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CAUTION: NOT TO BE USED FOR ‘THIS IS AN IMPORTANT RECORD. ANY ALTERATIONS IN SHADED AREAS IDENTIFICATION PURPOSES ‘SAFEQUARD IT RENDER FORM VOID CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY “Tis Report Containe information Subject othe Privacy Act of 1974, As Amended, “T_NANE flaw Frama) 2, DEPARTMENT, COMPONENT AND BRANCH 3, SOCIAL SECURITY NUMBER, euLaMaN, TAYLOR MICHAEL laRMy/RA 510 | 36 | Zul? 7s, GRADE RATEORRANK |b. PAVGRADE |S, DATE OF BIRTH (vvvvimo0)_[6. RESERVE OBLIGATION TERMINATION DATE sor Bos Tas70826 frauen) 20140210 7a, PLAGE OF ENTRY INTO ACTIVE DUTY 1 HOME OF RECORD AT TIME OF ENTRY (Gly and sas or comple atias ROW) FRNSAS EAN NrssooEr | i a " yaoi _N i19TH W. INATZE KANSAS 67101-0000 CAST DUTY ASSTGRTENT ND ATOR COMA STATION WHERE SEPARATED ae 2109 wer «HOME DP PORT OFEWAET, GA S234 7, CONIAND TO WHTGH TRANSFERRED Fig, SGU COVERAGE| __[WoNE Wa con Ge (RENE) RESERVE WAY, ST LOUIS, NO 63132 aati oo TT. PRMARY SPECIALTY (a amir i enya noma $2 RECORD OF SERVICE | weangy [wowsws)]_ A) ‘rely ita sat nine onerivaniepeosset |e ATEENTERED AO THs FEROD —[-2O0E | OE Sroonyen) $:SePanaTion oaTe Ts penion [2010_[_—10—]__o 29020" CNVALRY scour - > vRS 11 NOS//NOTHING [C yeracrveseRvce Ths penco) 0004 | “02 | aa mers ‘d. TOTAL PRIOR ACTIVE SERVICE 000 ro 00, ‘TOTAL PRIOR INACTIVE SERVICE| _O0OT 00 00. ‘Foret sence goo} 00 | 90, SA SERVICE guo-| 00] 90 | -h INFTIAL ENTRY TRAINING ‘000 o ws eo-[ 07] or {EFFECTIVE DATE OF PAY GRADE! 75: DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN | 14 MILITARY EDUCATION (Course lo, umber of weeks, nd men end RIBBONS AWARDED OR AUTHORIZED i pero 0 seca) ‘ex completed aR COMMENDATION MEDAL, GORD AWAkD) /7akMy |PRUCDRSHP DEV CRS, 4 WEEKS, 2009//SLING LOAD ACHIEVEMENT MEDAL (2ND AWARD) //ARNY GOOD INSP. CERT, 1 WEEK, 2009//VCK-LEVEL, 2, 2 [CONDUCT MEDAL//NATIONAL DEFENSE SERVICE WEEK; 2008//VcL-LEVEL 2, 1 WEEK, 2009// NepAL//GLOBAL WAR ON TERRORISM SERVIC: NOTHING FOLLOWS MEDAL//TRAQ CAMPAIGN MEDAL W/ CAMPAIGN STAR (2ND AWARD) //ARMY SERVICE RIBBON//OVBRSEAS SeRvree RIBBON (2ND AWARD) //CONT IN BLOCK 18 [15s, COMMISSIONED THROUGH SERVICE ACADEMY res[ x [No |». COMMISSIONED THROUGH ROTC SCHOLARSHIP (10 USC Sec 2707) lves|_X | no. = ENLISTED UNDER LOAN REPAYMENT PROGRAM (/0USC Chop. 100) (Ves yews ofconminené_ NA 7 fres|__[ no) T6. DAYS ACCRUED LEAVE] 47. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE [ YES | NO PAID 5S DENTAL SERVICES AND TREATMENT WITHIN 80 DAYS PRIOR TO SEPARATION x STATA FUTILE RLA TTT LLL TA TRE TPT ELGAR SERS CET RL ASL BURL INSTR ERROR ERENT, BERLOD OF” DELAYED ENTRY PROGRAM; Doo60a11-20060607//RETAINGD IN SERVICE 209 DAYS FOR THR. POMMENTENCE OF THE COVBAMGNT DER UP 10, USC 12305//SERVED IN A DESIGNATED TinrweT [DANGER PAY AREA//SERVICH IN IRAQ 20091101-20100622//MEMBER HAS COMPLETED FIRST FULL TERM Sp SEbvice//CONT. FROM BLOGK 13:°//DRIVER AND MECH BADGE WITH DRIVER = TRACKED VEHICLE (=) Genet) /DRIVOR AND NECHANTC BADGE A/DRIVER-WHEELED VEHICLE(S) CLASP//NOTHING FOLLONS “te iron canted hen ube o computer mating win te Depa of Cetens ce wit any ter ateted Fedral x na-Feeral agency fer vest eee ta sheame cab fo andar cosuved colin wi th realign of Fede tera pep : Ga WATLING ADDRESS AFTER SEPARATION fesce ZPCoie) |B. NEAREST RELATIVE Wane aud aaaess- laude ZP-CO) LAREN EULTMAN : aos a29ra w aos W197 W : fincas eatishs 67202 IAEZE KEGAS 67202 20: MENBER REQUESTS COPY 6BESENTT0 Grech saitocoiy KS ‘OFFICE OF VETERANS AFFARS] X [ves] [NO of MEMBER REGUESTS COPY SEE SENT TO THE CENTRAL OFFIGE OF THE DEPARTHENT OF VETERANS AFFAIRS. | (WASHINGTON. DO) : ives] x [no Fi, NEMBER SIGNATURE, RTE" [35 OFFICIAL AUTHORIZED 10 SGN (hpavvane ead seastve) |B DATE Fig MEMBER STONATURE ayn | ivvvawoo) FSTQIES AY CDSUIERE? MELVIN nesOaeoees00""” | Orman) JoxurcHaRE.1290894903 |apso0g10 : izoa0010 L DOUGHERTY, 6809, CH, TRANSTSION CENTER "SPECIAL ADDITIONAL INFORMATION [FO i80 0 Gl oreo opareSOODD [5-TWPE OF SEPARATION 72k CHARACTER OF SERVICE (rei urT=e IRSLEASE ERON ACTIVE DUTY HoNORASEE 25, SEPARATION AUTHORITY 76, SEPARATION CODE 2T-REENTRY CODE 6352200, CHAP 4 nei a | 25, NARRATIVE REASON FOR SEPARATION. |couDLETION OF REQUTRED ACTIVE SERVICE 79, DATES OF TIME LOST DURING THIS PERIOD 771H0H00) [SOT MEMBER REGUESTS coPYa foie fit) THE DD FORM 214, AUG 2008 TREVIOUS EDITION Is OBSOLETE MEMBER - 4

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