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Home My WebLink About1851 ~ ~ G a01.85'7 ~n~~ ~o~ :~ECw?ao ~r. , 1. IAST XAME - i1RST MI?YE - r10DlE MAMC 2. SEI SOCIAI SECYfITf AYY~ER ~EAf OOMTN OAf ' ~ ~ OArE OF WkkPHLR~ James Jr. s'RTM S. DE?ARTMENi, COM?ONEM~ ANO ~4AMCN O! CLASS •R GtAOE, lATE OR RAMR 6.6RAOE ~Af MpMTM OAt _ GATt Oi fAMR ~a~ SELECTIYE SERVICE NUMBEf 6. SELECTIVE SERYICE LOCAL ~OARO IIUM~ER, CIT~, STAiE t. NOME Oi ~ECOtO AT TIYE O? EMi~Y IMTO ACTIVE wro nr cooc SEfY1CE lS1?t~t. RFQ Ciii. Srue •wd Z1P Code? ~~2 ,V@1111e M~ i ~ ; 9v. T~K Of SEtAQAT10N b. STATION Ot INSTAWTqM AT MMICM EFiLCTEG . { ~p~~~~ v/~~DQ` S H~l~BY~'~ iCn76Vlu! i~~~H NISii~~l~A ~ C. AYTNORITT AND REASON d. YEAf YOMTN OA7 i EfFECT1YE - 011TE ~ O t. CNARACTER Oi SERYICE TtIE OF CElDi1CATE ISSYEO 10. ~EEIKISTYUT CODE ' NA ~j.~ , I1. IAST aUT7 ASSIWIMEtIt AND YA1pR COYMAM09i8M~~~~'~Ij?SG'~' It- COYYAND TO WNICN T4ANSiEfRE~~O~eBFOI~CCS~A~•••«¦ S Ql , 00 T. eter Rd g.C. M0.64131 t3. TERMiMRLiD~TE Oi R RYE/ p~~~E Oi EN7Rr INTO CURQEMT ACTtYE S[4YICE /Cifr, Slntt and Z/PCwlai IS.. OATE ENTE~EO ~CTIVE ~ YSS 09LIGATION DYTt TMIS ?Et100 , fUR MONTM DAt. ~Uf MONTM OAY ~ c ws~ Pa~ ~cx ~ oi ~ 72 i ~ 02 ~6J. iRIMAtY SPECIAITT MU~t~ER b. RELATEO C1VIl1Al1 OCCUPA7iON AMD 1!. ~ AND TiT\E D.O.T. MUM~ER ~ ¦ECO~D Of SfpY1CE TEARS tlOMiNS DArS - ; 0811 ~b32~ZV1 /a/ MET ACTWE SERVICE iMiS ?ERtOD OZ O \JV ` Fl(iA~~yy~aib,n Di{ia~l~~ Ih1 ?RWN ACTIVE SERYICE ' ' ~i~[ ; ' a 74. 5C: :•.~AFt irEC~c:T`I \UyOER F. RELAiCD QVILiAM QCCUPAT:ON AMD ~ ~ - /C) TOTAL ACTIYE SERYICE ;p ~ DJ ; AND !1TLE D O.T. 9:iY.9E^ - . { ~ . !dr ~RIOR INACTIYE SEAVICE ~ _ ~ ~ !PI TOTAI SERYICE iOR M1 li - dl .j i A A A~ FORfIGN AND%OR SEA SEAVICE TNIS tER10D ~ x - - - i-~- - - ~ - x S , io ~ti;~: ~:MR O:t cCRt~ ~iwVICE S:N•_E R~GOST 5. !>5~ 20- kfGHEiT EDUCAIIOh LEVEl. SU~CESSiUII~ COYPLEiED lln Ycarsl g o L, ~ES ~ NO I SECONDANVHiGM SCNOOI tR5 ~!-!2 ~~alrsf COIIEGE ~RS ~ 71 '~+F ~OST ~~~i•.~i~i.n~ ~..n 2_. C•ArS ~CCRUED ~21 SERV~'Er1E~.~5 ~PO~iv ~!FE 2~. DISAB~It?f )EYERANCE 0~1y ~5 FEVSCMNEL SECURIT~ IyVESI1GATfON ~ 3~rs~ LEAYE ~'A:0 IKSUAAhLE COVEYA.E ` - ~ I Qf15,000 ~fS.0~0 ~MO ~ TES a~ TT?E b. OASE COYrLETED + c * • ~ NONE Z2 O DALa7 ~t10,000 ~NONE AYOUNT ~g R , q [6. CfCOA11iMti5 f1E011i5. B~OGES. COYYENDAT~ONS. GiAT10N5 AMD UMPAIGN ~it8BON5 AWANDED OR AUTNO~IZED , ~ IIDSIrDL a ~ ' ~ 27. REYARKS . ~ *SGLI IS NOW ;20~000.00 ~ ~ FILEO AND REC,Qti~E9 ~ ~ ST. ~UCIE COYM~Y lA. ~ ROGER POlTRAS CLERK CtRCUIt COURT ~ REC~RO YER~~IED ; ~ ~ 11 ID ~ IIH'~5 ~ ~ ~ . ~ 30185`~ ' ~ e ox~ ~18~ ; . ~ ~ ~ 2!. MAIUNG AODRESS AfTER SE?AiAT10M (SbEf(. RFD. CI/j. CUURIy, Sf0lP. Z/PI 2f. 51GNATURE Oi PERSON !£IMG SE~ANATED 2902 Avenue "H" w ~ Fort Pierce, FL 33450 - ~ 30. tT/E0 MI1ME. GY~OE AND TITIE Of AUIMORIZING OffiCER 7. 516MATYRE Oi OifICER AUTNO~IZEO TO SWII ~ i n ~ ~ roti., PREV~OUS ED~710N5 OF TMIS ~~f If AN IM?ORTAMT lECORO REPORT OF EPARAT{ON DD ~ ~~o•~ ~~L ~ 4 MC FORM ARE OBSOIEtC fAfEGUARO IT. FROM ACTIVE DUTY (1900) ~~~r~lV _ ~ ~ s/N o t o2-002-00o t ~~n«._. - - _ _