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HomeMy WebLinkAbout1079 i / • THIS IS AN IMPORTANT RDVORD SAFFXiUARD /T. 1 LAST NAME FIRST NAME MIDDLE NAME 2- 8EX ! SOCIAL SECURITY NUMBER YEAR MONTH DAV BIRTH MARCUM CURTIS LEE Q~~ M 523 3B 4685 DATE OF 936 JUN 03 3 DEPARTMENT. COMPONENT AND BRANCH OR C1A88 8e. ORADE. RATE OR RANK e, pAy 7. YEAR MONTH DAY AIR FORCE REGAF MSGT ~/~1DE OATEOF 1974 MAY O1 t/ RANK 8•- SELECT/VE SERVICE NUMBER SEIECIIVE SERVICE LOCAL WARD NUMBER, CITY. STATE a (Nj~OME, ~O/yF R~E/C~ORD AT TIME OF ENTRY INTO ACTIVE SERVIC[ AND ZIP CODE T I\I'Y\~1 ~Cod•) WA NA MUNCIE IN 47302 90. TYPE OF SEPARATION D. STATION OR INSTALLATION AT WHICH EFFECTED DISCHARGE - ELMENDORF AFB AK 99506 e. AUTHORITY AND REASON - d. YEAR MONTH DAV EfiECT1VE DATE 1976 APR 28 • CHARACTER OF SERVICE TYPE Oi CERTIFICATE ISSVEO 10 REENLISTMENT CODE HtN~ORABLE DD FORM 256AF NA I1 LAST DUTY ASSIGNMENT AND MAJOR COMMAND 12 COMMAND TO WHICH TRANSFERRED 21 ABG AAC NA IS TERMINAL DATE OF RESERVE/ I4 PLACE Oi ENTRY INTO CURRENT ACTIVE SERVICE fCiy. SinN ad Z/Iced./ 18 DATE ENTERED ACTIVE MSS OBLIGATI N YEAR MONTH DAY YEAR MONTH DAY yA CRAIG AFB AL 1974 APR 29 15a. PRIMARY SPECIALTY NUMBER AND a RELATED CIVILIAN OCCUPATION AND 18 ~~~~/0 AUDIOVISUAL • 1~~~`AuotovlsUAL RECORD OF SERVICE YEARS MONTHS DAYS MEDIA TECHNICIAN PRODUCTS MAKER NET ACTIVE SERVICE TH!5 PERIOD P_ RIOR ACTIVE SERVICE ! 17n SECONDARY SPECIALTY NUMBER AND TITLE d RELATED CIVfLIAN OCCVPATION AND R; TOTAL ACTIVE SEIIVICE (Q ~ b) 06 III OO.T. NUMBER ~ (O PRIOR INACTIVE SERVICE 0 I TOTAL SERVICE FOR PAY (C+f>7/ NA iIA n. FOREIGN AND~OR SEA SERVICE THIS PERIOD 0 19 INDOCHINA OR KOREA SERVICE SINCE AUGUST 3 !964 20. HIGHEST EDUCATION LEVEL SUCCESSFULLY COMPLETED(f~T•~s) I ~ YES ®NO SECONDARY HIGH SCHOOL 12 YRS pJf aed••f COLLEGEOQ YRf. 21 TIME LOST(?nc+•di4q T~oT 22 DAYS ACCRUED 23 SERVIC EM ENS GROUP 24 DISABILITY SEVERANCE PAY 23 PERSONNEL SECURITY INVESTIGATION I LEAVE PAID LIFE INSURANCE COVERAGE TYPE f!. DATE COMPLETED ~ NOT PAID ~'~~~0~;~~° ~ ND p YEs Nt) TIME LOST SEE ITEM 27 O f'°~°°° ~ "°"E AMDUNT_ NONE *NAC APR 55 26 DECORATIONS. MEDALS. BAD[.ES. COMMENDATIONS. CITATIONS AHD CAMPAIGN RIBWNS AWARDED OR AUTHORIZED i AFGCM, AFR 900-48 I e a 27 REMARKS i BLUOD GROUP: U NEG ~N ~3 ~ 2: 30 AQE: A60 G60 E70 M70 - DAFSC: 23170 F c~ s R~c~~ t *ITEM 22: ACCRUED LEAVE BALAiICE CARRIED FORWARD s~ P~TMst. ~iAC : 4TH DI ST OSI 80LL I~YG AFS D. C. il"6111t CMtgHT GUIt "MEMBER REQUEST COPY OF DU FORM 214° ~r.~a~vea~:tor 28 MAILING ADDRESS AFTER SEPARATION(SIr•N. J1tlD, Cly. Cony, i/on ad Ll Codr) 2! TORE OF PERSON BEING SEPARATED ROUTE 2 PO BOX 343 ELKTON FL 32033 y 3b. TYPED NAME. GRADE AND TITLE OF AUTHORIZING OFFICEII SIGMA RE Oi OFFICER AUTNORI ED TO SIGN ~ JOHN G. CHRISTIANSEN, MSGT, USAF NCOIC, SEPARATIONS FORM PREVIOUS EDITIONS Oi THIS THIS IS AN INPO , RD?ORD 0~ 1 Nov 7z 2143 FOAM ARE OBSOLETE SAf.ECV ~ RT OF SEPARATION FROM ACTIVE DUTY PI~~~ ~ L'„ .gam?=-.