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Home My WebLink About0972 . ~ , ~ Y ~ ~ I + ~ ~ \ ~ • I . , ~ ~ . ~ i CAUTION: NOT i0 BE USED FOR THI3I3AN iMP(IRTANT RSCORD ? ANY AITERAiIONS IN SHAOEU Wv tDENilFKATION pURPOSES SAFSCUARD IT - AREAS RENOER FORM VO~ DD FORM 9~~ PREVIOUS EDITIONS OF iH15 ry CERTIFICATE OF REIEASE OR OISCHAR~3E ~9 L FoaM nae oasotETe. ?~r~S~9 FROM ACTIVE DUTY 1. NAME (L~aR I~"~R ~idf(/t/ 2. DEVARTMENT. C~A1V01iENT AND lQANCH SC1CfAl ~C{~Qti' NO. FtJI.P SUZl~1iB (~iMi) AIR P~ORCS--R~G AF 7 '~45 ~a ~a~oe.a?rEOawrt ~~rc~~ s. o,?re ov e~arN e. vucf oF ~n?tAr wio ~crrvE oun s~ : a~ . ~95~ r~ 03 rg~~an8a8ee, FL 7 4t51 pUry ASSIGt~BMENi AND MAIOA tQ~MtAND SiAT1pN WMERE SfiARATEO USAF R ional Hospital (TAC) MaeDill AFB, FL 9 COMlMANO i0 WMICH TRANSfERRED 10. SGU COYERAGE USAFR AMOUNi { ~r] 000 ? NONE i 1. ppIMAR~' SPECIAITY NUMBER, TiTIE AND YEARS ANU ~2. ~~pqp pf SERVKE YE/,~t (a) MON (s) DAY (s) MONTHS IN SVEC1Al1Y (Addit+oaal spacialfy numAera and ldlts inuoluing periodr o/ one or more yean) ~ Do~~ E~wr.d AD ihb P~r~od D. S~poratlon Dob TAb P~rlod 9236 Physioal Therapist C• NN Acfti~ $~nip fAN P~rfod 5yrs 7mos d Tokrl9rbr AclF~e S~?rk~ t taol Prbr 4wcttv S~nk• t For•qe S~~r1u B. S~c S~nic~ II. Elhdh~ OoN oi Pop Grod~ L Ws~r.~ OOfq. T~nn. Oot~ ~1 i3. DECORAT~ONS, MEOAIS. BADGES. CRAi10NS AND CnMawlGrt R680NS AWARDE~ OR AUTMORQEp {Allperioda v/~erviar) AF Commendation Medal, AF Longevity Serwfce A~rard Ribbon, AF Training Ribbon. I~. MIIrtARY EDUGiqN (Couru 7Ytk, numbtr wetks, ard month nnd ytar tompleted) Physioal and Occupational Therapy Management Crs Nov 83, Advanced Physical Therapy Crs Mar 82, Phqsioal and Occupational Therapy Managament Crs Dec 81, Pt~ysical and Oceupational Therapy t~laaagement Crs M~y 8i. ' I5. MEMBER CONTRIBUrED i0 POSi•YIETtJAM EiG 16. H1GH SCHOOt GRAWATE OR EOUNAIENT 17. OAYS ACCRUED V~IGNS' EDUCAT10NAl ASSISTANCE PROGRAM Q~S 1~ NO ~ YES ~ p~p ~~E PAD _21 . S- ~ e. ~cs --NOT' APPLICABLB- ~ { ~ ~ ~ ~Z~ ~ fiLEO Ah: ..::L~~:.»~ ROGER PO~TS~~. ~.tERK St LUC}E COUN L Y. FL. 14. A~Axi~Ki ADDRFSi AFT~I S4ARI~t10fi 20.1K6MlEA~EOt~ESK C.OlY 6~E I g{~ F~i~ S4~ SElR tp QR. pi YET ti Ft ~terae FL ~3~82 ,~,?~s ,,,o ~ n. os ~ tfr~c s~ u. rr~ e~e~. K~u ~ ~ ta s+~ - - - - . 5/N O10 -000-2110 MEMdER - i ~ ~ S?'EGIAt ADORIONAI iNPORMAi{O~1 (Fur uae bi~ authorued aqenerae unfy) 2~. i~'iE OF SFVARAIION It. CF!ARACTER Of SERYICE (/ncludss upgrad[e) ~~.s~ ~ acina ~r ea~a ZS. SfPApAt10N AUiMORRV 26 SED~RA/tON CnDE 27. pEENtISiME:~II CODE ~ -~s ~ ~ wor ~rrs.i~~sLa ?a. NAtiBAiNE REASON fOp SEPApAS10N YOLQl~lrl~l~ ~.1~t t~QiPLiSI~ Or ~CTI~s DQTl~ 3S~'lI~C~ OCI~LTt~? 29. UATES OF iNiE lOiT OURtNG IMIS VERiOp 30. ti!Et.i3ER RE~UESTS COP~ 1 ~ro.. ~orn~ • e~c:t INIIUtS S~tv 01~2-iF-000-2t40 MEME3E~ -4 r.