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HomeMy WebLinkAbout2201 251~#52 ~ ~ _~i 1 ~ LEGEND: f~s~H N/A te t1~ i1e~a ~efe~ ~iic~ ~.e ~st y~1i~~1e ' 1. t,AST NAME-FIRSi NAME-MfDOi.E qAME 2. SEMIGE Nt~~Eitl 3A. GMpE~ RI~TE CR RANK 6. DATE OF RAMKI~f. No~tj. J:'r..,1_'..I~:, .'a:;4;. ~tD i;::n..:,t.S i4}_'~J+211+2 5:T (F } r~~ ~ Jul ~j < F' . OEPARTNENT. ta~o~+T roo eM~ 5. PLAGE OF BIRTH IGi~s S~ae w Co.~u.yl a?v wq~n~ vE~ut ~ :tt. ~~:.~,:;.~D i:~;. 'or~:, 1'cr~~ ~ B~ .r-~ tii 0 70, i. SEX e. COLaR 11AIR d. COLdt EVES e. HEIGHT J. 1NEIfiHT g. U.S. CITIZEN 9. MARITAI STATW ~ : :..~c: .:~^c :~«zel 69" 1G l Uves pNO :;i~; ,ie s Y ~ lOf. NIGHEST CIVILIAN EDUCATION LEVEI b. NMJOR GOIR$E dt FIELD ' ATTAINED ~ ' 14 ~a~ : s ~:,~.•:..1 . 11~ TYPE OF TRANSFER OR DISGHMGE b. STATION OR INSTAllAT10N AT MMIGN EFFEGTEO ot r~~. _.~i _ Y.~ l,'::~a.fi ~SC~- 3:.~ I''~i"t. ,.'G'T`~ ti:.^_ll:i:t.Ofl~ JiI`~'1P.1:~. r~ C. NE~Sdi A/q AUTMORITY .~EG OAV MONTM YEAR 1u: vJ j-2•.;i.: SP:~, 2U1 r:~:~:ir;:~.icr, teriu of ss: vic~ o,~ 16 Sep 66 ~i~ 2, tAST DUTY ASSIGIl+ENT ANO MAJOR Cpb~Al?!p - 13~. C1MR/ILTE71 QF SENVICE b. TYPE OF CERTIFIC/1TE ~ Hq ~Q2d I:•':'C t~;, ~,;::a!-a.n~ton~ ~.C• HOt:QiAii~E '~"E4+cne 1A. SELECTIVE SEiNIGE NU~ABF!! 1S. SEL,EGTIVE SERVIC! ~pGAI OW111D MI~q[q. GIT1I. COUIfTY AIO i7A7E 16. p~TE IlplCTED jy ~ OAY ~AONTN YEAR ~ 8. 40 kl ~.57 L3 ~40 Ft. Fierce, F7 0~ ida P;ti J~ rr~ 7. D/STRIGT Oit AqlA CObMMIp TO ~/IICl1 RESEtNIST TRANSFEItlEO • 'i'-r:~::;~errtd :,o USAR Co--~r:;1 ~c,u~(ke:i-~''~rced} L~S;~C, ~~ic, j~•o - 18. TERMINA DATE OR 19. GllRRENT AGTIVE ICE O!ER 7HAN BY INOUGTION TpIA,~ OF C. - OATE OF ENTRY ! ! Q. 501JNCE OF ENiRY ~y~ ~Y ~~H - ENLISTEp IFirsl E~tistas+~t)QENLISTEO{hrior S~ire1~REENL~$T ~ /Y s) ~ ' ~tN YFJIR I~ S.p 69 a o~: ~ ~ 1'° LpF ~3 " 20. PRIOR I~GUI/1it EI~IjTNENTS 1. GRAD[. RA7E OY RAJIlAT T11fE Of ~2. FI~GE OP EtlTA1/ !lfTO GI~'M1ENi A~iT1VE SER1/ICElC117 i~f St~y ~y s EIIiR1 INTO CY ~~7~Q~ t1f~-~~i~ERY1CE S - 11W~i ~ ~1 ¦1 1J+_ ~ f, ~1J_~_.~ a..~i1.~S~ ~l~Ki~l~ ' ~ / 23. N~iE OF IECORQ AT T,~hE OF ENTRY IXTO ACTIVE SERy1CE~Stntr, RFD 24. STATEI~IR OF SERVIGE YEAR! ~AONTHS Q11115 Chr. co..rr ..t s~.n~ 'c ? lj joi,::h ,~.~i, J`Lr~i:~ Q• l11 MET SEiNIGE TNIS PERIOD~: 3 C C ~ cneDlT p C O r c. Pieree :~.oi•ida Foa~cs~c t~ oT~e s~nce ; SO.S?EGIAI.TYMR~ERAI~TITI.E s. REUITED GiVIL1AN OGCUPATION AlD ~Eg~ 13) 70TAL (Ltre (1)t,/ine 3 Q n . < - , O. O. T, Nt~N8F1t - ~ .•.~~Cj . . Tor~ ~crivE s~tv~ 3 0 ° ' c. Foaew+~ nw?«a s~? seav~ce ~ ~ .~l I:.:,e7.; S~sc ::M ~ 26. p6GOMt~oe~s. . enoGES. Can~?iowTw~s. GITATIONS /VID CMAPAIGII R16BpN5 AWAROEO OR AUTHORI r » od Con~uL ~t.a~ - - ? ~,:~~s: : y~ - ~ ; ; 27. RECE AS A RESULT OF AGTION WITM ENEMI/ FORCES (P/srt ~a/ rrh. i/ lwo~/ ~ :iC72! . ' b. sc sQwasq GOUl~. tOU6r,~ n~e~NC co~s woroe ros~ta~owui a0ueses wccssn~?~ cornnce 29.Oi Seltv~ce TwuwiwG i SGi00L OR RSE QI1TE5 (Fro~.Td MA1pR ppfyt5E8 `~1~ULLY I - ~ ~ ~ ~ - ~ ~ ~ ~ C ~ TS :I; •~ve ...s i; . . _ t•_ t! . 1iF . 1 ~S _ ' 30a. GOVERMiEMT LIFE tySfAtANCE IN FONGE b MAp~Nt' OF A~y,pTMEtIT ~ ~ c. ~AONTM ILL10T~rt]1T < ~ _ OlSCOIIiU~IED . < o~`~. ~ ~ ~ =~a x ~ 31p. VA BENEFItS PREVIOI~LY APP.~IEO FOR IS/~ei/~ yrel - = b. VA GLAIM MI~ABER t . } p ~ ~ ~ .i:i:lC: . - - . . r'' 1~S O 32. ROMRKS . ` , . . _ pt, ~ 1 ~ , . :;s`: L~ ~ Y ) - ,.d '1_ ~{L~ ~ ~ j _ ~~~~CIL CQUNIY /lL ~ _ _ _ ~ . SSr. . ."'.:7 ~2 l.'%'j; :~~U~CiC;; ~ OCE~I P~~TRA~ ~ ! ° i.:.` . ~~.y . e : ei: :_e_. ~ CLERK C1s:CUK C01{It~ ; - R[eeRo vEk~ri~0 ~ u ; ~ - 251452 ~ ~ li 3i ~M'?3 _ Y i • F ~e c:~ il~.,~ J~~:.::~re ~iV C:.L' 0~ .'~i ~rce ~:'~o.•iaa ~ 33. PfJMMMEtR ADORESS FOR M111LItK. PUi1PO5E5 AFTER 7qANSFER OR ~ -„~,~1~pE~,ra1 ~EIIKi T11AI~SfER1E0 pt OIS~Cf1ANGE0 i ~ DISGIARGE /3neN. RFD. G~in ~o.+rr ~at Surd / I ;,ee i~em 3~: i C ! S~. TrVED NAME, GAAOE ANO TITIE OF AUTNpi1ZING Oii1GER (r. S Tt~ Oi GFiKQ AUTIIORI2ED TO SIGM ~ ( L'i:.u~.a.liL}. V... •1 _l. ~ :J:~~. ta.'.. ~ lld. J 1i: : ~.t.;il ~ Fpl~~ REO~ACES EDITIOM OF i~U~ 52, NiHICN I DD ~ yuv ss Z~ 4 ~s oeso~ErE. ARMEO fORCES OF TNE UIIITE STATES REPORT OF TR~NSFER OR WfCNARGE ~ - - - - _ ~ -