Part 45, page 134

Transcript

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

[Photograph of what appears to be a driver's license or identification card] Organization to D[illegible]... 2-17-68 dm [Circular seal/emblem visible] [Most text illegible due to poor photo quality] [Text at bottom of card]: [illegible] pew vehicle or bus.

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SELECTIVE SERVICE SYSTEM REGISTRATION CERTIFICATE SSS Form No. 2 (Rev. 4-13-60) Approval not required

THIS IS TO CERTIFY THAT IN ACCORDANCE WITH THE SELECTIVE SERVICE LAW

Jack Scott Farmer (FIRST NAME) (MIDDLE NAME) (LAST NAME)

SELECTIVE SERVICE NO. [redacted] 4 [illegible] 14 44 [illegible] 8[illegible]

RESIDENCE AT REGISTRATION 591 Cassidy Ave. (NUMBER AND STREET OR R.F.D. NUMBER)

Yuba City, Sutter, California (CITY, TOWN, OR VILLAGE) (ZONE) (COUNTY) (STATE)

May 22 19[illegible] Chico, California (DATE OF BIRTH) (PLACE OF BIRTH)

WAS DULY REGISTERED ON THE 25 DAY OF May 19 62

(SIGNATURE OF LOCAL BOARD CLERK)

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Local Board No. 14 Sutter County 1015 — 5th Street Marysville, California 95901

(Local Board Stamp) You are required to have this notice, in addition to your Registration Certificate, on your person at all times and to sur- render it upon entering active duty in the Armed Forces. The law requires you to notify your local board in writing (1) of every change in your address, physical condition, and occupa- tion, marital, family, dependency, and military status, and (2) of any other fact which might change your classification within 10 days after it occurs. Your Selective Service Number, shown on the reverse side, should appear on all communications with your local board. Sign this form immediately upon receipt. Any person who alters, forges, knowingly destroys, knowingly mutilates or in any manner changes this notice may be fined not to exceed $10,000 or imprisoned for not more than five years, or [cut off]

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DB Cooper-18243