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CAUTION: NO1 TO tlE USED TOR ~ TNIS IS AN IMPORTANT RBCORD ~ ANY AtiERATgNS IN SHADED
WENT~ICATtON PlIR00SES SAFEGUARD IT AREAS RENDER FORM VOW
oO Fow 211 rREVtou3 EDIitoNS OF TH,s CERTIFICATE OF RELEASE OR DISCHAR4E
~ wt ~0 17 FORM ARE OiSOIEtE. ~ FROM ACTIVE DUTY
I• (LIB ) 2• DEPARTMENT, COAVONENI AND BRANCH 2. fOC1Al SECURITY .
GUY DAVID - 1
~L GRADE, t1ATE ORRA?EI tb. ?AY GRADE S. DATE OF BIRTH 6. ?IACE OF ENTRY INtO ACtNE OUh'
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7. UST DUTY ASSIGNAl1ENi ANO MAJOR COMMAND B. STAiION WMEAE SE?ARAiED
NAG 46 DST thNAW 3 0
9. COMMAND i0 VVMICM TRANSFERRED I0. SGU COVERAGE
NCRFAC Kansas Ci Missouri - AAAOUNt s 20. 000 ~ NONE
I t. ?RMAARY S?ECIAUY NUAABER, tITIE AND YEARS ANp 12. RECORD OF SERVKE YEAR(1) MON (s) DAY fa)
MONTMSw S?ECUITY (Add+tiorbl speeioty Hamden and,tr<ka
anuo)Irir~ ptriods of one or mwt yearal ~ Doh Enhrod AD TA~s ?erbd
L. Soooranon DOh iMs Ported
6122 4 NN Acet.• Sor.ko T1.1a P~rbd j
Helicopter Power Plant a. TabT Prw. Acn.. s.r.k. ~
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Mechanic T-S8 ~ Taal vr~r s.r•k•
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h. ERsdhr• Dat, of PoY Grod~ p~ '
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I]. DECORATIONS. MEDAlS. BADGES. C11atIONS AND CaAAPAIGN R1860NS AWARDED OR AUTHORRED (All psriods o/aerviet)
M-16 Marksmanship
Good Conduct Medal (1st AGTD) _
Ia. MILITARY EDUCAttON (Count 71tk. ~4mder weeks, and month and year completed)
T-S$ 4i,1k 770200
Aviation Fundamental Class P 761200
Corrosion Control Course 8Hrs 790500 -
Aviation Machinists Mate J Turob Jet A 761200
i5. MEMBER CONTRIBUTED i0 POSt.V~TNAM ERA t6. HIGH SC?tOOI GRADUAtE Oa EOUNAIENT 17. D~AYyS~ACACRUED
VETERANS' EDUCAi10NAl ASSISTANCE ?ROGRAM ~ 1IES ®NO ®YES ~ NO KLIS ?3~S SLB II
iB. REMARKS
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" NOT A FINAL DISCHABGB "
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19. MAILING ADDRESS AFTER SEPARA1tON 20. MEMBER REQUESTS COPY 6 RE
• SEM TO MI DIR. of vET
181 Che ood Davison Mich 48423 AFFAIRS ®YES ?No
2t. SIG TUBE Of MEANER BERYG ABATED _ 22. i SIGNATURE OF OifK:1Al
B. A. , 2, A>EiINISTBATIVB OFFICER
s/N oto2-lF-ooo-2taD MEMBER - 1
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CLERK CIRCUIT COURT
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ar:~K 335 PdGE
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