Part 41, page 80

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RATED OFFICERS NAME AND SERVICE NUMBER COUNTRYMAN, HAROLD A. 05703722

PART IV - PERSONAL QUALITIES (Read paragraph 21d, AR 623-105) LEGEND: DEGREE / INADEQUATE / MARGINAL / BELOW AVERAGE / AVERAGE / ABOVE AVERAGE / EXEMPLARY NUMBER: .0 / .1 / .2 / .3 / .4 / .5

RATER / INDORSER a. ADAPTABILITY (Adjusts to new or changing situations & stresses; bears up under pressure) - 5 / 5 b. AMBITION (Seeks and welcomes additional and more important responsibilities) - 4 / 4 c. APPEARANCE (Possesses military bearing and is neat, smart, and well-groomed) - 5 / 5 d. COOPERATION (Works in harmony with others as a team member) - 5 / 5 e. DEPENDABILITY (Consistently accomplishes desired actions with minimum supervision) - 4 / 4 f. ENTHUSIASM (Motivates others by his zeal) - 5 / 5 g. EXPRESSION (Expresses himself clearly and concisely both orally and in writing) - 4 / 4 h. FORCE (Executes actions vigorously) - 4 / 3 i. INGENUITY (Finds solutions to problems regardless of obstacles) - 4 / 4 j. INITIATIVE (Takes necessary and appropriate action on his own) - 4 / 4 k. INTELLIGENCE (Acquires knowledge and grasps concepts readily) - 5 / 5 l. JUDGEMENT [illegible rating] - 3 / 4 m. LOYALTY (Renders faithful and willing support to superiors and subordinates) - 5 / 5 n. MORAL COURAGE (Intellectual honesty; [illegible]) - 4 / 4 o. SELF-DISCIPLINE ([partially illegible]) - 4 / 4 p. SELF-IMPROVEMENT (Takes advantage [of opportunities]; do not [guess: RECORD]) - 4 / 4 q. [illegible] (Participates freely and [illegible]) - 5 / 5 r. STAMINA (Performs successfully under protracted physical and mental stress) - 5 / 5 s. TACT (Says or does what is appropriate without giving unnecessary offense) - 4 / 4 t. UNDERSTANDING (Appreciation of another person's viewpoint) - 4 / 4 SCORE: 8.6 / 8.7

PART V - APPRAISAL OF QUALIFICATIONS DUTIES / RATER / INDORSER a. COMMAND A TACTICAL UNIT b. COMD NON-TACTICAL UNIT - 2 / 3 c. STAFF PERSONNEL UNIT (U) / INTEL. - 4 (U) / 4 (U) GENERAL (G) / OPERATIONS - 3 (U) / 2 (U) OR / LOGISTICS JOINT (J) / R & D / COMPT d. SPECIAL STAFF RATER (Specify): Provost Marshal - 1 INDORSER (Specify): Provost Marshal - 1 p. SPECIALIST RATER (Specify): INDORSER (Specify): f. WITH OTHER US FORCES OR AGENCIES g. WITH FOREIGN FORCES OR GOVERNMENTS h. INSTRUCTOR i. WITH RESERVE COMPONENTS

PART VI - OVERALL DEMONSTRATED PERFORMANCE AND ESTIMATED POTENTIAL RATING scale: a. OUTSTANDING / b. EXCEPTIONAL / c. SUPERIOR / d. EXCELLENT / e. EFFECTIVE / f. MARGINAL / g. INADEQUATE

OVERALL DEMONSTRATED PERFORMANCE (1): RATER: 87 / VALUE: 80-89 INDORSER: * / VALUE: 88

ESTIMATED POTENTIAL (2): RATER: 9 / VALUE: 9 INDORSER: 9

SCORE: 87 / 88 / 9 / [illegible] / 9

PART VII - NUMERICAL VALUE SCORES: RATER / INDORSER PART IV: 8.6 / 8.7 PART VI(1): 87.0 / 88.0 PART VI(2): 9.0 / 9.0 TOTAL: 104.6 / 105.7 COMPOSITE SCORE: 210.3

PART VIII - AUTHENTICATION 17. SIGNATURE OF RATER: [signature] TYPED NAME, GRADE, BRANCH, SERVICE NUMBER, ORGANIZATION, AND DUTY ASSIGNMENT: TROY L. SNOW, LTC, MPC, 01798075, HQS USA Pusan Base Command APO San Francisco 96259, Provost Marshal DATE: 11 Oct 67

18. SIGNATURE OF INDORSER: [signature] TYPED NAME, GRADE, BRANCH, SERVICE NUMBER, ORGANIZATION, AND DUTY ASSIGNMENT: GEORGE A. WATSON, LTC, QMC, 01341608, HQS USA Pusan Base Command APO San Francisco 96259, Deputy Commander DATE: 21 Oct 67

19. REVIEWER (Read Section VI, AR 623-105) MY REVIEW [X] INDICATES NO FURTHER ACTION SIGNATURE OF REVIEWER: [signature] TYPED NAME, GRADE, BRANCH, SERVICE NUMBER, ORGANIZATION, AND DUTY ASSIGNMENT: PAUL J. HALIN, COL, TC, 055597, HQS USA PBC, APO 96259, Commanding DATE: 8 Nov 67

21. DATE ENTERED ON DA FORM 66: 18 Oct 67

THIS REPORT HAS ___ INCLOSURES

DB Cooper-12010