1. AFFIDAVIT OF TRUE COPIES
I_KSNNE1H J. c4RLrsLE JR,
aftached copies of the following documents are true, exact, complete and
unaltered photocopies of the originals which I have in my possession:
pennsylvanla License to Carry Firearms #46-00006078 issued ll3l20
one page (front and back)
tiaining Certificate for Challenge 2009-IV CenEralized Training -
one page
Certificate of Retirement from the Armed Iorces of the United Sta
America dated 31 January 2004 - one Page
AFGE Card Member ID 2000058899 expires l2/3U15 one page (front a
AFFIANT
ACKNOWLEDGEMENT
STATE OF Maryland
COUNTY OF FREDERICK
On this 8th day of April
undersigned, a Notary Public in and for said County and State, personally
appeared KENNETH J- CARLISIE JR
subscribed to the foregoing instrument, proven to me by way of satisfactory
'evidence
to be that person, and acknovvledged that he voluntarily executed the
same for the purposes therein contained.
Witness my hand and official
My commission expires:
do hereby swear that the declare that the
CrUl d;
TT3'LISLE JR
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before me, the
the true person whose name is
the day and year first above written-
blic
and
i '- i,it' uc:omisiiori exp. Novernkr
l
Notary Public
2. Veterans Benefits Administration
Cerrfficmr* wf ffomp fu*'{wn
Fresented ta
Ken Curlrsle
Challenge 2009-IV Centraliz,ed Training
Veterans Service Representative
i------*- , *. {-,,
vBA Benefits Acadeffiy' Baltimore' Maryland
',, i*) r{ku.,., .^ n
P.W. Dunne
Under Secretary for Benefits
William Sanderson
Acting Director, Employee Development and Training
3. t,,,iia/:€
Kenneth J Carlisle
MEMBER lD: 2000058899
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J. David Cox, Sr.
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Local 0940
District 03
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Member Since
2812
Exp:1i,31115
4. 3tPRI NTED: a5/L/2009
SUBMITTING OFFICE: SON
DEPARTMENT OF VETERANS
HUII{AN RESOURCES CENTER
31 HOPKINS PLAZA
ROOM 1510
BALTIMORE, MD 21201
NAME: CARLISLE, KENNET}I
SSN: 199-55-5544
CASE TYPE: NACI
EXTRA COVERAGE:
POSITION CODE .
UNITED STATES OFFICE OF PERSONNEL MANAGEMENT
INVESTIGATIONS SERVICE
WASHINGTON, DC 20415
Certif ication of Investigation
cLosEDz 06/LO/2009
- 1832
AFFAI RS
(392't
JAMES JR
DoB: Ll/0]./1960
SECURITY OFFICE: SOI
POSITION! VSR
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2/
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OPM CASE
CREDIT
SCHEDULE FP/FBT ITEMS; AGENCY WILt REIMBURSE
SCHEDULED DATE t 04/16/2009
INVESTIGATION CONDUCTED F'ROMc SF 85P
THIS CERTIFIES THAT A BACKGROT'ND INVESTIGATION ON THE PERSON IDENTI
HAS BEEN COMPLETED. THE RESULTS OE'THIS INVESTIGATION WERE SENT TO
OFFICE F'OR A SECURITY,/SUITABILITY DETERII{INATION.
****r**t***********************************************************
AGENCY CERTIFICATION: THE RESULTS OF THIS INVES"IGATION HAVE BEEN
A FINAT DETERMINATION HAS BEEN MADE.
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F{-E rHrs $enrrrrcATE oN THE eERMANENT srDE
FOODER AFTER THE FINAL AGENCY DETERMINA?ION
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CARLISLE. KENNETH JAMES JR
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25Ol) PLEASANT HILL RD. HATBORO, PA 19040
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1"877.884.3802
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n riEASOl TO CARAY i nl,l llN6T ! llci llr EY(S
sort0eronse llil/1960 510 ?08 8RO
r r HAR t? SEX n ll$ r.r u s crT[rN 15 couNIRY or
CIT];INSHIP
BROMWYUS
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18 SrG OF ISSUTNC iUiHORrr rt stNiRrFt OR tr[,f OF ?r]irca Oi
.;'.1)-, -a:.4;-/i- ),. Montgomery
6. FROM THE ARMED FORCBS OF THB UIITED STATES OF AMERICA
To all who shall see these presents, greeting:
This is to certify that
KENNETH J. CARLISI",E JR. SERGEANT FIRST CLASS RBGULAR ARIVTY
having served faithfully and honorably,
was retired from the
day of
JANT]ARY
UIYITED STATES ARMY
on the
Washington, D.C.
"TWO THOUSAND FOUR
CI{IEF OF STAFF
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