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HomeMy WebLinkAbout0491 • . 2~3~'~3'7 ' : - , ~ TNIS IS A11 IYPORTANT i1EC0i10 ~ SAFEGUARD 1T. 2. SENV~CE NVw~E• ? SOC~nI SECUM~T? HVwBEN { IAST NAY[•~~A57 N~YE-w~DOLE NAYE . ~ KR~TSCH RVl'fi Tf~RffiE ~ N 1 22 1 ` ~ Sa GRAOE, p•TE OY AaM¦ 6 PAr e. owr wONTH ~EAR ? a s. OEOA~7YENT. COw~ON~N7 AND ~~ANC O~ C1~53 GQ~OE uwt E Z ~ a~tc r~a~or o-4 p.N, 29 Aug 60 ~ ~LACC O~ 6~~TH (C4~~3iMM Ce~~~n) 9. OA? ~ONTM ?E~• i 7. U.S.C~T1Z<M ~ DaTf ~ ~~ES Owo LTiB 17VlYP.g 1~Wa e at.. 3~ LGC. 10 , 2 7r +Oa SFLECT~v[ SE1IY~CE NuYlE¦ f[LEC7~YE SEAV~C[ LOC~I /0~N0 NUw~ER, ~ITY, COUNTV, 57AiE ~NO 2~~ COOE c~ D~TE iNDUCTEC . p4v YONTM '!EAA V` WWO ~ VA ' WN rn M w l lt Tv?E Oi~ TNANSfE~1 0~1 D~SCNAR6E STAiION 0A ~NSTALlAT10N AT +IHICM EffECTED - ~ W ° Retired Fort Monmouth Nev Jerse . t ~ ~ o+* YON7N rea~ V c REI~SON ~MD AU1N0~11? ' E<<FCT:~~E N ~ A. E DeC 68 ; UP 10 U.S. Code 11 SPN S Retiremeat n p0 12, 1A57 OUT11 AES~ONY[NT AND YAJOA COVYAND PBt~~on ~~,~ACTEp O~ SEwY~CE D TvVE O~ CEMT1i1CwTE ~SSUED } W ~w p.~~} HONORABSE DD Fan m 6 ` r ilV~ 1Y~1 ~ ruov U~S• ~ p e5. NEENL~STYENT COOE - ~ OIS~RICT. MU COVVAMD O~ COR?3 TO WHICN AESEwr~iT TwAMSFERwED (Ret Res) and SSp ~ US~AR C 1 R IJSAAC St ~ ~ 1e 1EwY1NAL DATE Oi 11E3EAVE/ 17-CUAAENT ACTIVE SERVICE O1NER iH~N Bv ~NDUCT~ON ~_TfMY O~ OwiE Oi EN7RV ~ VYT4S O~~~nATiON a SOUMCE OF ENTN11~ SEAVICE (I'~¢n) D~Y YONTr~ vE~R Av YONTM EAR ENt~57E0 /Ho~Swou'sl Q~EEUt~SiEO ~ _ ~E~aL~S*EO /7tn+Lwh~wO ? ' 1TA . OTMER pj.de~ ~ A D ~ ~S ~ ~ 1{f1 ~I IS.IAtOA A[OUTAA ENLIS/YENTS ~V. Gp~OE. 11ATE OR RANII AT TIYE O~ =O. PIACE Of ENTR~ ~h~0 CVMNENT AC~~vE SE~+~'~CF !CY)GwlS~sf) ~ E1~111~ ~NTO CYARENT ACTIVE S~/C ~w (~p'~{ ~~~j ` Cr 1 ~ w ~++~Vi lila ~ t 3~. NOYE OF REC0110 AT TIYE O~ ENTqv ~MTO ACTIVE SE11v~CE t ! ~~KRrA~~~`y~~ S~arurC~w j~~ STATSVEMT O~ SE~':~C[ YEARS 40N~ti5 D~`/5 ` YEi SER~:';f iH.S ~tM~OD 16 ~3 ~ :cEG~'~SLE ~ j i Menlo Park, California , a.5,~ o.. ~2' O1NER 5fp.,~E ~ oiJRrt)SES Jl S~<GALTY NUw~E¦ a~~~1 ~ AELATED C~Vt~~~N OCCUP~TtON ~ND . j~ rpTAL'I.~V (J/ p~'W Lev ~Z/) ~ 1 1 ~ 3~+~+5 ~urSe ~ o T ~~M.Ep - e ro••~ .c:•.c SERV~.c 20 1 1 cpN:~~.iN +vG.-OA 5~-~ SE4~' ~'F. ~ o Anesthetist ~ 0 0 W V lt. OECORATIONS. YEOAIS. ~ADGES. COVVENOATiOMS. C~TAilONS ~NO CAwc~~Gh .~~BBONS An'rNiFD OA •'~TNO~~ZED ~ K02 G'Sil $VC ME'd 0~ ~ UN Svc Med ~ ND6M 2 O~S Bars , ~s'Fitz~~AH„Deaver,~Colo-Anesthesiology-1957; Msry Hardin BaYlor, Tex - US History - 1956; Valley Forge AH, Pa - Off US A~y(16i~A~I) Pro~ectioniat Sch-1958; Pa Stete U- ~ Psychology - 1958; Pa State U- Child Psych - 1958; Pa State U- Fd~g. Lit - 1958 USAFI - ~sg I&II - 1959; U of Md (PG) - Lib Arts - 1960 ; U of Calif (PG ) Lib Arts - 1961 ` E # t l6aNOw•v~r?ER~ODS T~Y[ LOfT (}?~q(raj ~.O~r~3 ACCNULO IEAVE •A1 2]a1NSUflAMCE ~M ~OMC 4~Y~VNt O~ ~ILOTYEHT C D SCONi1N{~EO ENi TIO YO~fI INSLI Y IiSCLIf ' -r: ~p ~ ~7 ~.I" ~.LS ~..o s lta°? m ~ : a-. ~r NI N~1~. r Y~IY¦ • ]9. SFPV!CEMEN'S GAOUC :ttE ~NSU~~NCE COVEM4GE .7r ~ ~j ~ ..v~.~ ~...~a10.000 Qs5.000 QhONE Q~ •~OC V ' ) vA ~a'~ ~ C7A ; > ~ C' 1\lf ~ ~i~. 7A A[wARR£ • t` ~ ~ ~ + ~ 3 Yrs - Nursing - 6 Mos Gen Hosp (Anesthesia) & 1 Yr (PG) - Sociology ~_;~_i~Z ; C ~,o-. } * N Blood (#roup: A o • - ~ Item 5a - Ma~or ( US~R ) APtd 29 Au8 6~ • _ ~ N ~ ~ ~ ~ s ~ ~ 3 i ~ ]~.tERYAM[NT ADDA[ff iO~ MA1~iMG ?V~1?Of[E AfT[A T/AMSI[A OA OISCH~MGE 1l. S~GMATVA[ OF IEMSON ~E~MG T11~NfFER1~E0 OA O~fCMAAGEO F Z lde~+L tlR QIO'- ~b'. f1Y~ ~ tll C~fy J'L.Ih.cj-c~ J~ - ~ 615 So. Second 3treet ~ S ~ ~ Z T~~~O MAYt. RADE ~MO ~~Tl[ Of AUTNOA~ZING O~~~C!• ¦w Oi O ~CER ~YiHORiZfD TO t~Gn ~ ~ ' J. J. AAFNER Cti+2, USA, Asst Chief ~ d,~, ~ PSB, MPD, P8c~P Dir. ~ rowr •+cv~ous to~no.+s or -ti~s FONY t}Gp0 t96~ 0-285- llAf FORCES Of iHE UNIiEO STATES ~ * DD ~ iu~ sa Z~4 AAE O~fOt[i[ IFRtCTryE ~ iwn e~.0 R T OF TRANSfER OR DISCMA~OE E ~ "1~ ~ '~?~l - - _ _ . _ . _ . . -