HomeMy WebLinkAbout0419 y.
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THIS IS AN IRIIMRTANT RECORD
SAFEGUARD IT.
I. LAST MANE - fIRST NAME -MIDDLE NAPE 2. SEI SOCIAL SECURITY NUMBER a. TEAR YONTM DAT
HAll~jtw Terrence James ~i 018 46 352? DATf of 56 05 03
suTN
S. DEPARTMENT, COM?ONEMT ANO BRANCH OR CLASS aQ GRADE. HATE OR RANK b. GRADE TEAR MONiN OAY
U~+'iC-11 Cpy ~ DATE OF ~ 05 _ Ol
W RANK
R~- SELECTIVE SERVICE NUMBER b. SELECTIVE SERVICE LOCAL ROARD NUYlER• Clri• STATE f. NOME Of R[CORO AT TIME Of ENTR7 INTO ACTIVE
AND ZI? CODE SERVICE IStreet• RPQ City, Stufe attd Z/P Cndel
08 010 56 352 I.~ 40, Fort Pierce FL 1111 Beach Ct.
9a~ T7?E OF SEPARATION b. STATION OR IMSTALlAT10N AT .WHICH EFFECTEpz_~. t~~g~~.w ~y
Transferred to tiarine Corps Reserve FMF C NC28 2 oN
C. AUTHORITY AND REASON d. TEAR 110MTN OAY
EFFECTIVE '
_ DATE 0 02
e. CHARACTER Oi SERVICE ~ TYPE Oi CERTIiiCATE ISSUED 10. REENLISTMENT CODE
HOi~OriABIE it A
il. LAST OUri ASSIGNMENT AND MAIOR CONMANDB~~uelCO~~~Ttivsy.~y~• 12. COMMAND TO WNICN TRANSFERRED ~rIC14"AC 1/VV LtlaSlr -
Bn.~2d~'S.SG~~ein~~r1~'Lant~CamLe~hC26542•+y~~j_+vYv th Street Kansas Cit IA 1
t3. TERMINAL SATE OF RESERVE, to PLAC[ OF ENTRY :NTO CURRENT ACTIVE SERVICE /Cif State and Z/P Ca/eI 1S. DATE ENTERED ACTIVE
MSS OBLIGATION
- DU7T TNii PERIOD
TEAR MONTH - DAT TEAR MONTH DAT
~sl O1 13 Coral Gables FL _ _ _75 03 03
.Sv. PRIMARY SPECIALTY M~JVBER F. RELATED CIVILIAN OCCUPATION'AND IB.
ANO TITLE O.O.T. NUMBER RECORD Of SERVICE TEARS MONTHS DAYS
13,9'11 L, T /a/ NET ACTIVE SERVICE THIS PERIOD
Bulk u 1 jtl ~ 161 PRIOR ACTIVE SERVICE
`-f ~;~•:DARY St ECt.1TY WYBER h. RELATED CtYt! IAN OCCUPATION AND (c1 TOTAL ACTIVE SERVICE_a + bl _ ~ _
AND TITLE O.O.T. `i l;tl,TE^. _
(d/ ?RtOR INACTIVE SER VIC[ ~ Ol 1IT- 1
!e/ - TOTAL SERVICE TOR ?M is -tU O~ 01~1C~
IY ~ I+1~A - !J/ FOREIGN AND%OR SEA SERVICE TIUS PERIOD _ 11_ /Z{
• tac~0: L~NA 02 KORtA SE NYI:E i:NCE AbG:iiT 5, td5a i 20- HIGHEST EOUCAIION LEYEC SUYESSFULLI COMPLETED (In Ye!trsl
L I YES ~ NO
SECONDARY/NIGH SCNOpL Ywi /i-li erad•-~{ CBLLEGE _yt TRS
21 T~~f IOSi'T'n Ci ~i.~¢ TM4 (2=. i~A/S ACCROED 23 SER Yt'E+fE4S GROU: L[iE 2a. OKABiLITf SEVERANCE PAY TERS<NNEL SECU RITT 1?IVESTIGATiON-
~•t• IEAYE PAID ~ INSURAhCi CuYERASf
QSIS.000 QS5.000 i ®NO a YES I a- TYPE b. DATE COMPLETED
20 000
IsGPE 3/+.5 ~s C$s~ CJNONE AMOUNT N A IIdTi~IC 7 0 O1
[fi. CECURAT10~5 MEOA~S. BADGEC, (pYMENOA TION S. CITATIONS AND CAMPAIGN AtflBONS AWARDED OR AUTNOR4ED
Good Conduct I•:edal I•:eritorious I•:ast itifle Sharpshooter Badge
27. REMARKS
Bulk ruel School
Good Conduct i•ie:•ial Period Commences: 780303 ~~Q ~ ~ , ~ f2. 0~ .
"I'iarine requests his copy of the lib Form 211 t}C)."~
~ F LE
s 4~ E r ~~RASA.
q, o CtRCiItT~
IlEE01fE YfRiFIEO___
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2B. MAILING ADDRESS AFTER SEPARATION (Seri ef. RFD. CJIY. Co4nty, Sfafe, Z/P/ 29. SIGNATURE ?ERSON REING SE?ARATED
11;,00 S. 1Zt}, Stree1-
~ _
30. Ti?EO NAME. GRADE ND TITLE Of AUTNORIZI G OFFICER 1. SIGNATURE Of OFF A TO SIGN
~ ~I ~ 8~~~ 327 P~~E 418 -
soc..• PREVIOUS EOIitONS OF.THIS THIS IS AN 17UI?ORTANT RECORD REPORT OF SEPARATION
~ • •~2 ~ 4 MC FORM ARE OBSOLETE SAFEGUARD IT. FROM ACTIVE DUtY (19~^! IN~,V -1
S/N 0102-002-0001
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