1. CAUTION: NOT TO BE USED FOR
IDENTIFICATION PURPOSES
THIS IS AN IMPORTANT RECORD.
SAFEGUARD IT
ANY ALTERATIONS IN SHADED AREAS
RENDER FORM VOID
CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY
1. NAME fLMt, First, Middle}
12.
DEPARTMENT, COMPONENT AND BRANCH 3. SOCIAL SECURITY NUMBER
SMITH Dwayne Lloyd USMC-11 095 I 40 I 1186
4e. GRADE, RATE OR RANK ,b. PAY GRADE 5. DATE OF BIRTH fYYYYMMDDJ 16. RESERVE OBLIGATION TERMINATION DATE
MSGT E-8 19631216 fYYYYMMDDJ ()()()()()()()0
7a. PLACE OF ENTRY INTO ACTIVE DUTY b. HOME OF RECORD AT TIME OF ENTRY !City and state, or complete address if known)
MEPS Syracuse NY Rd 1 Box 287 Remson NY
Sa. LAST DUTY ASSIGNMENT AND MAJOR COMMAND b. STATION WHERE SEPARATED
HqBn 2dMarDiv CamLej NC 28542 HqBn 2dMarDiv CamLej NC (RUC 12001)
9. COMMAND TO WHICH TRANSFERRED 10.SGLICOVERAGE,~(NONE
CMC (MMSB-20) AMOUNT: $ 400, .00
11. PRIMARY SPECIALTV (List number, title and years and months in 12. RECORD OF SERVICE YEARlSI MONTHlSI DAYISI
specialty. List additional specialty numbers and titles involving periods of a. DATE ENTERED AD THIS PERIOD 1983 06 27
one or more years.)
b. SEPARATION DATE THIS PERIOD 2007 01 31
2891 Electronics Maintenance Chief
2 years 7 months c. NET ACTIVE SERVICE THIS PERIOD 23 07 04
2881 2M/ATE Technician d. TOTAL PRIOR ACTIVE SERVICE 00 00 00
7 years 10 tponths e. TOTAL PRIOR INACTIVE SERVICE 00 07 00
8411 Recruiter f. FOREIGN SERVICE 00 07 11
3 years 7 months
g. SEA SERVICE 01 01 22
2882 KG-30 Comsec Technician
7 vears 5 months h. EFFECTIVE DATE OF PAY GRADE 2004 03 01
13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN 14. MILITARY EDUCATION (Course title, number of weeks, and month and
RIBBONS AWARDED OR AUTHORIZED !All periods of service) year completed)
Marine Corps Good Conduct Medal (8th Awd), Navy and 1stSgt/MSgt Seminar (L9F) 2005, Warfighting Skills Program
Marine Corps Commendation Medal, Navy and Marine Corps (M82) 2003, SNCO Advanced Course (T8H) 2001, SNCO
Achievement Medal, Navy and Marine Corps Overseas Service Career Non Resident Program (T8G) 1996, SNCO Advanced
Ribbon (3rd Awd), Global War on Terrorism Service Medal, Se2 Non Res (7200) crs (T3X) 1995, Recruiters School (81C) 1992,
Service Deployment Ribbon (4th Awd), National Defense SNCO Career crs (T8A) 1992, NCO Leadership School (ODD)
Service Medal (2nd Awd), Kosovo Campaign Medal, 1988,
15a. MEMBER CONTRIBUTED TO POST-VIETNAM ERA VETERANS' EDUCATIONAL ASSISTANCE PROGRAM WYES ~ NO
b. HIGH SCHOOL GRADUATE OR EQUIVALENT YES NO
16. DAYS ACCRUED LEAVE 117. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE YES NO
PAID RLB 0 SLB 60.0 DENTAL SERVICES AND TREATMENT WITHIN 90 DAYS PRIOR TO SEPARATION X
18. REMARKS
. 45020-2007-0168
Good Conduct Medal period commences 20050127.
SNM did not contribute to the MGIB.
Subject to active duty recall by.Service Secretary.
Item 13 CONT Kuwait Liberation Medal (Kuwait), Kuwait Liberation Medal (Saudi Arabia), Southwest Asia Service Medal (2nd
Awd), NATO Medal, Marine Corps Recruiting RibbOn, Navy Unit Commendation (2nd Awd), Navy Meritorious Unit
Commendation (3rd Awd}, Letter of Appreciation, Meritorious Mast (2); Letter of Commendation, Rifle Qualification Badge
(Marksman), Pistol Qualification Badge (Marksman). Item 14 CONT KG-30 Portion of Field Systems Comsec Repair crs {24S)
1985, Field General Comsec Repair crs {269) 1985. Electronics Basic crs (272) 1984, Tan Belt crs (MMB) 2003~
The information contained herein is subject to computer matching within the Department of Defense or withany ether affected Feder~$~ or non-Federal agency for
verification purposes and to determine eligibility for, and/or continued compliance With, the requirement& of a Federal benafit program.
19a. MAILING ADDRESS AFTER SEPARATION flncliideZIPCodeJ b. NEAREST RELATIVE (Name and address - include ZIP Code}
Theresa M. F~
/ ...
1 Laurelwood Dr New Hartford NY 13413 Same as block .
-20. MEMBER REQUESTS COPY 6 BE SENT TO NY DIRECTOR 01_VETERANS ~S
" :X lveftl" NO
21. Sl:;;;:7MSEPARATED 22. OFF1CIAL AUTHOIUZED TO SI<W-..,:zNt1< """~ /
R. B. WALLACE, CW02, Pr6o.AMc~ Jd!1a.LJ~~
/ /
SPECIAL ADDITIONAL INFORMATION (For use by authori~ agencies only} /
23. TYPE OF SEPARATION 24. CHARACTER OF SERVICE (Include upgrades)
t/Transferred to the FMCR HONORABLE
25. SEPARATION AUTHORITY 26. SEPARATION CODE 27. REENTRY.CODE
MARCORSEPMAN PAR 7008 NBDl RE-2A
28. NARRATIVE REASON FOR SEPARATION
·~ r-$UFFICIENT SERVICE FOR RETIREMENT
29. DM_ES OF TIME LOST DURING THIS PERIOD fYYYYMMDDJ 30. MEMBER REQUESTS COPY 4
None .,._ (Initials) &'ls'
DO FORM 214;-FEB 2000 PREVIOUS EDITION IS OBSOLETE. MEMBER- 4
IPP/FF - WHSIDIORI
)