PERSONAL AWARD RECOMMENDATION ENSURE ALL BLOCKS ARE FILLED IN, SIGNED AND DATED

PERSONAL AWARD RECOMMENDATION ENSURE ALL BLOCKS ARE FILLED IN, SIGNED AND DATED COMPLETE MAILING ADDRESSES ARE REQUIRED FROM: Commanding General Commander ADDRESS: CMATT APO AE 09335 TO: (Awarding Authority) ADDRESS: UIC/RUC: 31707 Headquarters USMC Military Awards Branch 3280 Russell Road Quantico, VA 22134 14. EXP. OF ACTIVE DUTY N/A COMMAND POC: MAJ GEOFFREY FULLER PHONE# DSN: 318-239-xxxx IF RETIREMENT/SEPARATION, NUMBER OF YEARS N/A 1. SOCIAL SECURITY NUMBER xxx-xx-xxxx 2. DESIG/NEC/MOS 15. EST. DETACHMENT DATE: 29 FEBRUARY 2004 3. NAME (Last, first, MI) SPENCER, RHYNE E. FORMCHECKBOX RETIREMENT FORMCHECKBOX TRANSFER FORMCHECKBOX TERMINAL LEAVE 4. COMPONENT (USN, USMC, etc.) USMC 16. NEW DUTY STATION (Home address if separation anticipated) ADDRESS: 5. GRADE/RATE SGT 17. UNIT AT TIME OF ACTION/SERVICE COALITION MILITARY ASSISTANCE TRAINING TEAM, BAGHDAD, IRAQ 18. DUTY ASSIGNMENT TRAINING TEAM NCO 6. WARFARE DESIGNATOR 7. UIC/RUC: 19. PREVIOUS PERSONAL DECORATIONS AND PERIOD RECOGNIZED (exclude Purple Heart and Combat Action Ribbon) 8. RECOMMENDED AWARD (See instruction #3 on back) JA 9. SPECIFIC ACHIEVEMENT FORMCHECKBOX YES FORMCHECKBOX NO 10. FORMCHECKBOX HEROIC FORMCHECKBOX MERI- FORMCHECKBOX HEROIC FORMCHECKBOX MERITORIOUS FORMCHECKBOX MIA TORIOUS POSTHUMOUS POSTHUMOUS 11. NUMBER OF AWARD OF RECOMMENDED MEDAL FIRST 20. PERSONAL AWARDS RECOMMENDED-NOT YET APPROVED NONE 12. ACTION DATE MERITORIOUS PERIOD 12 AUGUST 2003-29 February 2004- 21.OTHER PERSONNEL BEING RECOMMENDED FOR SAME ACTION NONE 13. GEOGRAPHIC AREA OF ACTION/SERVICE Baghdad, Iraq 22. I certify that the facts contained in the summary of action are FORMCHECKBOX known to me FORMCHECKBOX a matter of record NAME, GRADE, TITLE OF ORIGINATOR Paul D. Eaton, MG, USA SIGNATURE DATE FORWARDING ENDORSEMENTS BY VIA ADDRESSEE(S). (Attach additional sheets only as necessary) VIA COMMAND (To be completed by originator) RECOMMENDED AWARD COMBAT "V" SIGNATURE, GRADE DATE FWD 1 FORMCHECKBOX YES FORMCHECKBOX NO 2 FORMCHECKBOX YES FORMCHECKBOX NO 3 FORMCHECKBOX YES FORMCHECKBOX NO 24. TO BE COMPLETED BY AWARDING AUTHORITY DISPOSITION OF BASIC RECOMMENDATION COMBAT "V" EXTRAORDINARY HEROISM RECOMMENDED SIGNATURE, GRADE, TITLE DATE APPROVED FORMCHECKBOX YES FORMCHECKBOX NO FORMCHECKBOX YES FORMCHECKBOX NO FOR USE OF NDBDM ONLY FROM: SECNAV (NDBDM) DATE: TO: CNO (NO9B33) CMC (CODE MHM) 1. Extraordinary heroism recommended FORMCHECKBOX YES FORMCHECKBOX NO FORMCHECKBOX NA 2. Reviewed and recorded By direction OPNAV 1650/3 (Rev 1-94) S/N 0107-LF-017-5800 INSTRUCTIONS 1. Before completing this form see SECNAVINST 1650.1F 2. The Summary of Action (Item 25) is requested (except for Command approved NAMS). In addition, attach a double spaced proposed citation 3. Two (2) letter codes to be used in blocks 8, 19, 20, 23, and 24 MH – Medal of Honor NX – Navy Cross DM – Distinguished Service Medal SS – Silver Star LM – Legion of Merit LV – Legion of Merit with V DX – Distinguished Flying Cross DV – Distinguished Flying Cross with V NM – Navy & Marine Corps Medal BS – Bronze Star BV – Bronze Star with V PH – Purple Heart MM – Meritorious Service Medal AS – Air Medal – Strike/Flight AF – Air Medal – Individual Action AH – Air Medal – Individual Action with V JC – Joint Service Commendation Medal NC – Navy Commendation Medal CV – Navy Commendation Medal with V JA – Joint Service Achievement Medal NA – Navy Achievement Medal NV – Navy Achievement Medal with V CR – Combat Action Ribbon PRIVATE 25. SUMMARY OF ACTION (not required for Command approved NAMS) OPNAV 1650/3 (Rev. 1-94)(Back)