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None <br />periods of one or more years.) <br />NC <br />! <br />SEPARATION 'Include Zip Code <br />J <br /> <br /> <br /> <br /> <br />ScriViCE - 7 <br />. . REENTRY C 3C ; <br />RE~1 — <br />■ <br />1 <br />THIS IS AN IMPORTANT RECORD­ <br />SAFEGUARD IT. <br />2. DEPARTMENT. COMPONENT AND 3RANCH <br />WY - LSs <br />ANY ALTERATIONS IN SHADED <br />AREAS RENDER FORM VOID <br />X <br />X <br />X <br />4.b. PAY GRADE <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />X <br />IS.a HIGH SCHOOL GF40UATE OR <br />iOUIVAUENT <br />5. <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> OF ENTRY (City and state, or complete <br />address if known) <br />CHESTER, PA <br />8.O. STATON WHERE SEPARATED “ ' ' <br />PS5t arc-. SAN MESOY CA <br />1 30. MEMBER REQUESTS COPY 4 <br />Initials <br />12. RECORD OF SERVICE_________ <br />a Date Entered AD This Period <br />□ Separation Date This oerioc <br />c. Net Active Service This Penoc <br />a. Total Prior Active Service <br />e. Total Onor inactive Service <br />f Foreign Service <br />g Sea Service <br />h. Effective Date of Pay Grade <br />r^D^R^JjC^ME^^j^G^^TATiC^AND^MPAIGirR'iBBOIMS AWARDED OR AUTHORIZED'(A// periods of service) <br />ZX z <br />X X <br />________ <br />r23. TYPE OF SEPARATION <br />HSCHAftO <br />t 25. SEPARATION AUTHORITY <br />HILPESSnA^ HkcDlSC <br />3; 28. NARRATIVE REASON FOR SEPARATION <br />EXPEkATIOW OF TE^: OF EMJSfflEMT <br />29. DATES OF TIME LOST DURING THIS PERIOD —— <br />j TU MOfiE ____________ __ <br />DO Form 214^ NOV 88 S/hl ulOL-LF-OOS-otiOQ Previous editions are obsolete <br />j 7.a PLACE <DF ENTRY into ACTIVE DUTY <br />i SA8 SWSOy CA <br />I 8.3. LAST DUTY ASSIGNMENT AND MAJOR COMMAND <br />I SERVSCCLvOn SAN SIEGOy CA <br />I ^C0MMAND T0 WHICH TRANSFERRED <br />> ... . * _ ____ <br />ill. PRIMARY SPECIALTY (List number, title and years and months n <br />specialty. List additional specialty numbers and titles involving <br />X <br />X <br />X <br />X <br />X <br />X <br />X