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HomeMy WebLinkAbout2050 ~ THIS IS /W IMPORTANT RECORD ~c~3r~t~;~ ~ SAFEGUARO IT. 1. L~ST NAM£-fIRST NAME-MIDOIE NAME 2. SERVICE tiU~i1BER 3 SOCMI SECtJRfiY NIN~ER ~ ' 1.C` ' t , r. / 4.. F ' DEPl~ATMENT. OOMPONENT AND 9RANCN OR CLASS Sa tiRAOE. RATE OR RANK • PA~A~ Q~~ DAV MONTH VEAR OF n. .j`;}' :i V ~l RANK 2r 1•_HI' C/ u. s. cmzEn a Rwce oF ewr?+ ~ao ..s sw c~.~.e~>i 9 a~ wr MoNrH r~~ue C~G ~ 0 ~'1O e'rrTM ~ , a. sE~crne seRwce rnweFw • SELECTIVE SERVICE l BOARD NUMBER CfTV. COIINTY. STATE AI~ ZIP COOE a?re wouc~n a?r Mor+rH v~?w ~ c~ ~ 0 8 ? ~'t : ~ierce ~ lorida ll ::ar 6~ 11a TYPE OF TRAMSFFA OR 0~9CMAR(iE STATION OR NSTALLATION AT NRiR;N EFFECTED ~ ".'rar.sferre:i to t ~ ' _ _ ~6 ` r ort .iile ~~a~ a HEASON Af~ AUTHORITY L QAY YONTH YEAR tiot ~ .er:,~ cf aH` :-:'C C,fS~~~~ . 1 GiJI ~u1^ZT~~: : t .1°T~~11C~ C V ~p 2 lA3T OUTY ASSKiNMENT AND MAlOR COA~MANO 13a CFIARACTER OF SERVICE \ 7YPE OF CEN'TIFlCATE ISSl1E0 ~ " 1~ t~:n~ r ~n lst nf _ ~iv _ _ C~ ~ y"~ i ~ a asTwcr. ,~a~w oa ^ To w~+c++ wFSeavisr ~ is a~ra~st~xr caoe .r~ T - r, • \ ;c -~r - - c. - r+ ~ e t / 1'f. CVqRENT ~ , SERVICE OTMER 7fiAN 9Y M~OUC710N ^ TERM OF e OATE OF EMRY tJ1¦tT6S oB~1fiA7~oN a 90UFiCE OF ENTRV: DAV MOMN YEAR p Era.~s~o ui.~ ~.w.~ ? era~srEO uN.. a.:«? ~ ae~sreo , , pon~w • a praoa r~ou~~r+ ~r~sT i9. c~wwoe. w?r~ ow wwK wr Tr+e oF an w~ce oF Exrr+r rrro cu~r+r s~ ~as .d arr~ errrar r+ro wx~rrr ~cmre svc -r;- : jt ~ l r' + 1. NOIn1E OF REiCOfiD AT TNE OF ENTHV INTO ACTIVE SERVICE ?2 STATE~M OF SERVICE YE/1RS M01'liMS QAVS - ISYwI =IA (70 ~ ~~r r1=!! f.L~r1 15GC : v;:nue ~ t i-~.erce ` a~ ~ s~ nss v~oo 1 2 camrrwe~e ~t ~~~cie ~ _ ~orica ' 0 ~gY a,o~sEr~ce G v z~ s~ u~ ~w a Trr~ a Rau~o cnn~uw oocuPwnon ~rio ~ mn~c u:. u?~++ c:. us ao.T. ~w ` ~t'i 1'.~. S9 ~?~21 ? TOTIIL AiC71vE SERVICE y'y ~ 1 c FORE16tJ /1f~iOR SEA SERVICE ~ !'ion~ar .~.ast r 0 G ~ M OEOORATIONS. ~ED~ALS. BADGES. COMMENOATIONS. CRATIONS IJA CJ1MPAqN IaBBONS AWAROED OR AIfTMORQED ?:t.r~C;:: L ll.y~:~::~u ~L:~VIC:: r:r:~~~L ~FILED AND RECORDED :::~~.s:' (t:=14 ~'I>~L:) ~T. LUCIE COUNTY. FLA. j.... r,:~-~ ~~•;-~;:`~cD as. ~+.E~n -~rr'"~t~ '1 O ~:;c~.,~ c: ~~~.~Y I 9 pM • ~s_:.:~~._ cc~.v:.?:~~1c.,. 2 . 24 0,~ :_I~j .1L~~:I`;:; :,.__::-B T_(~~c~~, ~ C.J?: ~i.4 _ ..~'~~r•'f .~1~l:iiJ . CLERK Ct~CUtT COURT ~ 26a trOrFPAY P£RI005 TWE 105T IA~[~fy OA1/S ACCRUED LEAVE PAID a!l3URANCE N FORCE ? AMOtRli OF ALLOTYElJT ° OBCONTlIUED fir ]Iwsl (MSIJ R fIDOtJ) ~ -i ~~g v~E jt.2: i ~;~-3 2H. VA «AM NUMBER P. SERVI~Elis (iR«,P LFE M~URAHCE 00'VER.KiE C_ ? uo.ooo ?sd.ooo ~ ~ "Table 3-l~ A8 601-280 applies" ~ 7 Ye~rs - seneral :slooa sroug "3-i~" ~ 61 da,r~ los ~ t:nder ~l1LlP lU, t'niteci ~tates Co~e, ':;ection ;~2; fro:r. 30 llec ti~ ti~ru 2~ t'eb G9 • 31. PERMANEI'fT AOORESS FOR MNLN(i Pl/RPOSE4 AF7ER TtWiSFER OR OISCFIARGE 3Z SIGNATIIRE OF PER"aON ~INCi TitANSFENREO OR OISC?MRGEO 4~~+5 =IR (30t ~O. ~r r/ lll C~ir) ~ i?O6 I.venue 'r ~ " ?~'t i'ierce . ~ : t r a ~ TYPEO NAME. (iRADE AND TiTif OF AUTFiOR~ZWI'3 OFFICER 34. OF TO 91CaN - ~ -'4.L' r.' -:r ~':57 ~G/ . FORM ~E ~~EORqN ECTrvE 1 J~ 67. G 1•11 ARMED fONCES Of THE lN1fTED STATE3 s i.Rw. es Z14 ~j~~~~~ REPORT OF iRAIIiFER OR pfG1AME 1 ; .I ~ ~ ~ ~ . _ _ - . _a., ,