![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DD FORM 214, AUG 2OO9 PREVIOUS EDITION IS OBSOLETE.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
ffi.ffi.? f , ?ili8[
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
12. RECORD OF SERVICE YEAR(S) MONTH(S) DAY(S)
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GLOBAL WAR ON TERRORTSM//CONr rN BLOCK 18
14. MILITARY EDUCATION (Course title, number af weeks, and rnonth and
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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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![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
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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](https://image.slidesharecdn.com/750192e7-6476-46db-a476-091f7c2e8e65-150529181009-lva1-app6892/85/SSG-Brown-DD214-2-320.jpg)
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- 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 ffi.ffi.? f , ?ili8[ 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 12. RECORD OF SERVICE YEAR(S) MONTH(S) DAY(S) a. DATE ENTERED AD THIS PERIOD I:!:,:i.i.i.i.ri,il,i:::i::i:.i:.:ii.:,:,.rii::i0,:.8i ::::.:.:.:::1,:.:_t:t:::::::: :#'::.:ts: ::::::::::::::::::::::.:::::::::::::J::. j:fdia ::i.: : i: i.:a:a:a:a:::: :r.:. ::|.,...:::. r.:. i.:.' b. SEPARATION DATE THIS PERIOD :,::l', 1* c. NET AGTIVE SERVIGE THIS PERIOD ::;;i;:::tlt:1:,;:1;1:fi ;fi d. TOTAL PRIOR AGTIVE SERVICE }1'fr1,1,11':11; :::::::t:::::l:;::::,fi.::fi, e. TOTAL PRIOR INACTIVE SERVICE lttfiitt:tatt. ..,,::,:::,S,:$ T. FOREIGN SERV]GE l.,l,,i;...ttttit, Ltlitlj.l.ll:itl ttt:ttatt;:a,t:1fi::# g. SEA SERVICE ,,fijit,,,L l!:,;,,,;;,,1;:r,;;fi1fi h. INITIAL ENTRY TRA]NING i.i..i'i.,.,.,......i....,.ft .6 i. EFFECTIVE DATE OF PAY GRADE 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 ::ilill8r:::::RElttil le6ffi::fi:m f,*#{i$::t::'::::*ilfr:,,fiilfr,:;lt{;,:t:il,:,fi,:fii::/*,i{ti 5$II$i.i j:.i:::,[*$ffi @Hffi ts:#i nffiffi c: r.:::l I::II::I ttt',i A.:.:::::: 70,,,,:,,: Efr [,,:,,8 ':iittt: 't::.::.::_a:.1:_i.: +,rr r,,* f;fri G::i:::i: t$ ,,,ail..:tltal {r:,,fr;,' l:mt fri#{t,: :::,ttrt*ii ,i,i;i# tirirraiati':it: :::::::::::::l:::::: ji:::: effifi :::i::::::1::t::ilt.::: - : .i :: :.:::::::.: :::j :. :. :. : .:.: .:.: .:::::::::.::::: ::::: : . :. : . ::: . : iP!Eft.:E:Offi B.E'E ,fi:1:S::fr;fi,1fi;ft: ,2:::91:g::4::gt'gl lm,uffi11;m tr i,:.,.illfie.i.inffirrnl ,:i.PUIPOSCSi:le !.:1fi::fi;:,, }PJ ,i'iiiff.I.f'.. X,,,l,l:,:,,,i;,,,t l.,llx,l *:'4r:! [::+::1 'i:i:!:i]1 -.1.1:i.i .::iiti t:::::::t: t::t::l: I:iiriirirl ttftfl::r Ir,.iI.,.:., ',,,,;tli,i .:.TTT ,l{rG .:ti.:::,:::.:::;:. H tJT ;:li *'fi:E?#.W#ly :::':::::::,:::::::::::,:l:::::::,:,::;:,:,:,:i:,:;:::;:::::t:::l:;::::1,:t:: | | | | | | !| !!i!rr, i I i t | | i! r: ii: aaaa|alrrr | la 'rs,:.H;i;iii....ii..':..i:i:ii,,,,:,,,,,,,,,,,'t"l,,,ffi n:;1fr 11,$fr:,:#:El*!r :1fi;i:::i:::Itl:ffif tffi tfir', :iH:;::::::i+:::E::d.:::* .Ii.fi.:t:.ZJIl ,'f, r,Ai,H,.,.,.,i,:,:,fi],.X :J : :*r:4: : : : : :.: 4.r::. : r,. :.t : :..: :..a.:?r i | :. :. t:.. : :.. : :.. il:l :. :. :. :. : :.. r: ,D:.E[,tf.f:iltr].:G:aE!:l.v:gu:! i,:,'fr*:,,Ul*,.,*EH#ilts;l*fr} ',1,,x[1',', lUI,E,ltl,El.trl*rir;ilf.tr :;:,,::::;,;:1:1:,,;,1,ffi ffi$,l{,tH.G,.ll-i( lt,',,,'1, : t :l t:,:::t:)::a::.: a:: ':::::-:::':':-::j' tl::lltl::tl.l:t:l [E l.,.Vt t:::::::: I# }R u$ l,l'l1:,ll:,' 1,: t::t:),1::tl:l:::.:l l.i.iiiH l.::i:.i l [.* #..ff],,,:tt
- 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 ,,,,;ft,ll1fi:|.ffi,8ffi 'B] ,1:,ii..ft ,,.,t,.,.i:,,:: rrI,Yt,rfi,,1:.:-: l::*.,*-i.::::::::.:.:,:,::.:.:.:.:.:.:...:i,::::.:.:...i,:.:,:.:.,:,:.i.:.,.1,''.,1.,.;.,.i1,,:ifi .::|:,|,::.||.:.:.::::|:.:,:.:,:::::|::|,:::.:.:.:.:, :' a::* +:+:14.:'Fa::ar+l:lF:::: ra::::.:::: :::: :. 4::::::A::: ,l r: !t'U.tsitsi.l'li fi ..,..,..-.r .Z.. ...l....l..:.l;:l:l:,l..l..:.,.:.....,.l:,:,,:ll.,..:l..,.,.'i:. ....::,,.'.,,l;.,l.,..,.,.,,,,:.,,..',,',.,'.,,,., 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