HomeMy WebLinkAbout1918r _ 9A ~fM to
TIRS K AN IMfOR?ANT RECORD
cacfmlABn n
1$2512
1 IAfT NAPE -FIRST NAPE ~ MIDDLE NAPE
~ 2 SERVKE NUMBER ~. fOC1Al 3EGUMTr NUMBER
~~ ~~ ~ OS 250 201 263 6a 112a
~ •. DEPARTMENT. COMPONENT AND 6RANCN OR CLASS !e fiRAOE RATE OR RANK b PAY
` •~ DATE
°` OAT YONTN TEAR
2
7
[
.~_ SS~B;
?c u? ~saE 30) o=
~
RANK 13 ssr 68
`
~ d S
C
C
~ DAT MONTH TUR
jj
~ 7. U f CITIZEN
TES [~ NO loe w
ewlTl
+, e.
• PLACE OF BIRTH I
DATE
fILOZI IQSSISSIrrI slwiN 24 DEC 44
I Oe SELECTIVE SERVICE NUMBER b SELECTIVE SERVKE LOCAL BOARD NUYS[R. GITr. COUNTY. STATE ANO 21P COOS c GATE INDUCTED
F V ~ ~~ ~~~~ ~ OAT YONTM TEAR
~~° a ~o ~ ~s4 ~o roc rlsca ?LOB,IDA ~-
f 1 a TTPE Oi TRANSFER OR DISCHARGE A STATION OR IN37~L1AT10N AT WNICN EFFECTED
satiated lro~ A~cti~e !02? LEiiIS pASHItiG?Oll
_
N ~ REASON AND AUTNOwITrR>fi ~~~ ($ 3 ~ 63S•1S0 Sra 11 a
EFFECTIVE OA• Yp/iN .EAR
C `
F ~Y -.~~ ~ ~ ~ ~~yp~l
~'ri blRiii AiiEiAi GATE 4 S~ 69
M
O p 12 ~ASi•~11SBTRi1GNYENi ANO MAJOR COMMAND
LL iiiiii
V 1 ]° CHARACTER OF SERVKE b TTPE OF CERTIFKATE KSUEO
W 1 ~F
~ ~O~
Z I • 015 ~A
O OR CORPS TO WNKN RESERVIST TRANSFERRED 13. REENLISTMENT CODE
I s? Loots rassov>RI ~s
RESERVE/
16 TERNINA~ SATE CF
TI 17 CURRENT ACTIVE SERVICE OTHER TMAM Br INDUCTNNI b TERM OF
SERVICE ~ pATE OF ENTRr
~A
ON
llllYT OBl ° SOUIICE OF ENTRY i
OAT MONTH •UR Q ENLIfTED (R.II E~W.IW) ~ ENLIlTED (~ ~+^~°) ~ REENUSTED (Ta°ni OAT N rEAR
NON
20 «"t 72 OTHER OQ4lISSIDIIED 11A 13 3EP 67
1• PRIOR REGULAR ENLIlTMENTS t1. GRADE. RATE OR RANK AT TIME OF 20 PLACE OF ENTRT INTO CURRENT ACTIVE SERVICE IGy °wd SbN)
ENTRT INTO CURRENT ACTIVE SVC
8EOOUD LIEtREMdM? l~ JAtZSON SOU?B CADOLIBA
21 NOM£ Oi RECORD AT TIME OF ENTRY INTO ACTIVE SERWCE 22 STATEMENT OF SERVKE TEARS MONTHS DAYS
IsI.«/. tTO oIr call,. sls. °.e t/r c°ea
~1 ~ NET SERVICE THIS PERIOD 1
~ 21
ss03 Sg~? ~
•7
CREDITABLE 0
TOR BASIC PAY 12~OTNER SERVKE l0 21
23o SPECIAITr NUMBER R T111E b. REUITEO CIVILIAN OCCUPATION ANO PURPOSES ~ 31 TOTAL (UNE It) yvI lw (?)) 'i 7~
11 O
` '` O O T NUMBER
2136 S~ ?~ D TOTAL ACTIVE SERVICE 2
11 0
O < FOREIGN ANO OR SEA SERVICE
~
11 17
V 2t DECORATIONS. MEDALS. BADGES. COMMENDATIONS. CITATIONS ANO CAMPAIGN RIBBONS AWAR OED OR AUTNOR12ED
t~1lED AN0 RECOPtDf ~'
1ImSM YQI YSM 2 OS BASS ST. LUCIE COUNTY, F~l.~-.`
RECORD VE IFIEO
23. EOUCAT/ON ANO TRAINING COMPLETED G
'69 SEP 3 AM i
: ~ 6
0
1$2512
BCE
r,OGER ?OITRAS
CLERK CiRCUiT COUAT~
~ 26 ° NON~PAT PERI005 TIME LOST (rr°ce6wq D OATS ACCRUED LAVE PAID 270. INSURANCE IN iORC€ b. AMOUNT OF ALLOTMENT c MONTH ALLOTMENT
DISCONTINUED
T.° rpn) INSU a USGII)
p
O ~ ^ TES NO 5
--
~ j ~
2f. VA CIAiM NiJMBER 29. SERVICEMEN'S GROUP UFE INSURANCE COVERAGE
r
~ ~
~ ~- ~` 10.000 ~ SS 000 NONE
CIA
70 REMARKS
N I ~~ ~~~M~M.,•
BLOOD 67bOv1's A pas
Ita~ sa s ?Eh! 1L? /IDS ~ AMD 13 SBr 68; PEBB< 2L? DSAS, AP?D 13 SEP 6 7
I
31. PERMANENT ADDRESS FOR MAILING PURPOSES AFTER TRANSFER OR DISCHARGE + 12. SIGNATURE Oi PERSON BEING TRANSFERRED OR OISGNARGEO
IS"M~ KD. C», Caw,, 9aN arld 21r Cedi- .
Sylz AS #21
V
_
~
Z
2i TTPEO NAME GRADE AND TITLE OF AUTNORI21NG OFFICLR 71. 51 ATU CER AUTHORIZED TO
N J ~D~E~ CM I1R ASS? ADJOrAU!
,.
w i0~ a• `~~ ARE OBSOLETE EFFECT V[ 1 JAN f7
,/
i
i
j
ARMED FORR.i Q ITR Y7w1iV alwlca Ts
+l//// RKORT Of TRAI~KfFR OR DISCHARGE Z
aoaKlPl9~ X19 ~
16
_..
_.
-__=
,__ ~_~