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1. EAST NAAEE-r IRST WYE-LEIEYILE NAPE 2. SEa 7. SOCIAL 5[EURITr hUYBE11 1. vEAR AEONTN DAr
PL'T::.~ts J:;r::~ ii~:~:Bt:t2T _ t'i 228 48 9742 «T~` 1939 Jul 07
S. DEPARTMENT. CJJp//1MOIE~N]T AMD BRANCH W CLASS La 4R AOf. RAT[ OR RAN( ~ IA? 7. v(AR aKWTN DAr
~ii\ l4LiV~ i\e r-. C~1FADE gTAE~ .
1~ lJ-7 19r~7 OCt 0~
SA SELECTIVE SERVK[ NUMBER . SELECiry[ SERYKE IOC AI ROARD MJYR[A- C17 v. STATE AND . Nd[E Or RfCORO AT TRrt Or ENTRY WTO ACTIVE SERV KE
:rcoDE ~r.+E RID. f'ra SAIh.AI7~E.~
NA I~ N.oundsville WV
~ TYPE Or SfPARATq[A E STATIDN OR /f{TALIATIpI/ AT W/~TE Eir[CTED
Retirement Andrews AFB i~SD
wuTN7RITV A.ND REASON I r ONT.e DAr
Esr[cTTVE
DATE 19?9 SeP 3D
CHARACTER Or S[RVKE [ TrPE Of CER7~KATE KSUEO 10 REEK6TYEhT CODE
HONO:i:~BLrE DD Form 363AF
11. LAST DUTY ASSK NEERT AND MAIOR COYYAMO 1z. COYANJ TO WMCN TRINSEEMRED ~
204 CG (A~-'CS) USAF;2
1,. TERYWAL DATE OF RESERVE/ 11 .LACE Of ENTRr Ih10 CURRENT ACTIVE SERVKE lJ•. \L1r a1/; 1S DATE [NTEREO ACTIVE }
YSS OBLIGATKW DUTY TWS PERIOD
TEAR YONTN OAV YEAR YONTN wr
NA I.ndrews ~?F3 t~;U 20331 1974 i?pr 29
Iba PREY ARr SPECIAL Tr TAIAABER ?NO S REI ATED CIV KLAN OCCTIATIP[ AND le.
TITLE D.O T NUMBER
R[COR9 Or SERVKE vEARS EADNr..S DATS
Gro-L.:nd !radio
Cocuci.ni.cations .NET ACTIVE SERVKE THIS PERIDD 05 05 O2
.superintendent 304gG i~? 1 2 '
? PROR ACTIVE YRVICE yy~\ 1
1)a SFCONDARr SPECIAL TT NUMBER ANp A RFIATED CIVILIAN OCCU?ATK!•+ AhO TOTAL ACTIVE SERVKE •.E L\/ 00 26 ,
TITLF D O t NUMBER
Ground .wtACGl0 1 /PRICiRINKTIV[SERVKE ~ Q O
j Cosa T.inications TOTAL SfAVKE rDR......, ~0 06
nT,~.,~ l pY~
~ ile CtlnlClan 30474 Nt? I fpI(K.N ANp•'OR SEA SER:KE T[RS PERIOD DD 00 00
f7 M'IOCNWA OR R[IREA 5[RYKE SIM[ AU ~JST S. 1'~i l~ 20 NK.HE ST EOUCA TKN+IF V(L SUCCESYUIIV C' LE TrD h 1•~r
0 vES ®"b SFCOhDAw•%•..GH S;.w'YOl vR5 1 1: nai. C(1I.EEC,F_~ •R$ .
21 THE LOST !'n~..sE f... In 22 pA•S ACC[PXD Z7 SERVLEYENSI~ROI:P LLf 2. [tSABlliiv SEVERaN[E PA• 2S
IERSOhhEf SECUR~T•:LAVES'."•ATKIN
CAVE PAE) PESURANCE CC/VfRA4E
O (15.000 Q SS-000 ~ NO Q •ES a trPf E DATE rOUq ETfD
X20, 000
~ i~l ' i•.+. ~~n n I t1 ~1n_mn f'-l T.TnTno - •.1T 7 l..v. ~i0 .
26. U[CORAT KR[S. M[DALS. BACK.ES. COMYE NDATKINS. CIT ATKMS Ah0 CAYIAKsN RIBBONS ANARDEO OR AUtITpR:1ED
>r'-'L7.. w/40~.C/: ~clri:t": ~r/4U:,C (14 Jun % j - 13 E7un ~ 8) _t 900-48/
1•tSM, :;0 G-149, :i:.::r`~.., 22 Jun 79/
22. REMARKS
DtFaC: 30474/31ood Group: U rositive/.,rSN: ~+F13653936 ~=Misted)/I~:ember did not
participa Y' /senior t:::r ~c~.demy, t•;ar 78/Individual reque:a;,
D~ Form Item 25a: 76tr.:~r~/SP, Itndre.~s t.~'B I•:il 20331 rile x+01-2082495
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2E aIA~T :V ADORE SS ArIER SEPARATIDh \?..I Nf II 1.h. I..w1. •NY aa.i /4f•d. 79 y.bAT EOE PTRXn BE+E4 SEPARATED
Lot 43, 3~c,o ~ 7th ~t
't -Pierce, ~t i:ucie, rL 33450 ~i~i
[ PFD ^.A VE %.REpf AND TiT~f V AuT ~R!Z~NG rf E.r.[R I JI SK.hAT RE OE O[i~iER AUT.gR~IfO TO
J1~1•;::.i F. :.iG.T::, t~,auT, U3::r
i~~'IC~ ~Eil.LI'i'Y FC)RvE ~ .
nn ~oaM 71d ....w~ ~ ~Al~A 'j+~' 1' ~'1"''k•' ~ REPORT OF SEPARATION FROM ACTIVE DUTY