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CAUTION: NOi TO BE USED FOR ?HI818 AN L1iPOBTANT IiSCOBD ` ANY ALTERATIONS IN SHADED
R)ENT~ICAiION PURPOSES SAFi~(iUARD IT AREAS RENDER FORM VOD
~ M PREVIOUS EortaNS of THa CERtIFICATE OF RELEASE OR DISCHAR~iE
DD i wL ~ L 14 FoaM ARE ossol>:TE. FROM AC11YE DUir
1. 2. DEPARTMENT, COMPONB~Ii AND RRANOI lDCIAI SlCIRlf1? N0.
HALE BLARE THOMAS AIR FORCE--REG AF `264 ~ 84 6168
GRADE. RA]E OR RAH[ PAY GRADE S. GATE of sRml d. PLACE OF ENTRr wro ACTNE OuTY
SGT B4 1956 MAR 19 HONOLULU HI
7_ u?sf OUIY ASSIGNMENT AND MAKJR cOMMAw B. STATRNI WHERE SEPARATED -
92AMS SAC) FAIRCHILD AFB, WA
9. COMMAND TO IMFIICH TRANSFERRED 10. SGU COVERAGE
~ AMOUNT: ~n aoo NONE
11. PRYAARY SPECIAl1Y NUMBER 11TIE AND YEARS AND 12. RECORD OF SERVKE YEAR MON (s) DAY
MONiHS W SPECIALTY siP•~iJ' nwwbas awd tiles
~iAB Php'ds o/ owe or ?non years) a. Dad E•ISrsd AD lAh Porbd
12450, PRECISION MEASURING EQUIP*H:NT SPEC- e. S.Pwsior~Da. i~a w.we
IAI.I ST , 4 YEARS AND 2 MONTHS . c Na AdN. Ssnks tha P•.wd 0
~ d. rain P.br Acw.. Ssnico NA
! Taol Prior 6locti~ro S~r.ics OO 0
~ L Forolpw Ssnia Q
f s- S.o S.r.w NA NA NA '
h. ENsdi.s DaN of Poi Grodo 1 75 NOV.
L R~s•r.~ 061q. T~rw. Das NA NA NA
13. DECORATIONS, MEDAlS, BADGES. CRAi10N5 AND CAMPAIGN RlBONS AWARDED OR AUTH~QED1A/l~r~oa~ oLservi~e
AF GOOD CONDUCT MEDAL WITH ONE OAK LEAF CLUSTER l5 DEC-76-4 DEC ~9). AF LONGEVITY
SERVICE AWARD. AF OUTSTANDING UNIT AWARD. NATIONAL DEFENSE SERVICE MEDAL.
1 MIIrtARY EOUCA110N (Course Tt1S number rvee4a, and month and year Complded
PRECISION MEASURING EQUIPMENT SPECLALIST, 30 WEEKS, NOV 74.
1 S. MEMBER CONTRBUTED i0 POST-VIETNAM ERA Ib. HIGH XHOOI GRADUATE OR EOUrvALENi 17. DAYS ACCRUED
VETERANS' EDUCATIONAL ASSISTANCE PROGRAM ~ YES ONO ~ YES ~ No LEAVE PAD ~
IB. REMARttS
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2i. sKiNATURE OF ME RENG sEPARAT® 2s. TYPeo NAME, GRADE, T of
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