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1. IJL4T NAMEfiWS? lL17dE~YOOLE NAME 2. SERY1Cf MAi1BER SOCML SECIMtlTY lilAlER
~ WBAVBR CIAYTON LAWRBNCE W3 165 326 275 48 9917
~ a oES,~wn~Ettr. ~ro ow cuss a. cy+woE. w?TE at w~r~K ? w?~~ s w~ w?r r~onn~ rEwre
~ ARMY-USAR•AVN CW2 See 30 W-2 28 Jul 70
!r u. s. cmzeN a wJrce oF errrr ~ae••~ a.r . a..~» ° a?~ a?r ~o~+r?+
s ~`''O Ravenna Ohio ~T" 31 Ha 50
~ W t lpa SEIECTiVE SERVICE NUMBER a SELECTIVE SERVICE LOCAL BOMD NUMIBER CT/. COUNTV. STA7E I1ND ZIP COOE a pd?TE wpNCTEp
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Yl~~ y~l, Ul\N~V~
lla TYPE OF TRANSFER OR 019C?W2('aE STATION OR NSTALU?T10N AT W WCM EFFECTEO
W
~ Rel from AD Fort Stewart Ga
~ newsav ~no wr?+oaiTV a c~ wr worin~ vEww
AR 635-100 SPN 644 ~ DA Ms 011631Z Dec 70 °iTE 25 Feb 71
~0 12 lA4T Dl)TY ~SSK'JJMENT M~D MAJdi COMIJA?dD THIRD US 13. c?w~~c~a oF sewv~ce ~ rvvE oF cEar~cw~ ~
~ Avn S t Co A OL816 USAAVNS Elm ARMY HONORABLE None
z 4. OISTRICT. MEA COMMMrO OR CORPS TO 1N~~(.'M RESERVIST TRANSFFFRED IS I~ENLISTMEM OODE
~ USAR Control Grou Anl T USAAC St i,ouis Mo 63132 NA
~ ii. cv~r~r wcnve s~tv~ or?+ew tww er woucnon ~wM oF ~ uwre oF orrar
wr6s oe~~non . sou+ce oF Fxrav: x""?
v rEww a?r ~rorrrr~ rEwn
~ EHLISTED IJi'~t L~ir~O ~ EPRJSTEO IAir S~~nrl ~ REEM]ST£D
5 Jun 74 C2i~p Appointed Warrant Officer FiA 28 Jul 69
a Pw~oa ~c;urr+ Erw~sT i9. c.Rwoe. ww~ oa Rwwe wT ~ oF aa w~ce as Er+rwr rtro cur~r+er+r ~crrvE seR+nce ~ae .~.r au~~
EMRY MO CURREIYT AC7NE SVC
; pp WO1 W-1 Hunter Arm Airfield, Ga
1. HOIYIE Of PE~ AT TNiE OF ENTRY !(70 ACTNE SERVICE ?2 STATEt~lT OF SERVICE YEAR9 lM0?iTMS MY3
j 4!r«t RtA fSOt ~R 8rr r/ Sl! 0~4)
; 324 N. Mantua Street ` "E* a~v~ TM's ~a'°° 1
~ Kent, Por tage, Ohio 44240 r m oT?~e sewvice
1 1 22
~ x~ s~ u~ H?~+eEr+ a m?E • weuTeo cnn~uw occwwnor+ ~?+o ~~vn~s u:.. tn r+~ f.•• w 2 8 20
D.O.T. MIYBER
~ ~ 100B Rotary Wing 0-41.10 Airplane `TOT"~"~T"'E~ 2 6 4
t Pilot Util Pilot Co~ercial nFOiE"'~""'''1D'Oi~"~EVietnam 0 11 28
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C V 1K. OECOftAT10H4. YEDALS. BADCaES. COWMENOATIOP~S. CffAT10N4 /WO CMAPAIC'aN RIBBOIiS AWAROEO OR /MITHOAIZED
~ ~
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~ NpSM Ar Aviator Bad e VSM VQi 1 0/S Bar DFC Pur le Heart BSM ARCUM AM
~ non 1wwr~ru: co.~v.F,en
i1LE0 AMD RECO~DEO `
~ Fort Wolters, Tex - 20 Weeks 1969 - WORWAC BT.lUC1E ~OUMTY FLA.
Hunter Army Airfield, Ga - 16 Weeks 1969 - WORWAC (100B) (Cinsgcy ROCEit PO~tRAs
~ Code of Conduct CL~RR CIRCUIT C IMT
RECOIIO YER:FIEO..~~
~ ~B~ J~S ;~~:~425 ~ 3 2 2~ rM'Z i
~
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26a ~qfaPAV PER1006 TiME lOST IAea~iy R OAYS ACCRUED LEJ?VE PAID a WSiIRANCE W FOR(,'E ? AMOIX~fi OF ALLOTMEHT e MOt~TH ALlOTMENT
Tw liwsl ~ INS/l r U9QilY ~
~ ~Q ~ YES ~ NO
~ W None NA NA
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2 V ~H. VA CLJ1W NUMBER 29. SERVICEI.IEN'S (iROUP LFE WSIJRI~NCE COVERACaE
? uo.ooo ?saooo ? ?+or~
$15 , 000
one
~
30. r~~+Ks
~ Civilian Education canpleted: 12 years
; Blood Group "A"
~ Vietnam Service from 2 Sep 69 thru 30 Aug 70
°C Item Sa: Temp G~12 AUS Appointed 28 Jul 70; Perm CW2 USAR Appofnted 26 Feb 71
y'" 31. PERMANENT ADORESS iOR MWLWO PIXtPOSES /1FTER TRANSFER OR pSCFlAH(iE 3Z SIGNATI/RE OP PER•'M~l BEMXi TRAHSf ERRED OR OM'~CNARGED
z'~~~,-,",c~' Z t~ R/A C10. r,~4. ~r o/ lll CLiI
:t ° 324 N. Mantua Street
~ ~ Kent, Portage, Ohio 44240 s
W TvPED HAME. GRADE AND TRLE Oi AtRNORIZY+G OFF~GER Of OFF~ER AVTNO(aZED
2 , /
rj 7~ ~ 1~C.. "
` JOHN P. GLYNN JR., 2LT, AGC, Asst AG - s'~
~ DD 1 M!6 214 PfiEV~OU'' ED~T~ONS OF TH5 FORM A~~1 Rf~1,r ~N~p 01~~1A~E 1
=ey ARE OBSOIETE EfiECTIVE 1 JAN 67. V
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