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495'7
TN13 fS AN UiA?ORTANT RECORD
SAFEGUARD IT.
I. LAST NAME - i1RST NAPE - YiDDLE NAME 2- SEI 3. SOCIAL SECURITY NUYBER TEAR MONTH OAT
GATE OF
KASTANCUK, Lawrence 047 54 5671 RIRTN SS 8
5. DEPARTYE NT, COYpNENT AND BRANCH OR CLASS iR. 6RADE. RATE OR RANK b~GRADE TEAR YONTN OAT
GATE <K
1 RANK 0_]~ _
9~. SELECTIVE SERVICE NUYBER b SELECTIVE SERVICE LOCAL BOARD NUYBER. CITY. STATE C- NOME Oi RECORD AT TIME Oi ENTRY INTO ACTIVE
AND 21P CODE SERVICE /Street, RFQ Cr/t. State and ZIP Codel
4 Ruden P 1 ace
0_60 09 511 00 Bd 9 New Haven, T _
9a TT?E Oi SE?ARATION b- STATION OR INSTALLATION AT WNICN EiiECTEO C amL e j RUC 121 5
B€1_ga~ from Active Duty C, l stBn 6 h r
AUTHORITY ANO REASON d. TEAR YOMTN OAT
DATE 7 7
e. CHARACTER OF SERVICE TYPE Oi CERTIi1CATE ISSUED 10. REENLISTMENT CODE
H N N/ _ _
il. LAST DUTI ASSIGNMENT ANO YA10R COMMAND 12. COMMAND TO WNICN TRANSiERRED
See item 9b__ _ _ _ _
a3 TERYIN AL GATE Oi RESERVES I~ PLACE Oi ENTRY INTO CURRENT ACTIVE SERVICE lCily, Slutt and ZIP Cafe/ IS. DATE ENTERED ACTIVE -
MSS OBLKATION DUTI THIS PER100
TEAR YONTN _ OAT TEAR YONTN OAT
80 - 06 18 AFEES, New Haven, CT 74 _ _09 0 _
i5.1. PRIMARY SPECIALTY NUYBER f. RELAlEO CIV 1l IAN OCCUPATION AND IR.
~ 0 ~ y~ TITLE y99 i 28 ~ RECORD Oi SERVICE TEARS MONTHS DAIS
Rifleman Tech Proof Small In/NET ACTIVE SERVICE THIS ?ERIOD 03 00 00
L I Arms lhl PRIOR ACTIVE SERVICE OO 00 00
II I
SE.: `,•.DAFY bvECt C,TT \UVBfR F. RELATCD CIVILIAN Of CUPAiiON ANJ Ic/ TOTAL ACTIVE SERVICE :u ! b/ 03 00 00
j ~ ~ AND TITLE O.O.T. Y;iM~[^.
Id/ PRIOR INACTIVE SERVICE 00 03 f 10
lel TOTAL S-RVICf fOR ?AY Ir •ti/-- - Oa • 00 2q
j NONE NONE I/I fOREtGN AND~~OR SEA SERVICE THIS PERIOD I
r Iv:`J[!:NA 07 1:05tA ~i it Yl[E S'N~E Aa. G.:ST S. 161 20 HIGHEST EOUCATIOh LEVE1_ SU.CESSEULLY COMPLETED l/n )•c oral n
j ( i_~ TES NO ' - SECONDARY/NIGH SCHOOL T.IS 11-IZ piQaL~s/ COLLEGE IIy~ TRS
-sr
I ?e IOST'El•a'a'aj.n~ !~a.n I pt.15 ACCRUED F3 SE F. VI^E~IE4~i C.ROtlI- L:fE Z~. DIiA Bi LITT SEVERANCE PAT GE9SC NNEL SEC ~IRITY INYESTiGATIUN
)isl lEA'.E PA'0 i 165U RAhCE CJYERASE
3 I ~SI5,000 Of5,0'JO ®NO a TES a- TYPE b. GATE COMPLETED
t X X20,000
NONE ~ 2.5 O:lo.ooo ONONE AMOUNT NSA ENTN_AC 740?24 _
GE CURATIO~S MEDALS. BAGGES. COMMERDATIONS. CITATIONS AND CAMPAIGN Rt880NS AW ARDEO OR AUTHORIZED
Good Conduct Medal
i
27. REMARKS
Item 9c continued: Expiration of Active Obligated Service USMC
Item 12 continued: Marine Corps Reserve Forces Administrative Center
1500 East Bannister Road
s Kansas City, Missouri 64131 fiLEDRN~ •.'.l1ED
~ =1. LUCIr • • • fLA.
RG : ~~S
CLEk= ~ 'UR
i RECOa-, , ~ i i1
Dec 10 I oo PM 'J~
r
° 4895`7 _
Good Conduct Period Commences: 770930
?R. MAILING ADDRESS AiTER SEPA RATH)N IS/TFCf. RFD. Ci/y, CONNfy. S/Rfe. ZIP/ 29. SIGNATURE Oi ?ERSON BEING SE? ATED
See item 8c _ _
30. TTP[D NAME. GRADE ANO TITIE Oi AUTNORIIING OiiICER I1. SIGNATURE FICE AUTHORIZED TO SWN
J. D. BENNETT, 1stLt, USMC ~ J~L t1K~~
Executive 0 f f icer ~~;1~ ~l
't P1R~ a nwau w ~ w PRLYIl7a1G rr~lnnrv~ nc TMIG THIS IS AN IM?ORTANT RECORD REPORT OF SEPARATION