HomeMy WebLinkAbout0247 ~18~'1'~ . c:
TH/S IS AY Il/MRTANT REl'OAD
SA FECUARD IT.
1 ~/~ii NAME -~IRST NAME M~DOIE NAVE 7 SEawCE NuMlEp ~ SOC~AL SECUp~fY NUMlER
< p
~
O A TM N. C N N AND BRANCH Op ClASS Sa D. A O NQNK ?~Ar 6 Y MONTM VEAP
~ GRwDf OwTE
t v Oi *y
Q ~ j~ RANK J VA
~j US GT11EN 6?lACEO~ B~NTM ~(l~Y~wdSwrrwC~wwr.r~ 9 OAY MONTN YEAN
~ OATE
~ ~YES QNO J~~ ~8~~ B RTN ~ T
>v lOa SEIECirvF SEeviCf tiu!~BER ! SEtECTWE SEav~Cf IOG~? B04qD'+UMBfR. C~TV_ COUNiV_ STAtE wND 1~?CODE ~ DAIE ~NpUCifO
~~F A N N V AR
<
W ~
J~O O ~
N
1 Y?E f AN~~1_QR v~ • STA ~W~1 Op tN$TAllAT10N A NfNICH EF CTED
~ i~K w
a
~ Z t ME~SON AND AUTNORITV p~p~~~ /y~/~ 1t~ t DAY MQN N YEAP
yi B{Ir~Y7P~Ae~ ~wf+~O dt iM~P l~S~ iFECTIV -
o t DATE
O~ 1 D /lTS~GNM N AN YJUp ~twNO 17• C?!ARACTEHOC SEAV~CF • ~ CENT1i1CATE 1 U D_ .
¢
W
h
Z N O~ TNiC .AR ACOMY/W R OWHiC?~NESERV~Si TRa~AS~fARED IS pEEMUSTMENTCppF
< "
s ~T
MV11.~r ~ B~~
f 16 V• 1 H A TIV SERV~C 6THE~THAN9vINOlKT~ON ~TERMO
UMt 6 UGA1~ N ~ $pURCE OF E!ifR? ERy~~E ~ OATE OF ENTRY
` D~r MpNTH EwA re+n~ Dwv ~TH rEM .
~ ~ENUSTEO ~Fant..1un..rwr~ QftiL4TF0 •Aw>S~-~a~, QHEftiI~STED -
~ D O7HE+i
~ g YRpR AEGUUR fN~~STMENTS 19 GRwDE NwTf UA AwNK ~T i:MF CF ?0 olA . O~ N'AY ~NTQ ~UNR Mt ACT~VE SEAVtCf r(1+!rdSwttl
!
ENTRV ~NTOCVRNfNT ACT~Vf SVC ~
E
!
` I~ ~WrME OF RECOAD AT T~ME MT~Y INTO ACTIV SFAV~CE
( {Jd+rc RFQ Ar~. Corn. Sr'.awJZf~l'oN~ ~l Si~1EMENi Of SENVtCE vEARS MONTNS OAYS
r 1~~ 6~ ` lll NET SERVICE THIS ~ER~00
iAED~uB~E
~.Jq e~K ~,~y ;~i OTHER SEAY~CE
a CtALTY NWS ~ 1 l • RE EO CIVIl1AN OOClXAT10N AND ~a~fS
~.O_T_ NtAttfR ~3~ NT~L ~tw rl, N.• tw t:~
z: t ~a~ ~y~ ~*T
"r. 6~ 17AV[iil~ I~M+f~/ ~(Oi~l ~C~~vE SE1IV~CE .
a
~ . ~6pF~GY~NOOpSE~StRV~CE
~ W
v 21 OECOaAnOYS. ~EDAtS, BADGES COyNENDAiIprvS CIiAT10N5 AND CAMOAIGN A~F~;[3N5 ~WApOE00N AUT~tON~Z O
>
~ ~ MATIONAL IyS~EbiS6 STRYI(S I~DAL fILEO AMD REC R~ \
~j: IUCiE 60 t
~ ROCER~~~ ; ~
• Q J~v
~ TS EOIJU~T~ONANOTpAtMNGCOMPlETfO Rf~,qR9 .
~
~ c~H IItJs RTSC[~ FIRS FIGNfI~ TRJIII~Q1iG I~y I l
s -
~ ~r~.c ~ 218'71~
~ ~cc ~ Po3~2
ACC
j(~~ ppW /~r ~R~OOS?~~IE l(~S~ tts.N.q ~ r>~rS a;._«~UfD IE,vE ~a~p ; ~ ~ ~NS~QAMCk ~V fuNCE • ARRi:::9T 7G ;:~ql4EhT • YONTMAlLOT4fNi
~ !.o M tin~ ,~S! (.v t Yt:/ N O~SCON T INl/E O
~ i~
.E W~ •i+ ~ iR/~ OvES ~NO ~ ~
_ ~ ly~~~p e`~ YA~~L14hV4AEp :9 SER~~:~iME'`SGpOU?lttf ~tiSU~1~A~E CAVfNAGf
< 4\A!O
_ > ~ C- O ~t0.oo0 O f6.000 ? *.oH[
_ Y ~1S)~
_ 70 pEMnRKS ~L
- x+Fi~ DISCH~Et(~ G~TZFICAI'E I33t~ A? TD~ OF SEPARAYZOM
~ HI~MN 3SPARAT'~ DIJE T~ D~ P&i.SON18L Q~UIRT~DR3, ~Q.I3Tl~NP R~UIR~SS
- ~ CHNAVP~R3 APF'f~YAL.
~oox l97 2 ?
)1?fRM~NENTADOpESS~OpMAqH~GOUpKKfSA~TFi1TRAVSifG10AO~SCMAHf.E ))S1C:NATUNEO~ Of~NGTpANSifRAE00l10iSCMI~RGfO
{ Itwiec A/4 Ar~. Qw.q. lar w/ Zl1CNri t•
,
~
~ ~ ~ ~R?1P~C66 " $T. LUCIE FL. r f `r
' = 3] ~~rEONAME WnOE ANOhiIE O~ ~UTNORIIIHGOfitCF4 SGN i E F O~~ UT IIEO OS~GN
~ ~ L. E. 3}Q~IAII, 1, USN, P~RS OFF ~
_3
8t DIR OF T}~ C. ~
OD ~,~M Y~4A MEV EWTIONSOf lN~S fO~Y AIIE OtiOll~E ARMEO iANCEiOf TM~ UNITED fTATE ~
RE1011T Of 71lAMiiE11 OII OitCMAAGE
- `i'V ~;i~?7 rt~l ~2nr~
_
-
-
_ - ~