HomeMy WebLinkAbout2009 a15+
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S p[PARTY[NT- COMPONENT ANO BRANCN OR CLASS fi 6RADE RATE OR RANK • ?AT 7 TEAR YONTN OAT
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f. SElEC7rvE SERVKE NUMBER • S[E[CTWE SERVICE LOCAL BOAIID NUMBER. OTT. STATE AMD • NON[ OF R[CORD AT T/Y[ Oi ENTRY INTO wCTIV[ SERVICE
ZII COOE /JIRIL •/R Dy. ZM. w/ L/ Ca•J
2817 20th Street N .
11 151 54 87 No. 151 an IL St. Peters Florida 33713
iTIE OF S[IMATION ? STATION OR pEBTALLATNHI AT VMKN EFi[C [D
Released from active du OG GR[)UP MIAI~ FI~tIDA
AUTNOMTr ANO wEASON t TEAR YOMTN DAT
[K[CTIV[
DATE 79 09 14
CHARACTER OF SERVICE ( TTPE OF CERTIi1CATE ISSUED IO REENLISTYENt COO[
Harrnable See R®arks
II LAST DUTY ASSIGNYE N7 ANO MAJOR COMYANO I2 COMMAND TO T/INCN TRANSFERRED
USCG STATION FT . PIII2('~.r. FIARIDA Coamsnder r Seventh Coast Curd District
TER YIMAL GATE Oi RE SERVC~ t• ?LAC[ OF ENTRr INTO CURRENT ACTIVE fERVKE (CIy, R.r ..IW CdU IS DAT[ EMT[REO ACTTV[
I~ YSS OBLIGATION OUTT TNIf IEMOO _
TEAR YONTN UAr TEAR ~ YONTN DAY
81 _09_ _14 _ T a Flb~ida ~ 75 09 15
15 • PRWARr SPECIAL r• HuYBER AND-- . RE~A TED CIVgIAN OCCUPATION AMO IB
TITLE 00 T NUMBER RECORO Of SERVICE TEARS YONTMS DAYS
MFT AC Tt11E SERVICE TNIS IERIOD
-yA 04 00 00
aTa~ fE, PEEIOR 11C TIVE SERVKE
17. SECUND?Rr SPF CIAI Tr Nu NBER ANO / REL wiEO CIVIL IAN OCCUPATION AND TOTAL ACTIVE SERVICE fT .N ~ ~ '
`I TITLE DO? NUMBER
t PRIOR INACTIVE SERV/C[ ~ /~~(J~ /'N~~((/\\
i.7A---------- y TOTAL. SERVICE FOR PAI t/ C~ N/ .
Ep ~~~T{C['~• FOREIGN AYD/OR SEA SERVICE TNIS IER100
i If INDOC NINA OR KOREA SERVICE SINCE AUGUST S 196. ZO HIGHEST EDUCATION LEVEL SUCCESSiultr CGYPLETEO (l. I-n)
11
ES ~HO SECONDARY/MNiN SCMOOI rRS (1 It,..4+1 COLLEGE rRS _
ZI TINE LOST !t+++.F.1 2Z DATS ACCRUED 2)5[RVICENEN"S GRO<J?EIFE t~ OESARIUTV SEVERANCE PAF =s PE RSONNFt SE CURITV INVESTIGATION
LEAVE ?AID INSURANCE COVERAGE
p 513.000 pf3.000 ~NO pYES • TrPE • OATS COYPL[T[D
- a . 5 p 510.000 p NONE AYOIMT NONE 7 -
2f OEC011ATIOMS MEDALS. BADGES. COMYENOATIONS. CITATIONS AND CAYPAM.M RIBBONS AwAROED OR AUTNOMIED
Issued First Coast Gard Good Caiduct Medal far four year period to 79SEP14. Author'
to wear the Pistol (.45 Cal) Marksman Ribbon, and the Rifle (tai 16) 2~1arksman Ribbon.X~K
X X X X X X X X
t7 REMARKS
r3emUer requests copy of DD Foy 214CG
M®ober has completed the Hunan/Race Relations Seainar geld an board OGSTA FT. PIERCE,
No discharge certificate issued at time of separation.
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ZB MAILING AOOR[SS AR[R S[PARATIOM (tI..I.. I/1. C//. Cwr,. T..I.../ Z/I [i) Zf- S.G.IATURE OF PEIKON B(1N(' SEPARATED ~ i
2407 Barbara Avem~e, Ft. Pierce, St. Lucie 7''~~~~- ~'"~~'a'~'''t- T
Cotnt Florida 33450 MI
10 TYPED MANE- GRADE AND TITLE OF AUTNOII/ZING OFi1C [R ~E. IGMR OFFECER Mi?MORIZEO TO N
P. E
ED/TgNS OF TNIS 7t~ts is lurir r REPORT OF SEPARATI ROM ACTIVE DUTY
F~ _ 11 L CG FOR.. ARE DBSOI[T[ s -