Almy et al v. United States Department of Defense et al
Filing
38
AMENDED COMPLAINT for Declaratory and Injunctive Relief for Violations of the United States Constitution and Administrative Procedures Act against Department of the Air Force, Department of the Navy, Michael B. Donley, Robert M. Gates, Ray Mabus, United States Department of Defense. Filed byJason D. Knight, Anthony J. Loverde, Michael D. Almy. (Attachments: # 1 Exhibit 1, # 2 Exhibit 2, # 3 Exhibit 3, # 4 Exhibit 4, # 5 Exhibit 5)(Woodmansee, Mark) (Filed on 5/4/2011)
····EXHIBIT5
CAUTION: NOT TO BE USED FOR
IDENTIFICATION PURPOSES
ANY ALTERATIONS IN SHADED AREAS
RENDER FORM VOID
THIS IS AN IMPORTANT RECORD.
SAFEGUARD IT.
CERTIFICATE OF RELEASE OR DISCHARGE FROM ACTIVE DUTY
L r-JAM E (Last, Ff(st, MiddJe) ..•......•..; ...
2. DEPARTMENT, COMPONENT AND BRANCH
KNIGHT,JASQN'DANIEL·· .
NAVYUSNR
3., SOCIAL SECURITY NUMBER
REDACTED
.4a·GRADE;.RATfORHANK······
5. DATE OF BIRTH (YYYYMMOO)
REDACTED
7a. PLACE OF ENTRY INTO ACTIVE DUTY
b. HOME OF RECORD AT TIME OF ENTRY (City and state, or complete address il known)
. ' . '. ·eTn
"
REDACTED
MOUNT PLEASANT, SC
8a. LAST DUTY ASSIGNMENT AND MAJOR COMMAND
b. STATION WHERE SEPARATED
COMNAVELSG FWD
PERSUPPDET NA VAL STATION NORFOLK, VA
9. COMMAND TO WHICH TRANSFERRED
10. SGLI COVERAGE
AMOUNT: REDACTED
NAVY RESERVE PERSONNEL CENTER, NEW ORLEANS, LA
11. PRIMARY SPECIALTY (List number, Iitle and years and months in
specially. List additionat specialty numbers and titles involving periods of
one or more years.)
cn-oooo
YEAR(S)
a. DATE ENTERED AD THIS PERIOD
b. SEPARATION DATE THIS PERIOD
c. NET ACTIVE SERVICE THIS PERIOD
X
X
d. TOTAL PRIOR ACTIVE SERVICE
X
X
X
e. TOTAL PRIOR INACTIVE SERVICE
f. FOREIGN SERVICE
g. SEA SERVICE
X
MONTH(S)
06
07
00
---04
OJ
00
00
04
JUL
MA Y
09
00
03
07
00
OCT
12. RECORD OF SERVICE
h. EFFECTIVE DATE OF PAY GRADE
NONE
DAY(S)
. 24
J9
26
00
20
08
00
16
14. MILITARY EDUCATION (Course litle, number 01 weeks, and monlh and
year completed)
NONE.
X
X
X
X
X
X
X
X
X
x
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
NO
15a. MEMBER CONTRIBUTED TO POST-VIETNAM ERA VETERANS' EDUCATIONAL ASSISTANCE PROGRAM
b. HIGH SCHOOL GRADUATE OR EQUIVALENT
16. DAYS ACCRUED LEAVE
PAID NONE
NO
17. MEMBER WAS PROVIDED COMPLETE DENTAL EXAMINATION AND ALL APPROPRIATE
DENTAL SERVICES AND TREATMENT WITHIN 90 DAYS PRIOR TO SEPARATION
YES
NO
/
.18.REMARKS
42$74-07-Ql738cXXX
.' .'. • .... .
.
.
BLOCK 13 (CONT):SEIWICERIBBON,GLOBAL WAR ON TERRORISM SERVICE MEDAL GLOBAL WAR ON
TERRORISM EXPEDITIONARYMEDAL.//
MEMBER SERVED INANllvlMINENTDANGER PAY AREA FROM 06SEPII TO 07APR18
MOBILIZED IN SI)PPORT OF OPERATION ENDURING FREEDOM.
DETACHED SEPARATIONACTIVITY07APR23 W/ONEDAY TRAVELTIME.
"SUBJECT TO ACTIVE DUTY RECALLIANNUALSCREENING"
X
X
X
X
X
X
X
X
X
X·
XX
X
X
X 'X
X
X
in.9;,;yjibi~}hil.[).~P.~~?1~J'l\;9fP~!~Q$.eS~(~iih::~~y,9th~t·~:!q
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