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AUTNOMTY ANO w[ASON 1 T[Aw YONTN DAT
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D.T[ NOV 16
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USCG STATION FORT FNERS BEACH, FL OMMANDER, THI AST
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79 SEP 16 RUTLAND, VT 05701
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LEAVE Iw1O INfWANCE COYEIIAfiE
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MEDAL FOR PERIOD OF FEDERAL SERVICE FROM 73SEP17 TO ?7SEP16• X X
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NO DISCHARGE CERTIFICATE ISSUED AT TIME OF TION
INDIVIDUAL REQUESTS COPY OF DD FORM 214 C
INDIVIDUAL COMPLETED THE FOLLOWING SERVICE SCHOOLSs D8 MOTORBOAT BOARDING OFFICER
COURSE, USCG TRACEN CAPE MAY, NJ - ?4APR11; CCGD3 BOARDING OFFICER COURSE, USCG STATION }
~ NEW HAVEN, CT - 76APR16• -
INDIVIDUAL COMPLETED THE FOLLOWING COAST GUARD INSTTTUTE COURSES= SN-4, ?40CT18 - 84Y.,
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J• C• MITCHELL, YNC, USCG t~
ADMINISTRATIVE OFFICER ~ 8001(t)t)li PAGE
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M 1 NO? . E L~4 CG rOw" °"O1[,[ ? REPORT Of SEPARATION- FROM ACT11/E W1Tr
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