Part 41, page 69

Transcript

The scan is the source; the transcript is machine-generated from it.

DD FORM 214 - ARMED FORCES OF THE UNITED STATES REPORT OF TRANSFER OR DISCHARGE

1. LAST NAME, FIRST NAME, MIDDLE NAME: GOETZMAN, HAROLD ALTEN 2. SERVICE NUMBER: 05 703 722 3. SOCIAL SECURITY NUMBER: 531 50 0353 4. DEPARTMENT, COMPONENT AND BRANCH OR CLASS: ARMY USAR MFG 3a. GRADE, RATE OR RANK: CPT 0-3 5. PAY GRADE: 0-3 6. DATE OF RANK: 1 Jun 67 7. U.S. CITIZEN: Yes 8. PLACE OF BIRTH: Yakima, Washington 9. DATE OF BIRTH: 5 Dec 33 10a. SELECTIVE SERVICE NUMBER: [blank] b. SELECTIVE SERVICE LOCAL BOARD NUMBER, CITY, COUNTY, STATE AND ZIP CODE: 45 6 33 607 DB #6, Seattle, Washington c. DATE INDUCTED: [blank] 11a. TYPE OF TRANSFER OR DISCHARGE: Released from active duty b. STATION OR INSTALLATION AT WHICH EFFECTED: Fort Gordon, Ga 6. REASON AND AUTHORITY: See XIV AR 135-173 6th [guess: Ed] Expiration or active Duty [guess: commitment]; voluntarily serving on active duty. EFFECTIVE DATE: 31 Dec 63 5. TYPE OF CERTIFICATE ISSUED: [blank] 12. LAST DUTY ASSIGNMENT AND MAJOR COMMAND: 31 US ARMY Co D 10th Bn 4th Bde USATC (IP) 13a. CHARACTER OF SERVICE: HONORABLE 5. TYPE OF CERTIFICATE ISSUED: None 14. DISTRICT, AREA COMMAND OR CORPS TO WHICH RESERVIST TRANSFERRED: Reinf Gen Gp USARC, St Louis, Mo 63132 15. REENLISTMENT CODE: EA 16. TERMINAL DATE OF RESERVE/UMTS OBLIGATION: EA 17. CURRENT ACTIVE SERVICE OTHER THAN BY INDUCTION a. SOURCE OF ENTRY: OTHER Ordered to AD from USAR b. TERM OF SERVICE (Years): EA c. DATE OF ENTRY: 1 Jan 67 18. PRIOR REGULAR ENLISTMENTS: None 19. GRADE, RATE OR RANK AT TIME OF ENTRY INTO CURRENT ACTIVE SVC: CPT 0-3 20. PLACE OF ENTRY INTO CURRENT ACTIVE SERVICE: Seattle, Washington 21. HOME OF RECORD AT TIME OF ENTRY INTO ACTIVE SERVICE: 6314 30th NE Seattle (King) Washington 98115 22. STATEMENT OF SERVICE: (1) NET SERVICE THIS PERIOD: 2 years, 0 months, 0 days (2) OTHER SERVICE: 13 years, 9 months, 26 days (3) TOTAL (Line (1) plus Line (2)): 15 years, 9 months, 26 days b. TOTAL ACTIVE SERVICE: (See 30) c. FOREIGN AND/OR SEA SERVICE (Korea): 1 year, 0 months, 27 days 23a. SPECIALTY NUMBER & TITLE: 9110 Military b. RELATED CIVILIAN OCCUPATION AND D.O.T. NUMBER: 2-66.02 Police Police Officer Chief 24. DECORATIONS, MEDALS, BADGES, COMMENDATIONS, CITATIONS AND CAMPAIGN RIBBONS AWARDED OR AUTHORIZED: National Def Svc Medal w/OLC Armed Forces Reserve Medal Armed Forces Expeditionary Medal (Korea) 25. EDUCATION AND TRAINING COMPLETED: USAIS; 1967; MFOB #67-4

CAUTION: SPECIAL HANDLING REQUIRED This material copied from records of National Personnel Records Center, St. Louis, Missouri, to be used for reference only. Do not recopy or disseminate in its original form outside

26a. NON-PAY PERIODS TIME LOST (Preceding Two Years): None b. DAYS ACCRUED LEAVE: 7 c. [blank] d. [blank] e. AMOUNT OF ALLOTMENT: $ EA f. MONTH ALLOTMENT DISCONTINUED: [illegible] 28. VA CLAIM NUMBER: [blank] 29. SERVICEMEN'S GROUP LIFE INSURANCE COVERAGE: c. EA $10,000 $5,000 NONE 30. REMARKS: 4 [guess: Score] [guess: High] School - General Blood Group: O [guess: Svc] [guess: Ess]: [illegible] Off Alt [guess: cplt] 2 Jan 67, [guess: Furn] Off [guess: EAD] cplt 25 Jan 67. [guess: Svc] [guess: Ess]: Information not readily available. 31. PERMANENT ADDRESS FOR MAILING PURPOSES AFTER TRANSFER OR DISCHARGE: [illegible] 32. SIGNATURE OF PERSON BEING TRANSFERRED OR DISCHARGED: [signature present] 33. TYPED NAME, GRADE AND TITLE OF AUTHORIZING OFFICER: [partially illegible] [guess: Lt] A. [illegible] LTR F00 [guess: Ld], L0 34. SIGNATURE OF OFFICER AUTHORIZED TO SIGN: [signature present]

DD FORM 214 PREVIOUS EDITIONS OF THIS FORM ARE EFFECTIVE 1 JAN 67. *GPO: 1967 0--265-718

DB Cooper-11999