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HomeMy WebLinkAbout1169 . nv THIS IS AN IMPORTAt3T RECORD 2~36~5 SAFEGUARD IT. 1 LAST N4ME FiitST NANE M~OU~E NAME . 2 SEFtY~CE :^.U"NEiER ' 265 SE~ ~jY h~+_~ ~ MABZItI~ CA~L ~~BT 1~ONB 8 ` 3 CEPAR7Mi.NT lU\1NNEI`tT AhD f3f2A\~H JR C:LASS `x GH4L'E. RATE CR RA~1K F Pa/ 6 VA~E VAr L JuQ vE~~~ GR. V o A~ ~ SPS ~ R~hK W 7 U 5 CITtLEN H PLA~E OF EitRTFt Il'an c^+J _5r.ei c.l'~:.vn) 04TE DAV~~ ~A4t~N VEAQO : . d n VES ~ t.0 I.ondoa, Y~~~ EY~tTH ~C 5 iCu SELECTtb'E SER~~~CE ht,\1F3FR ~ SELECI~VE SEH'?!CE lJ(.:AL E3C~ARD MUR!6ER GiV CUUNTY, SfA7E A,VD Z~P'_ C~•~ L p.»E .t~_;~.:_TED >W ( F V< nAV MO'~ ~EAR . :J>~" N~° 8 4p Sp 66 LE#40, Ft Piares !L :is TVPE OF THAhS~ER OR GSCr:ARG£ r~i~:~~~M' ~~L~+~Q ~'"I~LfJ'~~i ~ Ts11NS~E~BD TO USAa (8es 16-) ~ a ~ 11 < = REASI:NANDAUTNJRITY d D4Y h~0~'-H YEA ` A~ 635-200 S!D 201 Eapirati~n o~ ter~ of Servic• - :FE_i~~-E 21 ~ec ~3 Q~ UarE K~ Op 2 LaST UUTV AS~~~GN}~~.7~~N/T~ A~D MA~URi.JMM~A'w~'Jp~~/ :3.:_ CHAf2%.~IER F 5:~~'h:E ~ TY~'f. ~~K-aTE ~~`~:JLU ~ • ~ ~ AYYi~V s V~I~1 ~ N Z :4 CJ~S~Rt~~T 4RE4 CUMM4Kp i1R CGRP~ TU NH4CM RESER'riST 7 AtiSf EFFEJ 5 Rct.' 7 hT C'.~:~E ~ USA~ Conttol Gs+oup ~~siaforce~ent~ R~CPAC St Louis, MO 63132 C5 rER:.::'~a~ C-?E C: RESi~RYE 27 (.t,nRENT AC ",Yi S;Rv~CE OTTiER TMA~t B'I ~,~~];;~.:?roN 'f ~i•d U: C~.TE GF EhTR~. ~ UMT.6Sr-i3~`-,i4T:iXJ ~i~7~:tE ~ ~ c COtiRi.F OF E^~':?V . J..~.: i CAV M.I~:TN YEAR iJAY !:~\TN YEAR ~ i Eh~ISTED ~Fva' F.r.::s:n<syq~ C ENi~~STEu ~Rw~ ~rr:s:~~ ~ REEN~~STED ~O I 21 V~t .~6 ~O7HER •N ~ . ~ ~ B PHri;RH=•_:ULAii~~.:ISTMEf,~~c ;.j ,=+=.iE RSiE~,.:~~:.'.~htT:VtE:.:` F~:;tOFENSR\':'.iO~UK~~NTA:;T,'.ESEit'!F'_~E~I:.tir..._.i¢:rr 4 ~ E`.~RV INTOGI;RHENT A:TiJE SO'C ^ _ f ~ ~ ri0lal `s~tbllS~ ~r c 21 N!l•.~t OF REl•JF:I~ FT 7~!.7E l:F F'+THY :tiTO ACTIVE S:_R~::::E ;l ~TATE:~~~: OF SERV7CE YEai7~: \~~;~y~H~ CAVS ~..o-e~4 HFL [1n. C.,.m.~. Drau W Z7Y r'u:rl ~ ' ; 1901 Boston Av~uus ° 11 NEi ScH:i'=E 7h+~S ~c4~ J:~ 3A5:(: PAV ~:Z? OTr~EA ~F~Y!CE Ft Pieres (St lucia) FL 33450 ~^~"~TaB~E ~ F=I;R~O5F5 ~ 23u SPECu4LTY NUbiBER 6 T~TIE D REtATE'J C~v~UA`~ (X;[ i::'A~ J`. AhD ..3) TuT.aL ~l.e. ~ f,E.a Lm. ~ 91R20 ~~1T9:"~`~ ~ G ~ood LapeC ~l~C 6 TOTAL ACT!YE SERV~~f ~ p F~od Servica Supervi REIGN AND. GR ~EA SERY~CE O W V 2A GEC0~4TtJ•'S. MEO 5. BA•:JGE COM. E`,DAT " N Ci ATiCVS Af1D C4~1f':.:Gtv R.6~JNS ANAR:JED (iR AUTHJFtiZED ~ ~ llatiena~ De~`~ase ~erv~ce ~ad;~ . ~ ~ GfOd COIIduCt l~dsl fILfD Ay: RECU40E0 ~ ert Bad e(1~h16) zT_ ~uc:f •:JUNTY FLA_ ~ ~P 8 P.G6i ~ _ `RAS ( ~ 25 EDIJCATpN AND TR/UN~NGCOMP~ETED p~~.ry ~ .R: 1.f.:~C~t i ~ Ar~ Training Prograw . ~ ~ ~ Food InspQCtion Procadursa Basic Chicago, IL ~113, S1 ~ ~ 2'736'7 ~ , 15n hON PAY PER~~OilS T.ME LGS~ !Ha«d:+~ b pAVS A:~.;,FVED LEAVE FA~D .'7o ihSURA'.CE 1N FUR~:E 6 i+MOUNT OF A~tOtMENT ~ fi!7^+~ tG1ME7vT T.o F.a.-.~ i\~5t1 w L-,'v;ll~ O~SCO:~T~a.VED 4 - ~ VES ~ NO ~ ~ - Wo ~~43n l~ ~W - Z V 2A VA CIAfY. NUM6ER 29 SCRVI(:E.Y.cN S GRCUP iiFE ~hSURAMCE COVERFGE ,i' _ ~ >y ~ a fI5 000 ? f10-000 ~f5.000 ~ NOYE F C' A ,~~_s 30. REMARKS 7 S~sest~r l~our• College Dlood Group: 'b" pos Y Ite~ 23a: P1i08 avard~d S Mar 71 ?est aure 89 ' x3 ~ Bxtenaion of Ssrvics ws at ths requ~st aad for the convenience of t6e govera~eat W C x-'3 M4 ;1 PER'dSYFNT ADi:GtESS FOH h14~1~'`G PURPOSES AFT[R TRAt„SFER CR CTSCHARG£ 32 5!GtiA7URE GF PER~Jh N~•~+C. 7RANSFERRED OF7 C~SGHARGED Z 14rerc Ri'D. (1'y ("owty. S+au e~rd ZIP Cn4~ . O =P4 'a ~ p0 Eox 1395 ~~V - W g p D TrtLE rF nJTr-~OR~Z~'1 : O~F;CER 34 S:t;NATURE OF OP ~CER AVT OR~L D TO S~GN ~ ~~gN W. ltIELSBIt~ 1LT. AGC, Asat Adjutant ~~~~J , rner~ous c~r~ O~ TNIS F w is r t usco. ARMED iORCES OF THE UNITED STATES - DD ~ lUL 70 Z14 ' ~ ~~h~ REPORT OF TRJINSFER OR OISCHARGE 1 ~:cc~NE.r~ ~a,~