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C RACTER OF SEPARATION REPORT OF SEPARATION FROM THE DEPARTMENT UNITED STATES
HONORABLE ARMED FORCES Of THE UNITED STATESAIN? ?$pg
1. LAST NAME-FIRST NAME-MIDDLE NAME 2. SERVICE NUMBER 3, GRADE-RATE-RANK AND DATE A. COMPONENT AID BRANCH
Of APPOINTMENT OR CLASS
3TEPH$SdS Leslie Lamar 11345?8? G01 100%54 ( U?iC
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C-1 S. QUALIFICATIONS FICATIONS 8. EFFICTIVE DATE OP SEPARATION ]. TYPE Of SEPARATION
O • SpEW{.T]yUMBER ON SYMBOL I RELATED CIVILIAN OCCUPATION AND .O.T. NUMBER
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4 B. REASON AND AUTHORITY FOR SEPARATION
. PLACE OF SEPARATION
kCQ0 178.30-MCM Para 10258 90 "a ", HgBn, MCBs CaMppendl @toIIp ( glir
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1 10. DATE
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IRTH
11. PUCE OF BIRTH (City and State)
12. DESCRIPTIO
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Clearwater Florida jTya?® WV•L1V o Fy CO LOp EYES I NEIG F? WEIGHT
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F 13. RE GISTERED
14. SELECTIVE SE
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VICE LOCAL BOARD NUMBER (City, County, State)
I5. INDUCTED
U TES I I
NO 1;OTYL,I:TIVE $ERV yU _afy le yl i FII Y SAT I MONTH YEAR
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ENO 8 1 rRl?/ /V}
N w 16. ENLISTED IN OR TRANSFERRED TO A RESERVE COMPONENT
YES
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COMPONENT AND BRANCH OR CLA55
COGHIIANT DISTRICT OR 41EA COMMAN
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17. MEANS OF ENTRY OTHER THAN BY INDUCTION I8. GRADE-RATE OR RANK AT TIME OF ENTRY
® ENLISTEO ; REENLISTEO
-N-SiIONEO ? CALLED FROM INACTIVE DUTY INTO ACTIVE SEAYICE
-
1- - Private
19. DATE AND PLACE OF ENTRY INTO ACTIVE SERVICE 20. NOME ADDRESS AT TIME OF ENTRY INTO ACTIVE SERVICE (Sf., R.F.D., County, Cityand State)
IT MONTH YEAR I PWCE (City and State) 009 Woodlanw Street, Clearwater,
STATEMENT OF SERVICE FOR PAT PURPOSES A. YEAR S e. MONTHS C. GAYS 29. ENLISTMENT ALLOW ANCL PAID ON EXTENSION Of
ENLISTMENT. IF ANY
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21. NET)j"Cfd 3 1 SERVICE COMPLETED FOR PAY PURPOSES EXCLUDING THIS PERIOD
W V r DA( MONTH IAQ AMOOUNT
22. HET SERVICE COMPLETED FOR PAY PURPOSES THIS PERIOD r ?
I
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U 27. OTHER SERVICE (Act of 16 Tune 1942 as amended) COMPLETED FOR PAY PURPOSES 10 2e, FOREIGN AND/OR SEA SERVICE
7 J
24. TOTAL NET SERVICE COMPLETED FOR PAT PURPOSES
10 M..
T YEARS
I MONTHS I Y$
_
27. DECORATIONS. MEDALS. BADGES, COMMENDATIONS. CITATIONS AND CAMPAIGN RIBBONS AWARDED OR AUTHORIZED
q national Defense S
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i 28. MOST SIGNIFICANT DUTY ASSIGNMENT
r 29. WOUNDS RECEIVED AS A RESULT OF ACTION WITH ENEMY FORCES (Place and date, if known)
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30. SERVICE SCHOOLS ON COLLEGES. COLLEGE TRAINING COURSES AND,/OR
POST GRAD. COURSES SUCCESSFULLY COMPLETED °ATES
(From-To)
MAJOR COURSE 31. SERVICE TRAINING COURSES SUCCESSFULLY
COMPLETED
D0, HQBN, MCBI AMFRI, LTF-
r PAIIf 10e, 00 1410P WHEY" -2/21+/-56
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GOVERNMENT INSURANCE INFORMATION: If Bren-inl is not paid when due. Or within thirty-one days thereafter. insurance will lapse. Make checks or money order
a uavable to the Treasurer of the United Stales. Forward pavments for National Service Life Insurance to the Collections Unit
Veteran
Ad
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stration District Office havinc
z ,jurisdiction of area in which you maintain your mailing address for insurance purposes. Forward payments for United States Government Life Insurance to Collecti
Di
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veterans A Amin istration. Washington 25. D. C. When making Insurance payments be sure to give full name and nlalllnq address for insurance purposes. service numner an..
nnlicy number(s), if known.
W i-
VOI IZ. `IND OF INSURANCE (amount and premium due each month) 33: MINI" ALLOTMENT DISCONTINUED 34
MONTH NEST PR
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EMIUM DUE
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.
.
. U. S. ;. L. 1.
I22d
emnity
=a
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- Jars I P58
N 35. TOTAL PAYMENT UPON SEPARATION
Z 3e. 1" EL OR "-A.L ILL...A: E INCLUDED J). nISBJRSINi OFFICER S 11ME AND SYMBOL NUMBER
$396.31 ff8l- I4
X R53
33. REMARKS (Continue on reverse) -
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I 39. SIGNA
REER
AUTHORIZED TO SIGN
°
"Recommended for reenlistment
"
.
"Has prior active service ber'ore 21 A:?ril 51.' j
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NAME, GRAype
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SMCin 0.
40. V.A. BENEFITSPREVIOUSLY APPLIED FOR (Specify type)
COMPENSATION, PENSION. INSURANCE BENEFITS. ETC.=LAIN NUMBER
41. °ATES OF LAST CIVILIAN EMPLOYMENT: A2. MAIN CIVILIAN OCCUPATION A3. NAME AND ADDRESS OF LAST CIVILIAN EMPLOYER
FRDM Pinellas Lumber Company
A 0 1 ;-P 12
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AA. UNITED STATES CITIZEN 45. MARITAL STATUS ie: NONSERVICb EDUCATION (Y ]?f '
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Q TES ?? NO I GRAM. NOON COL. DEGREE(S) M
I I; I. 4{JOR COURSE OR FIELD
LLJJ L?
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¢
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MAR SCH OO LI LEGE , 1
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47. PERMANENT ADDRESS FOR MAILING PURPOSES AFTER SEPARATION (St., R.F.Df, County, City and State) AB. SIGNATURE OF ?EASON BEING SEPARATED
1009 Woodlawn St., )
Cloarwaterl ($iNt1®llaa (? ''
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DD FOT5,214 TTt•AU u 1RTERS COPY 'ARMY 6 AIR FORCE ATTACH TO SERVICE RECORD.
I Ja+ NAVY TO BUREAU OF NAVAL PERSONNEL, ',VA SHfN ;TC,N, D. C. 2
MARINE CORPS: a3 or Reid AHi.e t° STIR cr OQR: Tr to Ulcc:ive Du Fwd tO CMC 'Code DGH;.
COAST GUARD: TO HQ, COAST GUARD, WAS.H1NGTCN, D. C'
CEMETERY SEARCH NAMES AND NOTES REQUEST
DECEASED NAME: LESLIE L STEPHENS
BLOCK: 15 LOT: 105 SPACE: 4
BORN: 06 / 19 / 1933 DIED: 02 / 11 / 2001 INTERRED: 03 / 06 / 2001 BURIAL TYPE: URN
INTERMENT NOTES:
DECEASED IS SON OF LOT OWNER - PLACED WITH MOTHER
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