HomeMy WebLinkAbout0044 ~ - .
TMS K AN IM?ORTANT RECORO G~`~ V~' 1 ~ ~i
SAFEGUARO n. / ~ O ~ l
~ LA$7 NqYE ~ FIII31 kAME - YIOOIE NA4E 2 SERYiCE NUYBER SpC~AL SEGURIiV NVwBER ~~~~j ~
~~_~MIQ.I~t J0~1i11IS LE~ US 59 581 821 ~62 8K 6212 ~
~ • DEPARTwENT COMPpNEN~ ANO BRANCN OR C1A55 Sa GRADE RATE OR RANIf p PAV • OATE ~N*~
~ j ARlR-~~ A~C StS ~ R~K 3~ Jau 70
~ U 5 UT~ZEN S PIAGE Oi 61RTN (G~~ on0 y,y~ w Co„w.~) 9 OATE r~NTN rE~~
~ ! ~ 11ES O NO ~ Mi/MYL~ ~~i~ 0 RTN ~ ~
~ W ~Oe SE~ECT WE SERV~CE NU~rBEp b SEIECTWE SERVICE IOC.~C BOA11b NUMBER CITV ~p{~Nl~ S~AiE ANO 21P GOOE i DATE 1NQlICTED
< Dw_~ y
LVW~ ~V~(Y AOi OI~t YppTN VEAR
xx°j S iK0 ~8 602 ~O Ft P~ir~ FL - ' 6 Jnn 6~ }
,
110 ?1PE Oi TRANSFER OR DISCHARGE O STATIpN OR INST~?LLAiION AT WNICN E~rEC~ED
w
; Transferred to i~AR (Sre Itea~ #16) FORT I~I~TIS NASHIt~iGTO~T
u c REASON AN~ ~UTHORITV O O~r YpaiN •EA4
V~ EFFECTIYE
a~ Sac VII 5 AK 655-200 SPN 411 (Overasas Returaea) a?*E la P~b 70
~ p ~2 1 AND MAJOR tOwMANO ~ 3o CNARACTER OF SERVICE , O T1IPEOF C£RTIFICATE ~35UE0
~ AlEI 9`45! EI6iRN ~R!!Y HOIIORABI.E 11011E
~ 1• O~STP-!L~ AREA CO~YAND OR CORPS TO WNKH pESERVIST TRANSFERREO fS. REENLeSTMENt COOE
~
USAS OOHT~OL GROIIP (AIT~TUAI. rBAiI~IKG) USAAC ST LOIIIS MISSOUBI AS- 1
~ t6 iERMINAL OA~E pF R~ RYEi 17. CURRE?~T AtT~VE SCRViCE OTMER THAN 6Y ~NWCTiON E tERwOF ~ ~
i UMT S S OBLIGATI~ • DATE OF ENTNY
o SpURCE OF EN7R~: SERV~CE
~ nA~ YW~iTM vE~~ ? fNUSTEO if~rv Ewbvnvr~ Q ENL~STED ~F.er Se..~;ey ~ REENLt5~E0 ~r~~ Ow~ rONTw vEwq
S Jun 74 ~ o,.,ER ~ gA 8A NA
!t'6 PRIOR REGULAR ENL/STMENTS 19 GRADE RwTE OR RANtt AT TINE Oi 20 PUCE OF ENTRY /NT0 CURr7ENT ACTIVE SERV~CE (C~~~ ad Sb4)
i , ENTNY INTOGURRENT AC~~YE SVC ~
i
~ 21 r10YE OF RECORO A? TIME Of ENiN`I INTO ACTIVE $ERViCE ZZ STATENENT OF 5liiY1CE 11EAR5 MONiMS OA~'$
S~ee~ Rf0 G~r Cw~rr YaI~Ie
~oM t~ Godel
~~~t ~ffi~ rM'r ° ~ t~ NET SERVtCE THIS PER100
~ ~ Pi~~ ~ S~T~{/ CNED~TABLE ~~e
FORBAS1CPw? '2' 7TNER SERVICE
23o SPECULiYNUMBER6TtTtE b REIA~EOGIWLUNOCCUPa110N4ND PURPOSES
, s. rof~e cur~E f~l a+.~. e.~r f~i!
00T NUMBER
~ ~~O ~ A 70TAL ACT~VE SERVICE
r .
' ~ Adsio Sp~a p~ ~
c iOqE~GN i.NO OR SEw SERVICE
r
~ ~ ` 2• DECORATIONS MEOALS. BAOGES. CONMENDAT~ONS. G1TAT10NS AND CAMPAIGN RIBSONS AWARDED OR AUTMOR2E0 ~
I ;
IiDSM ~ b'1~ ~ FILED AND RECORO~ ~ ~
~ ST. ~UC~E COUNTY. FL . ~
j _ ,..,,1; ~,~a~C~
'I 1S EOpCAT~ON ANO TRA~NING COMPLETEO ' ~
; t~ATC Ft Jaaksaa So~tth C'arolisa ~~ks C1k 6~ ~ara~
` '70 FEB I S FM !2 : Q ~
i . ~~t.~..~'
i c:,1:::: :~1,TRAS
~ ~ GCERK CtR~I.+IT COUR
~ 2t a NON•rAV IERIOOS T~ME LO~T (?.~~yey E OAVS AGCRUED LEAVE PAtD 27n IqgUpANCE IN iORC€ D AYpl1N1 OF ALLOTMENT c MOMM ALLOTMENT ~
' T~e Yev~) (NSU w USGIt) MSCONTtNYEO ~
~ 0 I Q rE5 ~ NO g~A ~ ~
~
2a YA ClA1M NUYSE~! I! SERYtCEYEN'S G110UP L~FE INSURANCE COVERAGE ~
i ~
~ > ~ ~ ~ St0.000 ~ 53 POO ~ NOrrE :
i
~
30 NEMMtRS
~
N CIIRLIAN EDUCIlTIpi i ~ f
~ Y DIAOD At0E1P : D Pos ~
s
€ ~ ~
~ ~~t . PERMANENT AD01tESS FOR MAIL(NG PVRIOSE3 Af7ER tItANSiER OR D15CMARGE 3 S/GN E OF PERSON HE/N6 TqANSFERqEO OR MARGEO
~ L1 ~ ya.. a.a zir caa.~
~ .
V
` ' ~ ~ ~
~ ~'7] TYrED NAME GRAOE ANO i1TLE OF AUTMONIZING OFFICER 3 51GNATYRE Of FI UTM01111E0 SIGN ~
r e cax~ crt ~a wssi Aatvrarr ~
~
DO ,`,°R 4 ?qE OBSOIETE EFCECTivc
~,wN
si A~MEO wRCES Oi iME IN'A1f0 SIATES A
R[!'ORT OF TRANSFER OR pfCHARliE
_ aR ~ 1 ~ ?
aaoK 183 ~ - 4~ - ~
~ - a.Y.- ~
4~
1 `~1r~ - _ ',ri .
.
_ - r
_ ~ . _,...t... _ . - _ W ~