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HomeMy WebLinkAbout1026 ~ - - I ~ . . ~E~ ~ ~ 1~ pEYARiMENT REPORT OF SEPARATION FRO~A THE ~ , fi ~ jz,, ?NJiic.i~ i.~ . AR111ED (ORCES OF THE UNRED STATES i; .YI I I~3 ~ i. (1- ~,r 1. tAST IMIE-iwST N1111E-MIDOIE IWiE 2. SEMICE NI1~ER ~~ENiR~qK ANO DAi ~~uS~EMT ANO M~hCM ~ _w,~~1 T 1317q~7 pfo 3~.tyaS2 ~ , ~ O~~ ~ii~Ll~ ~O.i~C~ rI~• 6. EFFECTIYEQI1TEOiSE?ARATION 7. TYPf OFSEPARATIGN Q S.OUAL.~1GlT10NS t~ c~~ L ~ R~AT~ t1~lAlOCI!?ATI+Ol1 =D D~O. T. NU11rlER_ -~1 ~ - a7I 7V t~'i~:l~i ~ j ~ ~.lE1150NNONI1MOIpiYFORSEPMATION ~ 9.KAC~'SEP~.i.r~ Gen~?o~1~~ Floridd , ~ Cot~, Par~ 1OZ71 ~ !~~.o / ~ a. wrc a sren~ n. ~scc or emn+ t a a ~z. oESCa~an ~ l~'t. -°isroa, ~la. S~il~ "~~wo ~3~ `~~~I w~~ . 1~. SEIECT:YE SERVtCE LOCAL sOl1AO!1UYSER (C+ty. Cwnfr. S.~at~ 15. tMDUCiEO ~ ~ ~ S~~ ~i ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ r ~ w r w r w oA ~ i ~ ~ ? r~? ~ EIIlKTEO N OR TAANSfERREO TO J1 RESERYE COYYONENT ~ COGN~Z~MT ^KTR T OR AR ~ tOwriAND ' Y ~ r ~ ~ ~ ~ r ~ r ~ ~ r ~ ~ ~ ~ ~r a ~ ~ ~ ~ ~ ~ ~ ~ ~ ' 17. ItEJ1lIS OF EN1Rr OiNER TNAN BY WOIICTpt~ t6. GRAOE-RAiE OR R.tNR ~T iNE OF EMTR7 ~ W70 ACTIVE SERY~CE ' ~(~K((p QREENLlSTEO ~COYYISSlONED ~CALtf~ FROY WACTIYE Dl p i~tis ~ N_ DATE AMD KACE OF Ef(TAt WTO ACTME SERYICE 20. HOftE +1~JRE55 AT i~frE OF ENTR~ INTO AGTYE SERYICE (SI, . .h'. u+rh'Q+~~N1 E r`~2 '~`d`~C~~i:~ ?].a, 2 1~ "m~r ia ~Y~. ffl t~ie ~la B. MO!YTNS G 0~1K Z ~~~KTMENi AllOtltANCE PA1D E7[TEMS~ON ~ STATEYENT Of SERYICE FOR PAY PURh;5f5 EMbTMENT. IF AN~' t 21_ NET t ? SfRVICE ~=OYPIETED FOR VA~ PURiC5E5 Ei[IUD~YG THK PERIOD ~ ~t M~N7H f YEl~4 ~YOUNT ~ f 22, ?+Ei SERVKE COIt?IETED sOA VAr PuR705E5'T?n5 PEafOD ~ ~ 6. ~ ~ + c l~/~ 26. FONE~GN A.~U/O4 SEa SE87ttE ~ ~ b 23- 07i1ER SERYICE (Act O115 h+ne 194Z Os oa~+~ ~~~ETED FQR PAY PIfQ?OSES ~ ~ y~/ jy~y7 DAYS ~ a 2~. TOTAI MET SERVKE COftPIETSD ~OR PA~ WJRPOSES 4 Q 1 TE~ 1 _ ~ ~ 27_ DECOMT10M5. ME01115. BACGES_ COYMENDATiO!VS_ M~T:G~S AN9 CJ1frPx:.'.v P:38GN5 AWARDEO OR A~JTMQRQEO ~ ~ ~ 4 Rar~a 3 rvior '~~.~:wl• ~j' j ~ti~c:ai ;~.:fLas~ ~iab~n ~ s ' " :::~rvio~ -~~d~1 - ~oP~~ ~~r3~, I f 2!. YOST S~GN6ICAKT DUtT ASSiGt~tilENi ~ 29. WOU~tDS RECEIYED AS ~ RESI:Li Oi 11CTWN W~TN E:tzMY ~JRCES (F:~ocan~ ~~:s-e ~.'krc~-r.1 R I ~ = ~ c d I 3 4i ~ u ~ ~II~ ~ }tLMtCf ~ ~ 1 - W 31. SfNYttf TRx:\:NG COURSES 30. SERYKE SC~+JOLS OR COilEGES. CO~IEGE TR~RUV~G CClRSfS DRTES yaJOR CaRS£S WCCESSRRIr CO~PlETEO ~ o A!(D/OR POST-GRAO. COi~tSES SUCCfSSfULIY COrRETEO {F+nm•~oI ' ~ ~ W ~ I ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ r c+'J~~ C t ~ ~ o , i ~ ~ ~ ~pyERNYEi1T III~RANCE fNfORYl1110'1: W Peroaner+t 0~ O~~w'~ ~st ca?tieae to Dc ~id .~ea due. a witliio 3I A~rs thaesRer, a i~waaoa ~ri i~psc. 181 Term rair~aa aot + ~ ~oder wairet s~me ss W ~Lort. tCl Taca nsuma unda xsner-~?en'wrt+ p~eat must be rtsuaed .itlra I10 6~IS sltu sep~nfion. Fonrxd o~ NSU b Yel~ns Adsif 1 ~m ~ isttstiwi Daltict OtGot iwini Iw~s6~ctan ow Ik srca sUo~n n rtem 1). Fae~d D~ w USGU b Yet~s Ilde+ixsirs0o~. Wsshw~bn D. C. (See YA P~wpbkt ~31 ~Mea ~ ~ P~1~ Y~~s t^R h~ n~me. address. Snnoe Nac~ber, Pd~ Numbatsl &.xR M Senice. d~te oi sep~aCion. Caatxt nwat YA offre br iafawt~oa aonarain~ 6onaneeat l~tc 4nvr~a. E ~2/l RsND ~ AYT OF ~MSUPA(rCE i Y1Ml~. ~25. AC7rvE Si.NYKE PR~ON TO 26 33. YONTH ALLOiIlENT D[SCOliiHHlED ~l. IWNTff hEJ[T PRFIIWM WE ~ < MtEYNAI ~ Ai~iil 195i , ~ ~ES~NO~UNKIsOMN _ ~ i 35. TOTIII IA E)R SEPARA yj TOiJLL PA~yErf(TEAGE ALlO1NAVCE WCLWf ~37. DKBItRSiNG OFFKER 5 NAlif AhD S7MBOl NUMBER t ~ S7s~ 4ti O 3~. REMIdtRSlCont:nw on rererse) 39. RE OFFICER AUTHORIZED TQi~. . < <r~ ~ ~ ~ Ft~ova~~d~ ~r ro~::lisL~e~,,L ~ n . . . yr+- " ~ :lpc~r± LI~ QT • KItME. GRADE ANO TIiLE (T7l~"n ~ li~! ~ P~1ID L'~~' ~~t si00. ~~li~i~! Q ~Ta~s ~?t~ ia ei ~1t. ~ . , t ~ ~ T . f ar . ~ ~ ~ COIIiE1611T10N. ?EMSqM. Y~Stq1AlICE lFAfF1f5. E7C. CLwW frtIYBER ~ ~ 11. OATES OF U151 Cf1I~1J1!'1 EIVLOYM£NT ~2. CIYGUN OCCUPo?T~OlLr ~3. NAYE AN011lID~ESS OF UST ClY~IWI EYPl01'ER ~ i H i11011 TO ~ 4 ~s. ~~mt~? sr ~ . E EDt1CAT1oN (Y~on wxessh+Np comple+ed! ~ y_ ue~rco surES ameN 6AA11- ~ COl- DE6REE ISl YAJOR COURSE OR f1E10 . [~ra ~NO ww ~oa ~ccE Q. fERMJ1MEKT ADORE55 fOf1 ~uUlwG WRVCiSES ' N SEY T10N . R F ..Gtr. Counfl'ond otsl te. SK.NATURE OF VfRSON BE WG SE~AAATED ; ` 231.~ .:+~~;r~i~ : <,r~ : isrc~, ~i~ri~;e~ t ; ; . LJDI JYl "7~M60lEft A~~ ~ Ip.lS~ :7RAL OC FFlr..El WASHI.YGTON ~1 L D CRYlGfSc 1Y? MS Q 600K~~~?~7 FAC[~Ll~ ~ - _ ~m , ~ ~ ~ x.. ' W~:=::