AIR FORCE DISCHARGE REVIEW BOARD HEARING RECORD
NAME OF SERVICE MEMBER (LAST, FIRST MIDDLE INITIAL)	GRADE

TYPE GEN

YES	No
x

NAME OF COU!'iSEL AND OR ORGANIZATION

AB
x	RECORD  REVIEW
ADDRESS AND OR ORGAl'HZA'flO:"I OF COUNSEL

MEMBER  SITTING
-----------------

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HON	GEN

UOTHC

OTHER	DENY
x x x
x x

ISSUES

A95.00

INDEX NUMBER

A67.10

I	ORDER APPOINTING THE BOARD
2	APPLICATION FOR REVIEW OF DISCHARGE
3	LETTER OF NGHFICATION
4	BRIEF OF PERSONNEL FILE COUNSEL'S RELEASE TO THE BOARD
ADDITIONAL EXHIBITS SUBMITTED AT TIME OF
PERSONAL APPEARANCE
TAPE RECORDING OF PERSONAL APPEARANCE

HEARl!'<G  DATE	CASE NUMBER

l2 Oct 2004	FD-2004-00269

Case heard at Washington, D.C.

Advise applicant of the decision of the Board, the right to a personal appearance with/without counsel, and the right to submit an application to the AFBCMR

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: ;.;	- :, ,-, :.--,	;-;;; 1·, .-i;JB
TO:
SAFIMRBR
550 C STREET WEST. SUITE 40 RANDOLPH AFB. TX 78150-4742

1 u,1 1-. ·z1iliii1;·;1i1-i;)0:.-):,;.;. i''1· ••· ·•..,r:)·' c	·i	f,f!il ,,.•'."c_;_,;--,,'-":",.,,	= 1
FROM:
SECRETARY Of  THE AIR  FORCE PERSONNEL COUNCIL AIR FORCE DISCHARGE REVIEW BOARD
1535 COMMAND DR, EE WING, 3RD FLOOR ANDREWS AFB, MD 2<1762- 7002

AFHQ FORM 0-2077, JAN 00	(EF-V2)	Previous edition will be used

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