1. 1. CAUTION: NOT TO BE USED FOR IDENTIFICATION PURPOSES THIS IS AN IMPORTANT RECORD. SAFEGUARD IT ANY ALTERATIONS IN SHADED AREAS RENDER FORM VOID CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY 1. NAME fLMt, First, Middle} 12. DEPARTMENT, COMPONENT AND BRANCH 3. SOCIAL SECURITY NUMBER SMITH Dwayne Lloyd USMC-11 095 I 40 I 1186 4e. GRADE, RATE OR RANK ,b. PAY GRADE 5. DATE OF BIRTH fYYYYMMDDJ 16. RESERVE OBLIGATION TERMINATION DATE MSGT E-8 19631216 fYYYYMMDDJ ()()()()()()()0 7a. PLACE OF ENTRY INTO ACTIVE DUTY b. HOME OF RECORD AT TIME OF ENTRY !City and state, or complete address if known) MEPS Syracuse NY Rd 1 Box 287 Remson NY Sa. LAST DUTY ASSIGNMENT AND MAJOR COMMAND b. STATION WHERE SEPARATED HqBn 2dMarDiv CamLej NC 28542 HqBn 2dMarDiv CamLej NC (RUC 12001) 9. COMMAND TO WHICH TRANSFERRED 10.SGLICOVERAGE,~(NONE CMC (MMSB-20) AMOUNT: $ 400, .00 11. PRIMARY SPECIALTV (List number, title and years and months in 12. RECORD OF SERVICE YEARlSI MONTHlSI DAYISI specialty. List additional specialty numbers and titles involving periods of a. DATE ENTERED AD THIS PERIOD 1983 06 27 one or more years.) b. SEPARATION DATE THIS PERIOD 2007 01 31 2891 Electronics Maintenance Chief 2 years 7 months c. NET ACTIVE SERVICE THIS PERIOD 23 07 04 2881 2M/ATE Technician d. TOTAL PRIOR ACTIVE SERVICE 00 00 00 7 years 10 tponths e. TOTAL PRIOR INACTIVE SERVICE 00 07 00 8411 Recruiter f. FOREIGN SERVICE 00 07 11 3 years 7 months g. SEA SERVICE 01 01 22 2882 KG-30 Comsec Technician 7 vears 5 months h. EFFECTIVE DATE OF PAY GRADE 2004 03 01 13. DECORATIONS, MEDALS, BADGES, CITATIONS AND CAMPAIGN 14. MILITARY EDUCATION (Course title, number of weeks, and month and RIBBONS AWARDED OR AUTHORIZED !All periods of service) year completed) Marine Corps Good Conduct Medal (8th Awd), Navy and 1stSgt/MSgt Seminar (L9F) 2005, Warfighting Skills Program Marine Corps Commendation Medal, Navy and Marine Corps (M82) 2003, SNCO Advanced Course (T8H) 2001, SNCO Achievement Medal, Navy and Marine Corps Overseas Service Career Non Resident Program (T8G) 1996, SNCO Advanced Ribbon (3rd Awd), Global War on Terrorism Service Medal, Se2 Non Res (7200) crs (T3X) 1995, Recruiters School (81C) 1992, Service Deployment Ribbon (4th Awd), National Defense SNCO Career crs (T8A) 1992, NCO Leadership School (ODD) Service Medal (2nd Awd), Kosovo Campaign Medal, 1988, 15a. MEMBER CONTRIBUTED TO POST-VIETNAM ERA VETERANS' EDUCATIONAL ASSISTANCE PROGRAM WYES ~ NO b. HIGH SCHOOL GRADUATE OR EQUIVALENT YES NO 16. DAYS ACCRUED LEAVE 117. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE YES NO PAID RLB 0 SLB 60.0 DENTAL SERVICES AND TREATMENT WITHIN 90 DAYS PRIOR TO SEPARATION X 18. REMARKS . 45020-2007-0168 Good Conduct Medal period commences 20050127. SNM did not contribute to the MGIB. Subject to active duty recall by.Service Secretary. Item 13 CONT Kuwait Liberation Medal (Kuwait), Kuwait Liberation Medal (Saudi Arabia), Southwest Asia Service Medal (2nd Awd), NATO Medal, Marine Corps Recruiting RibbOn, Navy Unit Commendation (2nd Awd), Navy Meritorious Unit Commendation (3rd Awd}, Letter of Appreciation, Meritorious Mast (2); Letter of Commendation, Rifle Qualification Badge (Marksman), Pistol Qualification Badge (Marksman). Item 14 CONT KG-30 Portion of Field Systems Comsec Repair crs {24S) 1985, Field General Comsec Repair crs {269) 1985. Electronics Basic crs (272) 1984, Tan Belt crs (MMB) 2003~ The information contained herein is subject to computer matching within the Department of Defense or withany ether affected Feder~$~ or non-Federal agency for verification purposes and to determine eligibility for, and/or continued compliance With, the requirement& of a Federal benafit program. 19a. MAILING ADDRESS AFTER SEPARATION flncliideZIPCodeJ b. NEAREST RELATIVE (Name and address - include ZIP Code} Theresa M. F~ / ... 1 Laurelwood Dr New Hartford NY 13413 Same as block . -20. MEMBER REQUESTS COPY 6 BE SENT TO NY DIRECTOR 01_VETERANS ~S " :X lveftl" NO 21. Sl:;;;:7MSEPARATED 22. OFF1CIAL AUTHOIUZED TO SI