The URL can be used to link to this page

Home My WebLink About0331 _ . ~ G ' THIS IS AN IM?OtTANT RECOlD SAFEGUAtD IT. IAST hRME - i~tST NAYE - YIODLE MAME 2. SEIt 3~ SOCIAL SECURITt NUY6ER ~EAR YONTX DAY DATE Of 'rl0i~i'~C Phillip Le~ris ri 1 60 880 B'¦T" 2 1 08 5 OEIANTl~ENT, COM?ONENT AND 6RANCN OR CLASS 6a. GYADE, RATE OR AANK b.GpADE fEA! ItOMTX OA~ DATE Oi u.5. I~larine Corps 1 E-3 7 0 01 SfIEtTIVE SERVICE MUM6ER h~SElECT1YE SERVICE LOCAL BOARO NUMBER. CITt. SiATE XOME Oi RECORD A1 TIME OF ENTNt INTO ACTIVE 11ND 11V COOE SERYItE IStr~tf, RFQ City.- Stale rtHf ZIP Calel 258 Sergeant St. 0 2 2 1• 7,B ' 2'tiartford, Conneticut f onn 06101 9~. T~?E Of SEiARAt10N ~ 6- STATION OR INSTALLATIOM AT WXICN EFFECTED fe~ to ine o s Reserve Btr 1st3n 10ttu:ar,2nd;-,arDiv,Fi•~',CI~+C - d. rEAR YOMTN DA7 ~ : AUTMORiTt AMD REASON E`OATE E- OZ ZS i~nn~~aets ~03 _ CM~Rl1CiER OF SERVICE ~ Tlf?E Of CERTIFICATE ISSUED f0. ~EENLIS7YEtlT COOE - ~ - ~ ~ ^ 0~~ OI~S itone ~-3D t 1. L~ST DUT~ AS51G1tMEN~ ANO MA10R COYYAND 12. COMMAMD 10 WMIC11 TRAMSfERRED _ ~j1 2 ti~1i:1T~lV '~~t~ ::SI•;v~ i 3.•TERY~Nl1t DATE Oi RESERYE/ yLACE Oi ENiR7 INTO CURREN7 ACTIVE SE(iV~CE ICilr• Sta~e and Z/PCodr/ IS. DATE ENTEAFD ACTIYE _ MSS OBIIGATION - DUTr TMIS ?Ef1~OC rEAR MONTM DAT ~ rEAR YONiM DAt Zg_ p2 1~ I:~Rg iiartfordL Coru,eticut ?2 ~3 - '~.6u PpIMAR~ SPECIACTt MI;MBER b. RELATED UVIUAN OCCUPATION AND RECORD Oi SEAYICE rEARS MONTMS OAYS AhD TI1lE O.O.T. MUMBER 2111 `~~~s~v0 (a/ NET ACTIYE SERVKE TNIS ?ERIOO 02 W vy Armi3epi'~n i`ir1C~11I11St Ibl tR10R ACTIYE SERYICE QQ ~/V W : I 17a. SECONOARY $PEGAl1Y NUF`gEN ~ F. REtATED GVIIfAM OCCUPATION ANY (il TOTAI ACTIVE SERYICE Ip + b/ 02 ~/y W ~ AND 7ttiE ~ D.Q.T. NUMBER (dl ?RIOR INACTIVE SERVICE w W 1 ~ - lel 10tAL SERYICE iOR ~M /r ~ Jl 02 ~ 1 - E ,~OI+E i~one M I(J iOREIGN AND/OR SEA SERVICE TNIS PERIOD O O W 1 l ~ ~ g ~~Q;JCMfNA OR KOAEA SEAY'CE S~NCE AUGUST S. 1964 20• HSGMEST EDUCATIOM LEYEL SUCCESSfUII~ COMKETEO (/a Feursl I 1~ tE5 ~ NQ ` SECONDARYiMIGN SCNOOL ~ res ~l-/?RiudPSl COIIEGE _)pL TNS - ---T- --r--- - --7--- T:rf LC51 ~P~'ri'diqQ T nG i 22. D~YS l1C~RUEO 23. SERVICEMEN~S GROU~ UiE 2~. DfSABILITY SEVEBIIMCE V11T 15. FERSONNEL SECURITf tNVESTIGATfON y'~~~ ~ IEAVE PA1D INSURANCE COYERAGE o. TTPE b. OATE COYPIETED ~ (~]s~s.ooo Qss.ooo IX~` "o ~„s • 2lQ2IE i~one :+Ub-E ( 3o.T,a;/s ~u ~ Qf10.000 QMONE AItOUMT l--- ?5 DECOR~ieJ~:S. MEDA_5. B~DGES. COKKEYDl~TIONS. ClTATtONS ANO CAMPAIGN RIBBONS AWAROED OR AUTHOR11E0 _ ..ational uefense Service ;:ed :l - o _ .7. REMANRS ~ ~ ~ Not Eligiole for Reeniistment ~ Good Conduct :•:edal Period t;o;.z.tences 731128 f~~fl ~+t~ ~LLO+taE~ fiT.LliG~i :;~UN;Y fLA. R~;;.~ ~)~Rf?S ,p t~ rpr, c.. ~ ~UFT ~8UR7 Rcr,np,; y~: r~rn~~ ~ M+~ [A ~ 4s PH'1~1 ~ ~ ~ ~ ~ ~ - - - 2'7'7286 , ~ ~ Zd ~~~~~aG ADDRE55 AftEN SEPANAT~ON (Strcet. RFD. Citr. Cuunty, Stafe. ZIPI 29. SIGNAtURE OF ?ENSON BEING SEMRATE ' ~ :it 1 2'jOB . ~ ~ Jolds~oro, i~id. 21631 ?J i~?EO MAME. GRl1DE AND TITIE OF AYTMORIZINi OifICEN 1. TUR Ofi1C TI{OR D TO 51GM i•,. :~:Li,IPiGS~l Ttt. 1stLt ii~r:LR ~ l~~~~ , ~ OA _ ~ ~~R., PREVIOVS EdTiONS OF TMIS TMii (f AM IM/CRTAMt RE~ORD REPORT OF SEP RATION ~ pQ . 2 ~ 4 MC ~or+M ~ae ossoieTe. sAFEGUARD ti. FROM ACTNE DUTY (19i;0; i'.D:''.r' - 1 S/N 0102-002-0001 i _r , - , . . . . ~ .,.,4 fi ~..`H:- " ,ulv- h s'c ~i ~ Sa'.z"~ c„~~.a . -~+a~,»~` a s .,,-ra - y 'Ka . : - > ~s . _ . _ ' . ..n , ~ . .~,.~~:..v...~"~_..-_ ~ .~.~m~; .