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Name BARRON, ROBERT HILL Army serial No. 13092484 Grade Pvt. Years of service None

(On date of opening this book)

Insurance, amount and class..$.... Insurance premium, monthly... $...... Allotments, amount and class... $.. Compulsory allotments, amount and class...$... Pay reservation, class A... .$..... Technician grade .... Additional pay for........ Person to be notified in case of emergency:

(Name)
(Relationship; if friend, so state)
(Number and street or rural route; if none, so state)
(City, town, or post office) (State or country)
Date of opening this book
(Signature of enlisted man. Name, grade, and arm or
service only. Do not enter organization)
Witness to signature by officer preparing book:
(Signature - Name, grade, and arm or service only. Do
not enter organization)
(2)


CHANGES AFFECTING PAY STATUS

CASUAL DATA Date reported or picked up (Do not enter organization) Name, grade, and arm or service only of personnel officer or commanding officer 16-28144-1 (3)