GAUHON: NOT BE USED FOR THIS IS AN IMFORYANI RECORD, ANV AREAS
PuRPosEs SAFESUARB IT. RENRER FDRM Von:

CERTIFICATE OF RELEASE DR DISCHARGE FROM ACTIVE DUTV

TN. filpm com-Rs Immune" 5mm In the Amt I914. As Amended.
A NAME ll ,Flul. my 2. DEPARTMENT. CBWENT AND BRANCH
LANDERDSI CHARLES 
Au. ERADE. RATE 0R RANK b. GRADE 
E04

PLACE or INTO ACTIVE ner
PORTLAND, OREGON

   
 
           
   

   
   

    
  

 

mm mmum, oausAm TERM
2n1a0127



    

    
   

     
 

    
      
   
  

EUGENE OREGON 5701243100

 

 

 

  

 

  
   
   
     
 
   
 
  
   
 
   
 
   

 

 

 

on LAST ANN MUDR a. WHERE 
uzunmAVBN to uII-s a: FORT DRUM, NY 136m
A. TD qucR TRANSFERREO 1n. sen CDVERAGE mm:
USAR CON GP (REINE) mun SPEARHEAD DIVISION AVE, r1- xNOx, NV 4 0122 Amum; 400' mm 00
1t PRIMARV sPEcIAu-v 1th mm. Mk Andy":- 12. Anon: a; SERVICE yams, mums)
wad-w. mp": lu'filsn'n'm'flil|nfl 10175-- US
Werm! NS

      

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"mum mums Adam-Amman" :5ch: fit
mom FIIDK man an cm
I. SERVICE Burn 11 '21
mm: anon on on
M1711. "178 11
II puma: 57 01
ll. MEBALS. AND CAMPAIGN u. 1cm. NA mum and
RIBBONS AWARBED oR {Altman-win) JIan

IRAQ CAMPAIGN MEDAL 91/ TWO CAMPAIGN STARS
HAIR 
DEFENSE SERVICE
CAMPAIGN MEDAL 91/ Two
CAMPAIGN WAR ON TERRORISM
SERVICE SERVICE 
SERVICE IN BLOCK HI

CEMMIISIONED INIMJDH AcAnEw TH
E. summons-2 mauuaR mu: acmunaupnausc 5.: 11am] vs: No
t. lNLleEn Law Human use can mu nu: mum-m NA vs:

ND
Ezfecscfiufifl 17, MEMBER WAS PROVIBED COMPLETE RENTAL EXAMINATION ANB ALI. APPROPRIATE TE: no

ANBTREATMENT snOAvs PRIOR To SEFMAMN 

SUBJECT TO ACTIVE DUTY RECALL, MUSTER DUTY ANNUAL ScREmINC/mmcx 5, PERIOD OF
DELAYED ENTRY PROGRAM: IN A DESIGNATED DANGER PAY
AREAHSERVICE IN AFGHANISTAN IN IRAQ 
HAS COMPLETED EIRET FULL TERM OF FROM BLOCK (2ND 
(EXPERT MARKSHANSHIP BADGE PISTOL AND MECHANIC BADGE 
VEHICLE IS) 

HELICOPTER REPAIRER CR5. :4 WEEKS.
FOLLOWS

 

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Tn. mar-m I: uni-m u: umpu .mumlm th'II t. Drum-u IN a. Nun Ivy my in: "likth

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MAIJNG ADDRESS AHER SEPARATION {Mum zIr can;

   

        
  

mam-ammo. ZIP new

In. MEMBER can I BE SENT To (Mu-Mn OR OFFICE or VETERANS AFFAIRS "a
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(WASHINGTON. DC) vs: No
2 a, MEMBER SIGNAYURE
IGNED LANDEROS .CHA
RLES 129096984
7

{Furusl hum-d u: sn I

0F SEPARATION 2A or SERVIEE (mom. was;
RELEASE FROM ACTIVE DUTY HONORABLE

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AR 635-200. CRAP 4 MBR I

NARRATIVE REASON FOR SEPARATION
COMPLETION OP REQUIRED ACTIVE SERVICE

DATE: OF TIME LOST DURING ms PERIOD 1mm; 30. MEMBER REQUESYS can A
NONE (mu, CPL

DD FORM 21:, AUG zoos PREVIOUS smnou IS OBSOLEYE. SERVICE 2


 

 

 

 

 

 

    

 

 

 

 

 

 
   
  
   

   

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