CONTINUATION SHEET FOR AF FORM 1168 AND 1169
THIS PAGE
USED
FOR
SIGNATURES
ONLY
I further state that I have read this entire statement, initialed all pages and corrections, and signed this statement, and that it is correct and true as written.
WITNESSES:
Mary D. Caritt
(Signature)
[redacted]
(Address)
[redacted]
(Signature)
[redacted]
(Address)
[Signature]
(Address)
Subscribed and sworn to before me, a person authorized by law to administer oaths, this
34 day of MAY 1994
at [redacted]
[Signature of Person Administering Oath]
RICHARD L. WEAVER COL USAF
(Type Name, Grade & Title of Person Administering Oath)
AF FORM 1170
JUL 75
GPO : 1986 0 - 168-568
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