HomeMy WebLinkAbout2658 ~3S TI~S IS AN IMPORTANT RECORO u
~ SAFE6UARD IT.
IAST NAYE-fIRST NAYE-YIDDLE NMiE t. SERVICE NUYSER 7. SOCUI SECUMTV NUM~EII
~ t~.B9 Jox~l ZJ~'!":~. ~TR AF12835401~ 26~ 88 3223
~ OEVMTYENT. COY?ONENT AMD ~MMCH ON CLA55 34 GRADE. RATE OR RANK 6. IAY 0• OATE DAV YONTN YEAR
GRADE
` AIR FO~E Rs AF SS t E~ ~K 01 Jul 72
~ 7. U. S C~TiZEH ?IACE OF NNT~+ ((,yp awd Smlr Or Cprnfry) 9. OAY YONTH •EAf1
DATE 1-
~ ~vES Q NO ~~wRilaTinOn~ t~Y B RTH Q4 JLin Sj~/
W W 104 SELECTIVE SERYICE NUYlER A. SEIECTtVE SERVICE tOC~L WAAD NUYpER. pTf. COUNTY. STATE AND 21P COOE G 01~TE INOUCTED
YF OAY YONTM vEAq
080 40 l~8 023 L~ #4o Ft pierce (st Lu~ie 331~~c NA
I 1 n. 7~PE OF TItANS~ER OR DISCM/IRGE b_ S7ATIOH OR INSTAlLAT10N AT NMICH EFfECTED
" Rslease frorc ~ctive 3ut~ Han~stead A~'A FL
v C, IIFJISON AND AUTHONtTY ~j~~ ~u 2 1 Z OC* d DAY YONTN YEAq
N EF iEC7rvE
AFM -10 ch 3 sec A SDrI 2 i` Eari ~ Rslease For Christa~as OATE p7 ~c 72
0 ~ 12. IAST DUT/ ASS~GNYENT AND YAIOR CO~ANO ~ 3 4 CHAqACTEq OF 5[RVICE b- TYPE OF CERTIFICATE ~SSUED
~ 31 Field Maint "(TAC HOl`.Q:tASLE P`A
Z ~a. OISTN~CT. AqEA GOMWNO ON CORPS TO MM~CM RESERVIST TRANSFERRED IS. NEENl15TMENT CODE
I
~
~
i
~s TEAYIN11l OATE OF RESEitVE/ 17. CUNRENT ACT~VE SERVKE OTHEA 7HAN 9Y INDUCTION b.TERM OF 4 DATE OF ENTRv
UYTQS O~LIGATION SEiR'ICE
OAY YONTN ~ YEAR SOURCE OF ENTM:
~ ENL~STEO (F(~7t &Ji~OwOIU Q EHL~STEO (pPio~ SeNLCff Q MEENLI$TEp ~Y~n~ DAY YONTM 1rEAR
~ J Mt~y~ QOTHER 1 1"1G~ 6
t s. PR1011 NEGUTAR ENl~STYENTS 1 Y. GMDE. RATE 011 RANK AT T~~E OF 20. PLJICE OF ENTRY INTO GlJRIlENT AGTIVE SERViCE (Cdy Awd SloOf)
ENTRY INTO CURRENT ACTIVE SVC
None AB Coral Gables FL
2~- MO~E OF RECOND AT TIME Of ENTRY INTO AGTIVE SEIMCE 22. STATEYENT OF SERV~CE YEARS YONTHS DAVS
~ 1~~ 1Y -G~ 3 and Zll Code) ^
~ d f 11 NET SERVICE TNIS vERIOD `)3 ~9~
E .C li ~9~i8 a~{i Lt::1Pi ~-'j~ 3 r0 CREDIT~4LE VV W VV
fOAYAS~C/AY ~Z~ OTHE115ElIVICE
234 S?ECULTY NUMOER 3 TITLE b- REUTED C1YILUN OOCUPATIOH AND PURYOSES
i u OA.O=.T. NUM6ER u 131 TOTAL (L%nt (!I D~ L~ ~SJI O~ U~ ~ Q
f F 431 5 1 v ~(il ~ J':3~-i+ Yl~lc'ZnP. l'1VCihanZCi b_ TOTAL ACTIVE SERVICE O3 l, ~ 9
( 0 ')i"~.~.1 • Lv~ G~OREIGN AND/OR SG SE1tVKE OO W W
~ 2~. OECOMilOKS. MEOAlS. BADGES. COYYENDATIONS, dTAT10NSAH0 CAM/AIGN ItlMONiA1KMOED OR AUTNOR12Ep
~ ~ rtDSS.+i//.~e•,7~//~GCM (~9*~ar69-~ ~~ar72) A~ 9oa3 FILED AHD RECOROED ~
~ ST. LUCIE COUNIY FIA. ~a
~ ROCEP. ~dITRAS ~
~ _ CLEAK C~ACUIT COURT
25. EOUCATION AKO TltA~NING COwOIETED
DQ.SZCi r~ 1 W~ ~~~0 U~Ll„.~8 Al~~JJ 1'.~i Wl'irL ~ 7 Jj YW "
Jat Aircra`'t ?~~c~:i,»c ~ A; 2~r.g AB~;3?3~!'- r..._^,?~'L 1'S~ ST ~ul ~12
~
~ 243438
~ 26 C. hOM-v.?~ vEFiOD$ T~YE 105T (p~~6ns DAYS ACCRJEO IEAVE GAiO 2~ a INSURANCE IN iORGE b. AYOUNT OF ALLOTMEHT G MONTN ALLOTMENT
~ Teo }"ean) /NSL! or USGtfj D15~ONTINUED
~
~u T.T T + Q ES No *
0 0` _.o 'I`in:e ~,03 ~ 27 .G " i~ NA
ZY 2B. VACUIM NUYSER 29. SERVECEMEH'S GNOUP UFE INSU1twNCE COVERAGE
'N ~ ~ ~
~ ~ y ~ NONE
~ ~J :16,000 ~ si0,000 Q s3.000
~ C
n~ 30. RENARKS .
~ N College: 81 SH *~iarzi. Dade Jur~.or College . Blood Gp: 0 Pos . Lt~r1C ~1pr59 Bollir~ AFB,
~ ~ W,'sa."'i DC M60 A95 G80 ~80 Mar69. LAH'SC: 1~3151 c. I:.a~ ~e been counse~ad as to conditions
~ ~ for ~ reen~ry ir~~~o the Air Force and I understand that every fo~r A3r Force mem-
~ bar must mee~ the enlistment;
raenZist.ment standards in affect at the ti,~ne of his
~ ~~plication. Indochina-ho;Vietnam-No;Korea-N~. F.arl F,~lsase : ~r ~:~ristr.ias.
~ JI PERYANENT ADDRESS FON MA~LING rUNPp5E5 AfTEp TRANSFEN OR O~SCHARGE 32. 5{GNATUREOF PERSON BE~NG TRANSFENRED OR O~SCHARGED
Z (SOrd RYD. Ctiry. County. Swar awd ZIP CoQtJ
~ Q ~ ~
~ ~ Sa,~ne as Item 21 - -
Z 73 T`IP[O NAYE. G~1AOE AMD TiTIE O~ AUTHO~hZING OFFICER . SIGNATURE i Ofi ER AU ~Z O S~GN
~ ~ R. ~F' • B~G ~ M.9('rT ~ u$AI''
~ < CH~ CA; C
~ N~~
~"'t i OIIY ~
A P~cvwus cort~oN oc rN~s sowr ~s To sE us[n. AlMED FOfCES OF THE NITED Sre,iES
~ ~D i ~u~ ~o ~~9 ~
RE?ORi OF TRANSFER OR OtSCHARGE
_ ~
' v~
~c~.~ ~ ~ .
r- ~ t,~
~ # ~ ~..~.u,~ ".~r: ~ . ~ -