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HomeMy WebLinkAbout2775 • 7 ~ ~ ~ ~T~ ~ / ~ ~ C~ , s~ESUU~o R. _ 2 1, IAfT NAYE~F1pT NAME• WODIE NAYE 2. SLRV~CE NUY~[R SOC~AL SECV~b~1I NUWER ; < , ltuv iilit~i,l1 ~ c , _ t~,LLY' !~(;1. i;Gt~ ~ < ~ 1. OEIAATMEMT. CWVON[MT ANO MANCN OII ClAf~i 36 GRAD411AT[ OR RANK A. ~AY 6• OATE ~r YONTN YEAR 6RAOE OF Lf1I~ 1'li~ Lu .Lt,~.itil'~' !la'c3.'. 1'.~2 ~K 1:~~ U. S. CITt2EN KAGt OF MRTM aAd SM~t W COwb7) 9' DATE DA1/ YONTM YEA11 Oi ~rES ONO `~LX?i~'~Cili ,.J WRr?~ 5 id(,'v ~ : rW t0~ SELEC7IY[ SERVICE MUWEw R SELECTiVE iCRV1CE tOGL ~OMD NUYSEIt, pTY, GOUNTY. STA7E AND 2iP COOE C OATE INDUCTEO ; ~F OAY YONTM YEAR _ ~ QOC ~ v~+J~/ ~~lst'~' 1~ i 1_i:Lu Jl t~i1~r~~ 1'L 1 ~ d TV~E OF TRANti[J1 ON WSCNANGE 8_ STATON OR tNSTALLATION AT WHICM EFfERED C~i:.,~ ~ DI6C;ir'u'w;E , ,i~I~ ns .''•A ' ' S ~ REASON ANO AUTNORtTY DAY MONTM ~IEM V EFFECTNE ~'i•i 39-10 3, a~:~ i, ~=~:~A 3-zy z~'~O, OATE 11,, ,TL~~; 73 , O O t2' ~T OUTM A45K'~YENT YID YAIOR OW~YAND ~30. (7iAqACTER Of SEM7GE b- TfVEOF CERT~F~GTE ~SSU[O :1(;.:t,~.~t~si~ Dv ~~ii:•. 2~tbi~F ~ 93 ~u::~ (~nc) 14. qSTWCT. MEA COMMANO OR ~WVS 70 MMKM RESERVIST TUAMSfERRED IS_ NEENUSTYENT CODE ~ :~A :~:;-2 TEAMINAL OATE O~ RESERVE/ IL CLRAENT ACTIVE SfRVKE OTMEII THAN ST ~NDUCT~ON 6.TERY OF C DATE OF ENTNY ~ UYT~S ~.~6ATION 6 SOURGE OF ENTRV: ''E~~ wr ~TM r~ ~~usTEU ~Mt atw~aW ~ {Rior Savia~ ~ ~'~'~1 ~r MONTH r~e ENLISTED REENL~TEO 3 o oTN~ 0t~ 5 ~ ~L 72 i f0. PlpOlt REOUWt EN4SriENTS 19. GRAOE RATE OII RAMK AT Tq1E OF 20- PLACE OF ENTRY INTO q1RRENT ACTtVE SERVICE (Cli~~ awd Stow ENTRV ~rTO CUItllWT ACTIYE SVC ::v~:E ~,-1 ~.L;it~ Gt.~,~:_.5, FL 21_ MOYE Oi RECOND AT TIf1E Oi EMtAIf INTO ACTIVE EEllY1CE 22. STATEYENT OF SENY~CE YEARS wONTNS OAYS ~r~-i~~ a !I/ NET SEIMCE TNfS PER{OD ~ 1„1 1 ; i7u z~~~: s~ , v~ CREO~TII~~E OTMER SEMKE ~ ~ 1 i~ ~~u~Vl:~ ~~L fOR tA51C MY . ~ 234 i?EMLTI NUWER Q T~t~E ' 6. RELATEO CIVtL1AM OCCU~ArON N'1~ ~RP~s~ 1 j) TOTAL (Lii1t (!J Obs LY~t /YII r~~ - ~ D.O.T. NU1UEil Ul UU F L ~ ~ ~)Q'1 ~ ~ ~ . • ~ . - 6. TOtAL ACTIVE fERVICE ~,'l,1 ~ l~ . . ~ . 71J~i Ji%.: . _ iL'%=.U . _ _ ~.J-_. i~i.L ~ . ~ ~ C FOREIGNAND/011SEASERVICE VtJ ~~V W sr~~ s:7~> ~ Y 7A- C[CORATIOHS. YEDAL3. NDGES. COYMENDATIONS. QTAT1011SAND UMIAI6N IIN~ONi AWAROEO OR AYTHOItlZED _ s's , ~~s y :+JJI'a~ ~ • ~ f~ iJ f LED ANU RECORDE ZS. EpyGT10N AND TItMNING COY/lETEO ROCf R PO~~RAS .:I:~ '~_;u w::~,~,'i~~v :.i:~:~:r;., 72...~.:,,~ ~~;~3U i:U;:i'L 72. ~LERK Ci:iCUIT COURT RECOR~ VEF.~~IED~~ ~ e 4 0o PM ~7~ ~ 26~ MON-GAV PERtOOS TWE 105T 6. OAYSA~U[DI.EAVEPNO t761NSUMNCE IN sORCE b. AMOYIfT Oi ALLOTYENT ~ DtSCON1INUED ENT ~o Y~n) /NSW or USGW ~ < ~ ~ []vE5 ~VO li2f 6 O - r~ ~ V 1 L ~liJl 20. VA CtwW NU~~EJt 2Y. SEi1VICEYEN~S GROUV UFE INSUI4MCE COYERAGE ; y lJ :13.000 O s10.000 O s3.000 Q NONE - ~ C~ 1.Ui.~ : ~ 30. NF.WRiCS . . , " a •:I:.:i .~L•iUL•!1 t: .::2J~_:l,l,liTJ u_~l~:,Y t~ 't~i.i~i:".~: i'~E~~~ i.'..rj~ ~i~fU~ ~•.t~~i~ ~ r ni , r ac litu'~:.\i 271~V/ ~i;:..l:.au~. ;.Q~ .•.V_`~.11 .~1d~ ~..::.1,....7~1t. ..1,~ . ~ :~1~ L~.~.:'.,1l~~ti:~/Ji/a.~.L~ U1~I/: ' 1 'c~.~~.t.~,1...1J~ ..L ~ 31. PEIWANENT AODRESS iON rA~L~NG R/1lYOSES AfTER TRANSfER OR DISG+ARf E 32. SKsNATURE OF VEASON sE1NG TMNSFERRED OR OISC?~ARGEO _ ~ G~. ConMt. Staer awd Z(l Colr) ~19~ ~ ~ _ 171 .~,1;?;1 r~u:ri ~ 'ri : r i ; ~:~.:l.I.: 3a. 51GMATURE OF OifKEJ1 AUTHOWZEO TO N Y TrPEp MAYE, GRAOE ANO T~TIE OF AUTHO1l~21HG OFFICEIt ~ - ~ Gi~LIB C :iL;I:3L~::Y, : ~i ~G~ , ~.~:.i~r' p-+.r~^.r.,-~ n-T~nT~1.~ .iq T..n li DD t~u~7o Z~~ ~of t~~ ~~T ~E usEO. AtMED FORGES Of TME UNRED STA1E5 1 SGO~ ~~f~rtJ P~~ tE?O!T OF itANSFEt OR DISGNARGE - - - " ~a=~~°~ ;i~w ~ 4~ . a~;: ~~~-.E, ` ~ ~ ~ _ ~ ~ ~ r ' ~ri - y _ ~ s : b