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CAUTION: NOT TO BE USED FOR THIS IS Al\ IMPORTANT RECORD Ai~tY Al/ERt,ilONS IN SHADE~J
iOENTtfICA110N DURDOSES SAFEGUARD 1T AREAS REr1DER FORM V01D
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DD Foe~ 214 DREVIOUS EDIIIONS OF 1HI5 S~_i~`'76S CERTIFICATE OF RELEASE uR DISCHARGE
1 JUl 79 FORM ARE OBSOIETE. FROM ACTIVE DUTY
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~• NA~ME (Le~, /iaR ~niddle) 2. DEVARiMENt, COM~ONENi AND BRANCM ~. SOCIAI SECURIri NO.
EDN'rJPDSON, JOF~V QANI EL JR NAVY - USN _ 262 ~ 15 ~ 9842
1~. GRADE, RAiE OR RANK ~b. -AY GRADE 3. OATE OF YIRTH - 6•uCE OF EN1Rv IriTO ACTtvE OJtr
M~72 ES 15 APR 55 JAqCSONVILLE FL
7. IASi DUIY ASSIGNMENI ANO MAIOR COMMAND d. S1AilON WMERE SE/ARAfED
USS DWIGHT D. EISENiOWER (CVN 69) USS DWIGHT D. EISEM-10vJE~ (CVN 69~
9. COMMANO 10 WMICM iRANSFERRED 10 SGIICOVERiwGE
NAVAL RESERVE PERSONVEL CENTER, .NEW ORLEANS, LA ••nouNrt
~000 NOntE
1 I. PRIMARII S-ECIALTY NUMBER. 11TtE AND YFARS AND II. RECORD OF SE~vKE ' YE~1R(tj ~ MON (s) ~ DAY (i)
MONTHS IN SiECUlT1i (AddCb~al speriary num6trs and tSka
awoluing perioda o/ one or morr ymrs/ a- Do~~ Enr~.~d AD iMs -~rwi ~ ~~j ~ gfj ~ ~ 1
hW1 - jd(djd~ - MAOi I NI ST' S MATE ~ e. s.oa•o~~ oo~. r~~. o..wa 8~ I~4 I 15
~- NN Act~.~ S~r.ic~ 1Ab P~rhd 3 1 ~ 1 S
d. Tot~l-rb~ Actlr~ S~r~k•
G 1WO1 Prqt I~wcli•~ S~r.k~ ~
L Fo~~p~ S~r.4~
s- s.v s...K. 2 9 1
' e~ ex«~,.. oot. e~ vo, e.~: 7g 11 16
L bf~r.~ Oblg. i~rre Oot~ ( 82 ~ ~5 ~ 1~
il DECORATIONS. MEDAIS. 6ADGES. CITATIONS AND CAMDAIGN RIBBQNS AWARDED OR AUIHORIZEO (Allpt~ioda oJKruire)
NAVY "E" A:~IARD - 3~ SEP 79/GOOD COPDt1CT AWARD - 15 APR 8f~ X
X X X ~
x X X
X X X
1~ M~~OAR~ EDUGaf ION /Count Tti[k, number rvetki, and montA nnd ymr complef~df
MACHINIST'S MATE (CLASS A) SCHOOL - 6 WICS - JUV 77 X
X X X
X X X
X X X
,S v~ET~ERA SOEDU C TiION A ASSISfANtCE ROGRAM n ~e MIGM SCMGO- GRADUATE OR EQUi~/AIENT ~ 17 E~ E~ ~:1E9 1
L.J rE5 ~ NO ~ rES ~ NO ~ ~ ~ ~' ~
ie. ~cs
X
X
X
Xx
x
x
XX
XX
19. MAItWG ApDRESS AFTE~ SE-ARATION
d~l~ l~
' 463~1 S.W. 25 TERRACE, FT LAUDERDALE,
?I. SIGNATIlREOi~ /EIPIGSEN1~Ai~
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x ~io~ss X
XX 1980 OEC 16 PM 4~ 25 Xx
X E R 6oR 0 X
X ~~`~~~~T ~ X
x ~ ~~T ~ X
~ pE~ KFRIFIE~._. ~-~~l ~-- _. X
X
20. MfWER REOUESiS COfY i tE
SENi i0 CLa_B~t. Of
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(2. TYiEfl NAME. GlAOE, TRIE AN9 SIGNAIIME Of OfFKiAI
~t~~fvABRENICA, PNC5, IJSN, aSST PERS OFF
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