1. CAUTION: NOT TO BE USED FOR
I DENTI FI CATION PU RPOSES
THIS IS AN IMPORTANT RECORD.
SAFEGUARD IT.
DD FORM 214, AUG 2OO9 PREVIOUS EDITION IS OBSOLETE.
GENERATED BY TRANSPROC
ANY ALTERAT]ONS IN SHADED AREAS
RENDER FORM VOID
MEMBER.l
CERTIFICATE OF RELEASE OR DISCHARGE FROM ACT]VE DUTY
This Report Contains Information Subject to the Privacy Act of 1974, As Amended.
2, DEPARTMENT, GOMPONENT AND BRANCH
ARMYIRA
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BtRrH (YYYYMMDD)
I
7a. PLACE OFEXiRV INTO ACTIVE DUTY I b. HoME OF RECORD AT nME OF ENTRY (Ary and state, or comptete address if known)
WEST DES MOINES, IOWA I
13108 SOUTH 14TH STREET
luaasger,r,towN rowA 50158
8a. LAST DUTY ASSIGNMENT AND MAJOR COMMAND
RCTG CO EUGENE RC
b. STATION WHERE SEPARATED
.JB LEWIS-MCCHORD, WA 98433-9500
9. COMMAND TO WHICH TRANSFERRED
N/A
{0. SGLI GOVERAGE I I NoNE
AMOUNT: $ 400, 000.00
t 1. PRIMARY SPECIALTY (List number, title and years and months in
specialty. List additional specialty numbers and titles involving periods of
one or more years.)
79R34 RECRUTTER 4 YRS B MOS / / g2F3O 8R
PETROLEUM SUPPLY SP L2 YRS 1 MOS / /NOTHTNG
FOLLOWS
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d. TOTAL PRIOR AGTIVE SERVICE }1'fr1,1,11':11;
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13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN
RIBBONS AWARDED OR AUTHORIZED 6tt peiods of seruice)
IRAQ CAMPAIGN MEDAL W / TWO CAMPA]GN STARS
/lanuv coMMENDATToN MEDAL (3no AwARD) /lanuv
ACHTEVEMENT MEDAL (3np AWARD) I /JOTNT
MERTTORTOUS UNrT AWARD / /trtUprTORrOUS UNrr
COMMENDATTON//aRUY GOOD CONDUCT MEDAL (3nO
AWARD) //NATIONAL DEFENSE SERVICE MEDAL/ /
GLOBAL WAR ON TERRORTSM//CONr rN BLOCK 18
14. MILITARY EDUCATION (Course title, number af weeks, and rnonth and
year completed)
ADVAhTCED LEADERS CRS , 4 WEEKS , 201-1-llanmY
RECRUTTER, 6 WEEKS, 2008//Mp,,STER RESILIENCE
TRATNER CRS , L WEEK, 2AL4/ /PBTROLEUM SUPPLY
spEcrAlrsr, 10 WEEKS, 2003 / lsterroN
CoMMANDER, 2 WEEKS, 2011//WARRTOR LEADER
cRS, 2 WEEKS, 2005 / /NOTHTNG FOLLOWS
15a. GOMMISSIONED THROUGH SERVICE ACADEMY YES x NO
b. COMMISSIONED THROUGH ROTC SGHOLARSHIP (10 USC Sec. 2107b) YES x NO
c. ENLISTED UttDER LOAN REPAYMENT PROGRAM (r0 USC Chap. 109) (ff Yes, years of commitmenli NA ) YES x NO
16. DAYS ACCRUED LEAVE
PAID 6 O
17. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE
DENTAL SERVIGES AND TREATMENTWTHIN 90 DAYS PR]OR TO SEPARATION
YES NO
x
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2. CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY lcontinuation sheet)
This Report Contains lnformation Subject to the Privacy Act ol 1974, As Amended.
,.....'.,''.'...1
z. DEPARTMENT, coMPoNENT AND BRANGH
iiiiii.iiii.i:il
ARMY / RA iiOi:,l
(specifytheitemnumberofthebtockcontinuedtoreachentry) ////////////////////////////////////////////////////////////////
coNT FROM BLOCK 18: AMOUNT: $L5100.00 DA?EDz 201-2LL',J,4//REENLISTMENT BONUS AMOUNT:
$15OOO.OO DATED: 201408L8//CONT FROM BLOCK l-3: EXPEDITIONARY MEDAL//GLOBAL WAR ON
TERRORISM SERVICE MEDAL//NON COMMISSIONED OFF]CER PROFESSIONAL DEVEI,OPMENT RIBBON (2ND
AWARD) //ARMY SERVICE RIBBoN//ovERsEAs SERVICE RIBBON (2ND AWARD) / /GALD RECRUITER BADGE W/
rwo stAR SAPPHIRES//CoMBAT ACTIoN BADGE//DRIVER AND MECHANIC BADGE V{/DRIVER-WHEEI,ED
vEHrcr,E (s) cLASp//NorHrNG FoLLows
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CAUTION: NOT TO BE USED FOR
I DENTI FICATION PU RPOSES
TH]S IS AN IMPORTANT RECORD.
SAFEGUARD IT,
ANY ALTERATIONS IN SHADED AREAS
RENDER FORM VOID
DD FORM 214C, AUG 2OO9 GENERATED BY TRANSPROC MEMBER. 1