- SgNATURE Oi OiFKER AUTMORI TO N
~ 1~00IC,~ PORT SEl~-TIOU' 8BC3I011
D~ FoRII 2{ /I -REY~ous faTIONRO~ ARMED FORCES Ti NITED STATES
lug as 't ~ REPORT OF NSFE DISCHARGE
.~~_ fir- ~ c s u~ ~~~
e - u ~'~