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CAUTION: NOT TO BE USED FOR THIS lS AN TMPORTANT RECORD.
IDENTIFICATION PURPOSES SAFEGUARD IT.
ANY ALTERATIONS IN SHADED AREAS
RENDER FORM VOIO
CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY
This Report Contains lnformation Subject to the Privacy Acl of 1974, As Amended.
l. NAME (tas,, Fhst, Midde)
ANGEI,, RICHARD .'ASON
2. DEPARTMENT, COMPONENT AND BRANCH
ARMY,/ARNGUS
3. SOCIAL SECURIT
sB5 I 74
NUMBER
4939
4a. GRADE, RATE OR RANK I b. PAY GRADE
sPC lE04 -s._ P4IE 9f BtRtH (yyyyMMDo) | 6. RESERVE OBLTGATTON TERMTNATTON DArE
19760310 | lwvvuuoo) 00000000
7a. PLACE OF ENTRY INTO ACTIVE DUW
SPRINGFIELD, GEORGIA
b. HOME OF RECORD AT TIME OF ENTRY (CIy and stata, or aomdote address it known)
104 REID DRIVE
ST MARYS GEORGIA 31558-OOOO
8a. LAST DUTY ASSIGNMENT AND MAJOR COMMAND
BTRY A 1ST BN ].]-BTH FA FC
b, STATION WHERE SEPAMTED
FORT STEWART, GA 313].4
9, COMMANO TO WHICH TRANSFERRED
BTRY A r./t18TH FA BN (WQV3A0) 1100 N ASH ST SPRINGFIELD cA 31329
10. sGLt covERAGEL--J NoNE
AMOUNT: $ 400, 000 . 00
1 1. PRIMARY SPECIALTY (tlst numbe title and years and months in
specially. List atldilional specialty numbers and lillas involving periods of
one or morc years.)
53810 WHEEIJED vEHrcLE MECH - 1 yRs 2 Mos/ /NOTHING FOIJIJOWS
12. RECORD OF SERVICE YEAR(S) MONTH(S) DAY(S}
., OATE ENTERED AD THIS PERIOD 2009 03 0l
b. SEPARATION DATE THIS PERIOD 2 0r0 U5 o4
c. NET ACIIVE SERVICE THIS PERIOE o0 01 02 U4
d, TOTAL PRIOR ACTIVE SERVICE 001 1 a4 14
B. TOTAL PRIOR INACTIVE SERVTCE 0002 04 03
',
FOREIGN SERVICE (J000 10 o5
o. SEA SERVICE 000 0 00 00
h. INITNL ENTRY TRAINING UUOU oo o0
I. EFFECTIVE DATE OF PAY GRAOE tY, t UU I4
1s. DECORATTONS, MEDALS, EAOGES, C|TATIONS ANO CAMpAtcN
RIBBONS AWARDED OR AUTIIORIZEO (Att pctiods ot sevice)
AFGHANISTAN CAMPAIGN MEDAL W/ CAMPAIGN STAR
/ /^RMY CoMMENDAT]oN MEDAL//ARMY ACHIEVEMENT
MEDAL//ARMY GOOD CONDUCT MEDAI, (2ND AWARD)
//NatTowel, DEFENSE SERVICE MEDAL/ /GL1BAI, l{AR
ON TERRORISM EXPEDITIONARY MEDAI,//GLOBAL
WAR ON TERRORISM SERVICE MEDAL./,/KOREAN
DEFENSE SERVICE MEDAL//CONT TN BLOCK 18
14. MILITARY EOUCATION (Coutso tille, numbot olweeks, and mortth and
yoat compldted)
NONE//NOTHING FOI,LOWS
,l5a. COMMISSIONED THROUGI{ SERVICE cADEMY YES x NO
b. COMUISSIONED THROUGH ROTC ScHOLARSHIP lr0 USC Sec. 2107b) YES x NO
c. ENLISTED UNDER LOAN REPAYMENT PROGRAM (10 USC Chap. 109) (lf Yes, years ol comtuitmenl: ) YES x NO
16. DAYSACCRUED LEAVE I tz. ueuseR wAs pRovrDED coupLETE oENTAL ExAMtNATtoN AND ALL AppRopRtATE
PAlo r I . oEtr* sERVtcEs AND TREATMENT wrHrN 90 DAys pRroR To sEpARATtoN
YES NO
x
Ts.REMARKS ///////////////////////////////////////l///////ll////////////////////t//.//////l///////////////////t
SEPARATED FROM.SERVICE,ON TEMPONARY RECORDS AND SOLDIERIS AFFIDAVIT/lDD FORM 215 WILI, BE
]SSUED TO PROVIDE MISS]NG INFORMAT]ON//SERVED IN A DESIGNATED IMMINENT DANGER PAY AREA
//sERvrcE rN AFGHANTSTAN 2oo9o4tg -2olooz22/ lrrEM 12D ABovE DoEs NoT AccouNT FoR AlrNUArl
AND/OR WEEKEND TRAINING THIS SOLDIER ,MAY HAVE ACCOMPI,ISHED ,PRIOR TO DATE ENTERED ,IN ITEM
].2AI/IND]VIDUAI, COMPI,ETED PERIOD FOR WHICH ORDERED TO ACTIVE DUTY FOR PURPOSE OF POST
SERVTCE BENEFITS AND ENTITI.EMENTS//ORDERED TO ACTIVE DIITY IN .SUPPORT OF,OPERATION IRAOI
FREEDOM IAW ].0 USC ]-2302//48 PDMRA DAYS ACCRUED/USED WAS//SEE ATTACHED CONTINUATION SHEET
The information conlained hercin is subject to computer matching within thc Depariment of Delcnse or with any other affcctcd Federal or non-Fedcral agcncy lor vcriticatior
outooses and lo drlerminr elioibilitv for. and/or conlinued comoliancc with. tha of e Federel benefit orooram.
19a. MAILING ADDRESS AFTER SEPARATION(lnctudaZtP Code)
],08 LIGHTHOUSE REACH
c'r M2D/Q l.!F.]Dr'lYl ?1trCQ:
b, IEAREST RELATIVE (Nartte and address . inclule ZtP Cocte)
TUANITA R ANGEI,
]7 POWDERHORN, RD
:'F M^DI/Q /arlnDdrl alRqa-nnnn
ZO. MEMBER REQUESTS GOPY 6 BE SENT TO (Specry steteJloce|iv GA OFFICE OF VETERANS AFFAIRSI X rEs NO
" ltfx5r:[&11:Esrs
GQFY 3 BE sENr ro rHE GEN r ]tAL orFrsE oF rHE DEFARTMENT oF VETERANU arrerns
I x ,ES NO
Rffit,lu (YYYYMMDD)
'l,s'.o.lLL
22.a. OFFICIAL AIJ#i9R!ZED TO SIAN (Typed Dfiq srado, lillo, signaluro)
,m REsouRCEs
g,9ArE
(YYYYMMDO)
hyo cl?-zt
SPECIAL ADDITIONAL INFORMATION (For use by authorized asencies only)
23, IYPE OF SEPAMTION
IELEASE FROM ACTIVE DUTY
2'1, CHARACTER OF SERVICE (tnctude upgrcdes)
HONORABLE
25. SEPARATION AUTHOR]TY
AR 635-200, CHAP 4
25. SEPARATION CODE
MBK
27. REENTRY CODE
NA
28. ilARRATIVE REASON FOR SEPARATION
COMPIJETION OF REQUIRED ACTIVE SERVICE
29. DATES OF TIME LOST DURING THIS PERIOD (YYYYMMOD)
}IONE
30. MEMBER REQUESTS COPY 4
(lmrials, RJA
PREVIOUS EOITION IS OBSOLETEDD -2
GENEMTED BY TRANSPROC

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IMPORTANT MILITARY DISCHARGE RECORD

  • 1. CAUTION: NOT TO BE USED FOR THIS lS AN TMPORTANT RECORD. IDENTIFICATION PURPOSES SAFEGUARD IT. ANY ALTERATIONS IN SHADED AREAS RENDER FORM VOIO CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY This Report Contains lnformation Subject to the Privacy Acl of 1974, As Amended. l. NAME (tas,, Fhst, Midde) ANGEI,, RICHARD .'ASON 2. DEPARTMENT, COMPONENT AND BRANCH ARMY,/ARNGUS 3. SOCIAL SECURIT sB5 I 74 NUMBER 4939 4a. GRADE, RATE OR RANK I b. PAY GRADE sPC lE04 -s._ P4IE 9f BtRtH (yyyyMMDo) | 6. RESERVE OBLTGATTON TERMTNATTON DArE 19760310 | lwvvuuoo) 00000000 7a. PLACE OF ENTRY INTO ACTIVE DUW SPRINGFIELD, GEORGIA b. HOME OF RECORD AT TIME OF ENTRY (CIy and stata, or aomdote address it known) 104 REID DRIVE ST MARYS GEORGIA 31558-OOOO 8a. LAST DUTY ASSIGNMENT AND MAJOR COMMAND BTRY A 1ST BN ].]-BTH FA FC b, STATION WHERE SEPAMTED FORT STEWART, GA 313].4 9, COMMANO TO WHICH TRANSFERRED BTRY A r./t18TH FA BN (WQV3A0) 1100 N ASH ST SPRINGFIELD cA 31329 10. sGLt covERAGEL--J NoNE AMOUNT: $ 400, 000 . 00 1 1. PRIMARY SPECIALTY (tlst numbe title and years and months in specially. List atldilional specialty numbers and lillas involving periods of one or morc years.) 53810 WHEEIJED vEHrcLE MECH - 1 yRs 2 Mos/ /NOTHING FOIJIJOWS 12. RECORD OF SERVICE YEAR(S) MONTH(S) DAY(S} ., OATE ENTERED AD THIS PERIOD 2009 03 0l b. SEPARATION DATE THIS PERIOD 2 0r0 U5 o4 c. NET ACIIVE SERVICE THIS PERIOE o0 01 02 U4 d, TOTAL PRIOR ACTIVE SERVICE 001 1 a4 14 B. TOTAL PRIOR INACTIVE SERVTCE 0002 04 03 ', FOREIGN SERVICE (J000 10 o5 o. SEA SERVICE 000 0 00 00 h. INITNL ENTRY TRAINING UUOU oo o0 I. EFFECTIVE DATE OF PAY GRAOE tY, t UU I4 1s. DECORATTONS, MEDALS, EAOGES, C|TATIONS ANO CAMpAtcN RIBBONS AWARDED OR AUTIIORIZEO (Att pctiods ot sevice) AFGHANISTAN CAMPAIGN MEDAL W/ CAMPAIGN STAR / /^RMY CoMMENDAT]oN MEDAL//ARMY ACHIEVEMENT MEDAL//ARMY GOOD CONDUCT MEDAI, (2ND AWARD) //NatTowel, DEFENSE SERVICE MEDAL/ /GL1BAI, l{AR ON TERRORISM EXPEDITIONARY MEDAI,//GLOBAL WAR ON TERRORISM SERVICE MEDAL./,/KOREAN DEFENSE SERVICE MEDAL//CONT TN BLOCK 18 14. MILITARY EOUCATION (Coutso tille, numbot olweeks, and mortth and yoat compldted) NONE//NOTHING FOI,LOWS ,l5a. COMMISSIONED THROUGI{ SERVICE cADEMY YES x NO b. COMUISSIONED THROUGH ROTC ScHOLARSHIP lr0 USC Sec. 2107b) YES x NO c. ENLISTED UNDER LOAN REPAYMENT PROGRAM (10 USC Chap. 109) (lf Yes, years ol comtuitmenl: ) YES x NO 16. DAYSACCRUED LEAVE I tz. ueuseR wAs pRovrDED coupLETE oENTAL ExAMtNATtoN AND ALL AppRopRtATE PAlo r I . oEtr* sERVtcEs AND TREATMENT wrHrN 90 DAys pRroR To sEpARATtoN YES NO x Ts.REMARKS ///////////////////////////////////////l///////ll////////////////////t//.//////l///////////////////t SEPARATED FROM.SERVICE,ON TEMPONARY RECORDS AND SOLDIERIS AFFIDAVIT/lDD FORM 215 WILI, BE ]SSUED TO PROVIDE MISS]NG INFORMAT]ON//SERVED IN A DESIGNATED IMMINENT DANGER PAY AREA //sERvrcE rN AFGHANTSTAN 2oo9o4tg -2olooz22/ lrrEM 12D ABovE DoEs NoT AccouNT FoR AlrNUArl AND/OR WEEKEND TRAINING THIS SOLDIER ,MAY HAVE ACCOMPI,ISHED ,PRIOR TO DATE ENTERED ,IN ITEM ].2AI/IND]VIDUAI, COMPI,ETED PERIOD FOR WHICH ORDERED TO ACTIVE DUTY FOR PURPOSE OF POST SERVTCE BENEFITS AND ENTITI.EMENTS//ORDERED TO ACTIVE DIITY IN .SUPPORT OF,OPERATION IRAOI FREEDOM IAW ].0 USC ]-2302//48 PDMRA DAYS ACCRUED/USED WAS//SEE ATTACHED CONTINUATION SHEET The information conlained hercin is subject to computer matching within thc Depariment of Delcnse or with any other affcctcd Federal or non-Fedcral agcncy lor vcriticatior outooses and lo drlerminr elioibilitv for. and/or conlinued comoliancc with. tha of e Federel benefit orooram. 19a. MAILING ADDRESS AFTER SEPARATION(lnctudaZtP Code) ],08 LIGHTHOUSE REACH c'r M2D/Q l.!F.]Dr'lYl ?1trCQ: b, IEAREST RELATIVE (Nartte and address . inclule ZtP Cocte) TUANITA R ANGEI, ]7 POWDERHORN, RD :'F M^DI/Q /arlnDdrl alRqa-nnnn ZO. MEMBER REQUESTS GOPY 6 BE SENT TO (Specry steteJloce|iv GA OFFICE OF VETERANS AFFAIRSI X rEs NO " ltfx5r:[&11:Esrs GQFY 3 BE sENr ro rHE GEN r ]tAL orFrsE oF rHE DEFARTMENT oF VETERANU arrerns I x ,ES NO Rffit,lu (YYYYMMDD) 'l,s'.o.lLL 22.a. OFFICIAL AIJ#i9R!ZED TO SIAN (Typed Dfiq srado, lillo, signaluro) ,m REsouRCEs g,9ArE (YYYYMMDO) hyo cl?-zt SPECIAL ADDITIONAL INFORMATION (For use by authorized asencies only) 23, IYPE OF SEPAMTION IELEASE FROM ACTIVE DUTY 2'1, CHARACTER OF SERVICE (tnctude upgrcdes) HONORABLE 25. SEPARATION AUTHOR]TY AR 635-200, CHAP 4 25. SEPARATION CODE MBK 27. REENTRY CODE NA 28. ilARRATIVE REASON FOR SEPARATION COMPIJETION OF REQUIRED ACTIVE SERVICE 29. DATES OF TIME LOST DURING THIS PERIOD (YYYYMMOD) }IONE 30. MEMBER REQUESTS COPY 4 (lmrials, RJA PREVIOUS EOITION IS OBSOLETEDD -2 GENEMTED BY TRANSPROC