“DISABILITY, DO NOT CHECK THE 60% AKTIRSD-ENvICH CONNECTED DISABILITY UNLESS YOU wEng 3A $ A 7 A ACTUALLY RETIRED rom THIS REASON, IF OTHERWISE, CHECK "HONORABLE DISCHARGE* OR RELEASED TO INACTIVE DUTY* A3 APPROPRIATE, EVEN THOUGH YOU MAY Dg DRAWING A DISABILITY ALLOWANCE OR ”
“14-00000 SECRET (ahen fttf-.t ,.., NOMINATION AND DESIGNATION OF PARTICIPANT ClA RETIREMENT anD DISABILITY SYSTEM SECTION A STATUS OF EMPLOYEE 1. STHIAL NUMA ni 2. NAME tij-s--Fert-vidull 4. so 5. fries sir ST CATEGORY «Reter to K S; (6lyrenst. W:At*» K. :41m .1915 Ger”
“CHECK THE BOX "RETIREO-JERVICE CONNECTED DISABILITY" UNLESS you WERE I A 1 A & A ACTUALLY RETIRED FOR THIS REASON. IF OTHERWISE, CHECK “HONORABLE DISCHARGE® OR RELEASED TO INACTIVE DUTT* AS APPROPRIATE, EVEN THOUGH YOU MAY BE DRAWING A DISABILITY ALLOWANCE OR COMPENSATION. i”
“PAY (See instructions on reverse side) IF THE VETERAN WAS NEVER RETIRED or TRANSFERRED TO THE FLEET RESERVE, check this box. .. Sign and return the form without answering items 1, 2 and 3 below.. . 1. (a) Was this veteran an enlisted member of the Army, Air Force, Navy, Marine”
“1 4-00000 - ■ ■ (When Filed In) 2232: 31 December 1774 Sorter (Last-rirst-liidi.cej CERTIFICATION OF SPPAITFIG D*D7d8 MILER, N. Scott NS-ORWIDUX FOR THR RECORD ATTACH TO OFFICIAL PERSONNEL FLDR I hereby acknowledge the receipt of the following forms and/or information co”
“SERVICE IN ANY BRAN H OF THE ARMED FORCES OF THE UNITED STATES. IF YOU HAD NO ACTIVE (T YEAN FROM— MONTH DAY YEAR 48 46 1946 Oct. 6 1948 MARA 24 HONORABLE 1 TO— MONTH 8. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3. DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE ”
“RESERVE, RATIONAL GUARD STATUS CHECK RESERVE CR GUAPD ORGAN! ARMY O MARINE CORPs NATIONAL GUARD' Coast GOABD ZATION TO WHICH YOU BELONG AIR NATIONAL GUARD - NAVY • Ain Foece NONE 1------------------------------------------ CURRENT RANK. GRADE OR DATF ? DATE of APPOINTMENT I”
“‘ Aateissei39 10-as w BY *SraiM LAST NAME FIRS NAME 0alat/$) 12 APPOINT, NT DATA JTOTAL SERVICE roitavt rat uf date of sef-apatrom * MC CORD, JAMES W JR 08/22/4° [‘xx - OAT AND NATURE or EPARaTOn IRETIREMFNT *NV#UNDER CIA RETIREMENT i 0 *1 U f.b-wrip Se 203/d.hesfienv ac”
“14-00000 SECRET APPLICATION FOR RETIREMENT CIA RETIREMENT ANID DISABILITY SYSTEM Tr, avoid delay—i Read informtior /‘omplete appliratiran tta fall, 3 Typewrite or print in in: A. PTSOtiAL INFORMATION If. Lynch, Grayston L. Jun 14, 1923 .451-18-7989 7901 S. W. 120th ”
“Lisr PERIODS or ANY CLAIMED ACtivE SERVICE YOU HAVE HAD sto Are B2A5CA or THE ARMED FORCES or THE Unitgo s*T2S. .jnC DinG ACTIVE Duty AS A RESERVIST, WHICH HAS nor zEr ettri VERIFIED. (A8%9 sat Merchant Marino service, #/ st interrup*rt rer. ice shcan in item 3.) . FROM TO DI”
“YOU HAD NO MILI TARY SERVICE, WRITE "NONE." - Ng 54U12 - hie Posely r 1nl FROM- 70— DISCHARGE a BRANCH - MONTH DAY (Hon. or dishon.?) - 7LAR YLAR MONTH DAY ixw LF - US ARMY 42 6 16 46 1 31 honorablyd test + ti 5. DURING PERIODS OF EMPLOYMENT SHOWN HI ”
“ACTIVE MILTAR Y SERVICE, WRITE NONE." FROM- TO- DISCHARGE BRANCH (Hon. or dishon.?) YEAR MONTH DAY YEAR MONTH DAY USARMY 1941 FEB 25 1961 JULY 31 HON 70 J 7 1DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3. DID YOU HAVE A TOTAL or MORE THAN 6 MONTHS ABSENCE 12, TOTAL SERVICE”
“dishon.?) YEAR DAY YEAR NONT DAY U.S. ARMY 4319 11 4538 HON 1 5 27 5. DURING PERIODS OF EMPLOYMENT CHOAN 120 new 3. DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE WITHOUT PAY. INCLUDING PERIODS OF MERCHANT MARINE SERVICE. DURING ANY ONE CALENDAR YEAR? IF ANSWER IS -YES,”
“discharge as Undesirable was from his inactive status in the Marine Corps Reserve from 9/12/59 to 9/13/60, which discharge did not affect the character of separation from earlier service. MS wage credits for 10/56 - 12/56 are not precluded by type of discharge from later ”
“dishon.P). YEAR Neowrn DAY YEAR MONTH DAY HONORABLE US ARMY INS 1234 MAR 27 43 2/ 4 525 $. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3. 010 YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE 12, TOTAL SERVICE WITHOUT PAY. INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING A”
“14-00000 wame Last -2: dale) CERTIFICATION CF SEAFATEG EMPLOYEE MEMORANDUM FOR THE PECORD MCCORD, JAMES W. ATTACH. TO OFFICIAL PERSONNEL FOLDER I hereby acknowledge the receipt cl the following forms and/or information concerning my separation from CIS as indicated by c”
“14-00000 MILITARY RECORD AND REPORT or SEPARATION CERTIFICATE or sEnVice • sote co aubosb 1 •• mme. BIOARN, Jacuts 9,_____ o 937 200 37 Gwer Ale oncui, weicOmERS. Gnar wocOumERS, ran _ __EAST, —— sepinaticn cointi, .€95o, MLl’Any sdrioruce E7 OCT FORT % TON, WAS,M00 ”
“s s z o o n s $ 1 5 *0 0 0 s iv n a v u 5 -1 5 o 4 k e /O N v 2 8 . OTHER SERVICE TRAINING t _______________ 2 9 8 0 0 5 (0 1 • u ro ig ) MAJOR COURSES C o u n t s SUCCESSFULLY COMPLETED 9. € 9 *D0 1 0 0 1 2 8 Jack so n v ille, Florida 18Mar57-3May57 AvnFundame EntalCl ”
“14-00000 BTANOERO route 144 Janijate 17.1 g. 1 CIVAL srarct noeerssic FPM CHAPTERS L: ant vs.. STATEMENT OF PRIOR FEDERAL AND MILITARY SERVICE IMPORTANT: The information on this Soarin will be used in determining creditable service for leave purposes and retention credits ”
“DISCHARGE BRANCH (Hon. or dishon.?) YEAR MONTH PAY YEAR MONTH DAY United States Army 13 Feb ljetoct 27 Yes; honorab .C 5 8 12 5. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3. DID YOU HAVE A TOTAL CF MORE THAN G MONTHS ABSENCE It TOTAL SERVICE WITHOUT PAY. INCLUDING PERIODS”
“BRANCH OF THE ARMED FORCES OF THE UNITED STRATES IF YOU HAD NO ACTIVE MILITARY SERVICE DPIIE “NONE" , S 1 grsarea FROM— TO- DISCHARGE (Non of dishon.P) / YEAR MONTH DAY YEAR MONTi DAY NONE S. DURING PEPKWS 6.6 EMPLOYMENT SHOWN IN ITEM J. DID YOU KAVC A TOTAL OF MORE THA”
“States Arry 15 180ct 97 Yes; honorab .e 5 8 12 5. DURING PERIODS CF EMPLOYMENT SHOWN IN ITEM 3. DID YOU HAVE A TOTAL CF MORE THAN 6 MONTHS ABSENCE 12. TOTAL SERVICE WITHOUT PAY. INCLUDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR? YES A NO 5 8 , 12 IF A”
“27. DAVE enoivibuat WAS DISCHARGED 29- DISCHARGED AV *0*014IIT Tuta Tas 98-mas nnivizuat moettaLe mart PEPSICO Was■ incivibeat perm” B2K1121FXP 5 SS°R?e7"9. tomia DUTY be~p9Poe e: ‘(stio) CLAIM? trees tarants ‘***.’ 28 Aug 45 Cp Carson, Colo. res 2X00 ves X so ves X no s”
“keplifert Th iC 1 Gildo Jetton kou HAb so UICIrARY BRANCH FROM— TO or dishon.P) YEAR MONTH DAY YEAR MONTH DAY J.S. NAVY 44 104 46 2 15 HON. 4 12 12. TOTAL SERVICE 7-1-15- 5. DURING PERIODS OF EMPLOYMENT SHORN IN ITEM 3. DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSEN”
“OCCUPATIONAL PAST SERVICE CURE: SERVICE SPECIALTY (Moe or Designator) AND __ IHE______________ _ .- II, BRIEF DESCRIPTION or MILITARY OUTies (tidtente whether applicable to post or current service) 12. CSECA (%) TYPE OF SEPARATION FROM ACTIVE DUTY HONORABLE Disc - a • t X R”
“u0. 1 PAST SERVICE CURRENT SERVICE SPECIALT • (Moe cir Doniguntot) AND TITLE 10. SECONDARY MIL. OCCUPA TIONAL PAST SERVICE CURRENT SERVICE SPECIALTY (Mas or Designator) AND 11. BRIEF DESCRIPTION OF MILITARY DUTIES (Indicate whether applicable to pnat ur es ent service) 1”
“/-= Jer Honuank 13. TOTAL SERVICE Mu.a. 8me. 15daz %. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3. DID YOU HAVE A TOTAL OF MORE THAN 6 MONTHS ABSENCE WITHOUT PAY. INCL UDING PERIODS OF MERCHANT MARINE SERVICE, DURING ANY ONE CALENDAR YEAR/ YES + NO IF ANSWER is "YES," LIST”
“1 4-00000 umianeiontinumei € : ng w.o JL-3 .This office is charged with arriving at BCD's for leave . purposes. Prior to your retirement the Retirement Operations Branch will obtain records from the Civil Service Commission : - verifying that service which is creditable ”
“PRIMARY MILITARY OCCUPATIONAL PAST SERVICE RENT SERVICE SPECIALTY (Moa or Designator) AND TITLE 71542 -31542 10. SECONDARY MIL. OCCUPATIONAL PAST SERVICE CU RENT SERVICE SPECIALTY (Nos of Designator) AND TITLE‘ 93000 _39300____________ 11. BRIEF DESCRIPTION OF MILITARY DUTI”
“14-00000 SECTION LA COTIM ED FOV i’.Gi* $ **0*:*:IO* Or Uuia $ «soss Fun LE Avin : NCLUsive oatr // , ........erit Fe • 13 s M. ovreef yr , 1s NAME or EMPLOYING F(M (AGENCY Sep. 47 - June 468 XNXXEXXXXXX 008653 LTV . Street Sety, State Contry) Euston, Texas 40on nusin”
“F YOU HAD NO ACTIVE ' MILITARY SERVICE, WRITE - NONE” biscuannt - BRANCH (Non ve fishun P) YEAR MONTH DAY ylAR worn pay ARMY 11 45 3 Hon. 5. DURING PERIODS OF EUPDYMENT SHOWN WN Utu 1 DID YOU HAVE A TOTAL. or MORE THAN $ MONTHS ArA NCE 12, TOTAL SERVICE without PAY, INCL”
“1, 2 OR 3 ABOVE, CHECK COMPCHENT MEMBERSHIP BELOW X1so X anmy MARINE CORPS NATIONAL GUARG COAST GUAPEN Navy «3*C J INDICATE ROTC CATEGORY must- BER NAVY AIR FORCE AR NAT’L. GUARD ARVY ROTC <AIR FORCE eorq S. CURRENT-RANK, GRADE OR 6. DATE OF APPOINTMENT IN CURRENT 17. EXPIR”
“22 Total Service ........... 29 11 16 Writer desires to complete thirty years' service, and requests that the effective date for his involuntary retirement be set accordingly, 6. Nome Leave: While writer readily understands the rationale o? aruling preventing the taking of”
“+line (2)) 2058.151 AND D.O.T NUMBER Radio Operator : PURPOSES 3 0 0 - | Morse Intercept ‘ 0-61 b. c. TOTAL ACTIVE SERVICE FOREIGN AND/OR SEA SERVICE; 3 0 0 01 0 26. DECORATIONS, MEDALS, BADGES, COMMENDATIONS, CITATIONS AND CAMPAIGN RIBBONS AWARDED OR AUTHORIZED ”
“eoV. 17 wes mV /6 HON. 2 0 0 •7 1 t 29 1.5, BUrIg Priote of steovmENT thrown: 194 HW 8. Dip You HAVE A TOreL or MORE THAN a MONTHS ABSENCE IZ. TOTAL SERVICE IWhHOuT Pay: Bneig PeaioDS or MERCHANT uranic suvicz Sumiginy ont CALENDAR YEARS • YEO [x] Nio ]iF antweR is -75. Dot”
“UNITED STATES IF YOU HAD NO ACTNE MILITARY SERVICE WRITE NONE." . For- TO- DISCHARGE BRANCH (Hon. or dishon. *) YEAR I minty DAY yes MONTH DAY ARMY AIR FORCE 1948 2 13 19-5 110 HON. 8 19 31 5. DURING PERIODS OF EMPLOYMENT SHOWN IN ITEM 3 02 YC HAVE A TOTAL OF MORE THAN 6”
“14-00000 SECRET when sate. / 1. S CION viI MRIA SEBVICO CURRFrAT DAFT STATUS 1 ;SftECtev* sepzice C.A S*C**GN4 Aor rOU MGISTEID for nof 09arn No 0 4-11 JIOCAL sfte’VE SERVICE SOAR/ JUMBT D A’KO A[/G,>t53 0150 Font Laurence, E/a tn Mty’ABe SENICE RECORD Acfen Duty Only: ”
“14-00000 / SECRET (When Filled tal MILITARY STATUS QUESTIONNAIRE DO NOT WRITE IN SPACES BELOW. (READ INSTRUCTIONS on REVERSE SIDE) 72 OT ate 1. 1MIS CA (Month-far-yenr) 1-6, SERIAL NUMBER "As- MARCH 12, 1962 309 06is0 ?. NAMr ilast-ltrat-mitte)_ 7.24. piksav " FRORE”
“CURRENT RESERVE OBLIGA- RATE RANK TION 8. CHECK (X) CURRENT RESERVE CATEGORY READY RET STAN DBY(Active) STANDBY(Inactive) RETIRED 9. PRIMARY MILITARY OCCUPATIONAL SPECIALTY (Mos or Desig- 10. SECONDARY MILITARY OCCUPATIONAL SPECIALTY (Mos or Dea- nator) AND TITLE TLE 11. B”
“14-00000 ENLISTED RECORD AND BEPCAT or SEPARATION HONORABLE DISCHARGE 30 1 M rarsr / 1* Ab the@lnitr) 4. 4. € wen - * • movey" 005 idonsorees wissww-ovate my • ■■■ - 1 2004 Y -- so’o ev -eforme of 45% 6- vh * A - • sy ., * A s.° * Honorable Discharge A”
“CHECK COMPONENT MEMBERSHIP BELOW ARMY X MARINE CORPS NATIONAL GUARD COAST GUARD NAVY ROTC INDICATE ROTC CATEGORY NUM- ----------------------------------- BER NAVY AIR FORCE AIR NAT’L. GUARD ARMY ROTC AIR FORCE ROTC S. CURRENT RANK, GRADE OR 6. DATE OF APPOINTMENT IN CURRENT ”
“14-00000 ST452**D FORM 144• rvhr, ST MBLR *4 ' u $ 0iV **VL COWMiSIOn ^STATEMENT OF PRIOR FEDERAL Ci-=(AN AND MILITARY SERVICE FPM NVT1RS Lt. 81 AND 92‘ .* AND DETERMINATION OF COMPETITIVE STATUS IMPORTANT: The information on this form mil be used (1) in determining credit”
“14-00000 Thin form was completed by. FEDERAL AND MILITARY SERVICE subject in pseudonym. We have deleted up pseudo. However, if it in not acceptable ****** mining creditable sivice for leave purposes and retention credits [ an is, wo will request another complete Part 1 and”
“CURRENT RESERVE OULIGA- RATE RANK 8. CHECK IX) CURRENT RESERVE CATEGORY I READY RESERVE STANDOY(Active) STANDBY(lnactive) RETIRED 9. PRIMARY MI LTTARY OCEUPATIONACSPECIALTY (Aon or Doelgi 10. SECONDARY MILITARY OCCUPATIONAL SPECIALTY (Moe of Dee- notor) AND TITLE ‘ —S tanat+”
“14-00000 oseness of category clX-V runaya, RED IBSTEUCTION wear BRPORR PREPARING THIS ronu pivtstom STATEMENT OF FEDERAL CIVILIAN AND MILITARY SERVICE CE6 S5CTICN bmtth. holdor 84/22 I FEDERAL CIVILIAN SCT+106 "ECi *H** Pl AGLACT AND FOLLOW I* FEVERS CH ONOLOGICAL 0P21”
“its* NAVY A FORCE AIR A M’L.OJARO ARMY ROT ; I &IR 3 sonCE ROTC *‘* e-g-e nstal %. CURRENT GANA. TRADE OR 6. DATE OF APPOINTMENT IN CURRENT 7 EXPIRATION DATE or CURRENT RESCAVE CULIGA RATE LT Col RANK S July 1958 TION e1 Oct 1961 P98XM a. CHECK Ix) CURRENT RESERVE CAT”
“14-00000 9 0 SEc. 14. ACTIVE U. S. OR FOREIGN’ MILITARY SERVICE US.A NAVY (Country) ENSIGN 10/2/44 3/10/16 Service) ARMED GUARD CENTER N.Y. 409347 chanvoarders.___ RESERVE (Type of Discharge) REMARKS: _. SELECTIVE SERVICE BOARD NUMBER IF DEFERRED GIVE REASON USNR”
“14-00000 - 8 - SECTION X ;' , MILITARY SERVICE 1. CURRENT DRAFT STATUS 1. ARE-YOU REGISTERED FOR THE DRAFT UNDER THE UNIVERSAL MILITARY TRAINING AND SERVICE ACT OF 1948 (As amended) 4. IF DEFERRED, GIVE REASON X YES NO 2. SELECTIVE SERVICE CLASSIFI CATION 4-F 3. ”
“FORCES OF THE UNITED STATES IF YOU HAD NO ACTIVE MILITARY SERVICE. WRITE NONE- ROM— To— biscuanar BRANCH (Non. or dishon P) yrAN MONTH DAY yean mourn 1DAY U.S. AIR FORCE ,1 ER OCT A 62 AUG 24 HON. i. ‘2 .-/ 1 1 5. DURING PERIODS OF EMPLOYMENT SHOWN IN ITE M 3. DID YO”
“14-00000 PART -DETERMINING CREDITABLE SERVICE AND SERVICE COMPUTATION DATE FOR LEAVE PURPOSES - 46 YEARS Noirts DAYS TOTAL SERVICE (Stem 12). NONCREDITABLE SERVICE (Item 139. CRCDITABLE SERVICE (Leave purposee). ENTRANCE ON DUTY DATE (Present agency) 58 3 17 LESS ”