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7HIS IS AN IMPORTANT REOORD i 7 V L 1 SAFEGI;ARD IT. 1 LAST NAME~FIRST NA~AE ~MIOOIE NAME 2. SERVICE fVIIMBEA ? 90C1^L SECIIibTY NU~~BER ~ B~~Y sa~.~.~r ~~5166?3~? 2F6 7?a 8723 ~ • DEPMTMENT. COMPONENT AND BRANCN OR ClAS4 Sa 6RADE. MTE OR RANK PA~~E R OM7F ~r MOIdTN ~IEAR ~ Y~"l•'~V :ltt S1 (l C~im J RANK C L ~ if'11 7. U S CITIZEN H PI.ACE OF BIHHTM /qOr rf dr! r Cl~Iy) 9 pAY µONTN tlEAR OI?TE ~r es D~+o ?,)t?I ;?(~':~~;ILI,~ i,i: ewTN S J?!L ~+3 jy~ IOa SEIECTIVE SERVA'.E NUMBER ~ SEIECTIVE SERYICE ~OGAL 6pARp NUMBER, CITI, COUNTY, STATE ANU Z1P COOE pATE It~qUC?ED Y~ wr ~uoM7N rEr.rr 3 ~t0 t3 ~o ~,I3 1;0 :'~~T2?' DI~CT ^'L4 "33~5~ .;4 W 11a 7YPE OF TqANSfER OR OtSCKAfi("E ? STA7/01~/ OR INSTALLATION A7 KNlCH EFiECTED ~ ~i~ ~j`~ i.~:~~ ~SCaT.'.IJ~ F1 DIti: >rJ v t. REASON AND AUT?qR1TV d pAV MOIVTM VEAR N c~3S-~00 SPI: ~:11 i~!tR fi}'P ;'iZ c`~ wTE"E 22 SF.F' 70 " a DO 12. LAST DUTY AS516NMENT AND MAIOR COMMAND 13n CHARAGTER OF SERV~CE ~ TVPE OF CERTiF~CATE 55UED ; *_.r,~ CO '?SARF'iTR SIG Ci': ~~.'?'~i'^CO" :iO~TORA:~L~ Z 14.Or5TH~CT./~REACOMMANDORCORPSTOVIfHICNRE5ERY15TTRANSFERRED 19REENlJStMEF7TC0(~ < ¢ ~ t`"~ CO" ~'P (RF'Z';F ) ~'Sa.11C c"' j ~~=•io ~;1 _ T'c'1 ~ ~C L~ , , . , t6 EFtM~NAL .7AT~ pF RESERYE,- 17. CURRENT ACTI~'E SERYICE 07HER 7HAN 9v INOlJCT10N TERM OF ~ UMT6S ~~911G/1TK)N ~ OATE OF ENIRV a SOIJRCE OF ENTRY ERVICE DAY MpNTH VEAR yfO^~ DAY MONTH VEAR ~15TE0 ~tW 6wbOVwi1 ~ ENItSTED 1Pfv yn~~r1 ~ REENLISTED 21 SEP 73 ~O1~HER ? ~7 ~~;n r7 & PRKNi REGVIAR ENL~STMENT I9 GRADE. R4TE OR RANK AT TIME OF 2p F'IACE OF ENTRY MTO i.VRHENT ACTIVE SERVICE ((1p rd S~a4~ ENiRY WTO CURt7ENT ACT~vE SYC "O:;E FV F.1 rT B;A:,+s ".C 21 HCME CF RECORD 4T 7~ME OF ENTRV INTO PCTiVE SEqVICE 22. 5T.~ITEMENT Of SERViCE VEARS INONTN3 DAY$ ISb+~t ifA [lq, far~Q. SJe4 rd I!F t'odrl '~a.^"- 1~ L~ (11 NET SERVCE THeS P£RIOp ~ 11 2) Z'V~l ~Ti.:\l~..L (~y 'uT~~1~, t~~ti 33~:50 GRBAS~PAY iTOTltERSERVICE 5 PtJRPOSES ?3s SPECIALTV NVMBER 6 T1TL,E i REUTED CIVILtPN OCCUPA71pfY ANp (3) fC7TAL t[wr 1/) ~ fr 111 3 ~1 1 D O T. NUM$ER ~ 723~t7 2? Q. 3~~ a rot~u.~cnve s~RV~ 3 1~ 1 W l, ~ l~.i..~ .CP l.:~l\ ~.~i~~l ~ FO(i£IGN At~iOR SEA S~ 3 J ~ 'f 1 ! V 24. OECOQATqt~~S. 4fEqALS. B4IX'aES. COMMENDATqNS. CITAt10N5 ANDCAMAAICaN RIBBONS AWARJEOOR AVTHORIZED ~ ~~1~ l.Ji'~Sliir•~ ~ .~i~L~tiT • ' 'r ' 1 2 OV~~:SFAS 3L?S '~4?'TO;:A?. ~E='E'•,S~ ~ER`,'I+~ :Fi'~~1:, :I~'r-- -.A" ;~..~'T'.SV ...rTAL ~;;v~-.. . .:S' . I:. '1 ;'~.~Z' :ti', 2S. EOUCAT~Ofr wNp TqAMlINfi COMPLETEO ~o'' 7`~~:~ ~1 ~~rT~~':~ FILEO AND RECOROEO' ~l-ll~i ST. LUCIE COUN'~Y. F~A• ,c • RrrQ~;,: ~r: o.- c~-;~ 1.~~3~'~ t ~ ;r:.. -,T~~~,: ~ ` 0 C~': ? . • 6 AM 11:3 2'6a HOPI PI.V PERqQS Tyi1E 105T /pK~yY ~ p„~yg ACCp~/ED I.EAVE PNp 27a M15URANCE W FOfiCE A AMOl1NT OF ALLOTME t. MOI~TM /?~LOTMENT . RF }1~ 7rn! 1N511 r fJa6Il1 \ QISCON7W1lED < ` , Qyr -1-iT+ .'''':~T: ~ . ~:;iUG ' R ~ OI ..I~:tL V 2H VA ClA1M M/MBEft 2'9 SERVICE C ~.1~ , . C, ? f1Q000 ~f400D d.Nd~~ ? 15,n~~~ y ~~'`'`J~ J.'~ W t ~ ~i~': ; ~r 1; "Ay ~ R,_~~ ~p-~ ~.q w a Yn~ ^OL P~L S~I ~ 31. FERMANEM ~90RE55 FOit M/11LMK' PVRP~OS£5 AF7ER TRANSFER OR pSCHAfiGE 32. SK'al'tATi/QE OF PERSOH BEYJ6 7RAN3iERRED OR D15CHAH6ED Z 1AreK t/D. CTO. ~O. !~r r/ W C1i1 ~ 2203 fl~'^ i^, F'JR~' PI?~2C~' r^~~A 33~~57 • ~ W TYPED NINME. GRAOE w?q TttLE OF AVTNOR~ZY~O OFFICfR 34. SKiNATtJR~E FlCER SKiN 2 ~ RAr. ~OSfiOii."~I? CAp'~,*Ar, ASST CHJ~' E?'iL $R. FoaM 214 PREVK~lM3 EOfT~ONS OF TM4 fORY 'k ~t.y~o ~ ARMED ~+OIICE10f TNE tM1ITEO:TATEf 1 M e6 ME Og40CE7E EFFECTNE 2 JAN ~ V•Ji4 ~ v ¦ ~~?['7~F RE/'~T OF TRAMfFER 'OR ~IIAI~[ ~ ~S'~ r ' ~ ~ + " - ' 4."`'' ='t'+'aa~`m~~~r.as~~,~,a._ . _ 5 .~'?~,.:s s~~.". ~'~"~.-c'c~~5r~