‘ i uf { ; $ ae die anomie dae PEGCESGING ACHEN bee oe ny ae {MADER FOR ISELIN oe cn Hemigvaere Divisrrs | K fan mniewe erauitte ee — | ‘ome GUALHAD O58 | {C63 FUDGE INOELING iva yanemmeiemmenanat eeneerertete en erento snnenntintnnm mre aterm fe eee in nerant epee aoeeinennmemtanmmrgmncare | moc wei amemmnm mytaeeee senate taatetanrnamnmtn ara meer eters eet FROM a | Cuief of Statian, Lerronus Date en EE a we SUBJECT Forwarding of Retirement Apolication on Jeremy K. BENADUM Mion wiguaiD buiiny — ——— REFERENCE: HMMS-703~ We are forwarding under seoarate cover a retirencnt aoplication From Jereay K, BENAGUM, 4 Z we 1 4G Be Attacement: U/S/ ‘ . ats ry te Recirenent Application poAS - . Loa - : aot hy. " ot we Disceribucion;: ; fo ae » Orig & dca; ClO, whatt., ufs/c hae 7 ae VA sytct sas . phe : Seay ata ta | oraretca 1897 AnD SUSEE fost t HMM Pe PG. 074 Pla Geeerier fru . . mone Same i et Sombie ara See 8 . . en en eee een tte mes enn seceewe ~ : rests \ Pest fad bye . o ; 4, ic Hei ft ‘ Gm en eee mentee tn tt enantio CS 3
Ar emne e ANE CONN MS i tee re GND RE | melee 7 unto + 2S Ee One eens te 2 et ee oe PLICATION FOR RETIRE! Nis Gemplte appheacen a full, SD, Typeniie OF Sprint ta take ] ar pasrarer reer ave id, Read informatica care! To Rod delay eth ee oe oot SRR te HIFQROIAY a ne vasa raEEEEEEeerarete treet eee SATE Per SONAR SECU ity atta ° i sf wafud, 4 pant fest {Poet} eegeled : i hay x Ursa Ge SO UGE es LAN | ¢ To. : §! Bes ; srreveca, Cnlifarnia CHEC aS: (4 § (A) ARE YOU PARKED kk) vis TC) xo — ne Pp Dale OF presen le Pacoeess GF GROUT @ OOEetNT PROM EM @ LIAS: RL CIVILIAT SERVICE, PLOCATION OF EPL OY PITRE? fCuy gee Stare? 6 OE GF atacewnt 2 FEB Saya at tte tener irr terete & DATE Oe FAA MRARA NIG [More] 4 ATFEC me SUMEER Ct rEaRY or CPgias sreent (Dep) teas) 4 Wid OF Lash ADE TON ees a eeepemamatend . tte 7, OO YOU MAYE CEDTAAL EMPLOTELL G2OuP Lift wsuaANCE? @ AP e FOU) EPROM AED 2g A PLAN UNDER Teed PEGE R GL SPPLOTEES DiEAL Tbe BEREFTTS PACH ApH? - . . ry ideas cement ae Cc. MILITAL Ws TSERVICE COMPLE DE Ted gSoee Cake ORCC oP PAE ee ef PES RESR PES BC! : : MEV CS AEM Nat Mae Ee COBR, Ae Pee Ce Coe Cutan enres STAVE APTEA NE BOS OUIC) ab & Cee ent Cre ia L FOUR Oscaaly Cyere Care bat? Gaacy OR Bars C) vas DEGAS LOTON AT DCM APOE Senay pasate end, Le, BRANCH OF Leavt 26/re o/sg bizizo Bs) DS VER” WERE TOas BENE ORC BEE E CORREO Pibogd Uaet fe Cortrris Pw ys voarterr Veied wl PUB. Lae 60 Ore : need cnn, ommse Bree ree me 2 Ap a8t vow a meyrtaee aa BB, ABT eae se EC eet Od OR wee te Fede PPLE AR SRE BTege ACT we Sega he APT wis Paer cea be MOH LE PHP Ihe. Oa wactivey CAMS OA Para CO KOEN tT Ree) Olen 1% nes ern anes D. BiSAt uiry idFOR? ALON Qaly appheants for tatat disability retire meet w! aly Pb mrits OF FOU ONCE Ota EAB em pend tanpicte Pare On a enaatnane arte arco pt a0 2 gana wrtatt B cere ten ete myth Pune D Gabe. Ease me . tee Weert ss Bor ORE baat onde Tord e ERT RE wT Fg P OOLet aa, CEN TE ont een Borda CO C270 B butt perede . Bot ated § UM Meee Tere eb ae tank Parte. CaEDTA po OTT CTA TPE ape e Amn eg RO te ware nistm ie ft ORs CALE Fee Peed Ree det a 8 Mare sree Shaws AE 4 BBrgeae Used PTC G ee. EMH LsDITEh a wErEeLe tate BL? . . ry Tease Maes ar her Ct Pere 8 eee WR ow i A eam ato wet oe we ee eee fase Bey aww Aa am, ar es 2 ater ver ee Bo eee er mene # emer ae cance rt Aan A Ee ee ART fr teen Selina tn © gees catertmsiere son i ¢ : 2 Ber eae boss bo ghl reene ’ Bar oemat ees ete my Lae oe ete ; ee ' caer any ec btn ty esto, Fare PE cm Stee Be awe Sh ce ee eT Bet arenne rigee i i : ' h rs mere arig ean cates aN A Tate te art Ses ee cas PIN} g hrs, st wm ak ee re oy a tere a A ar pt ? 4 tbe : nos = ‘ Lh hho Cr ry a cand ee o 4% Bea geab Gras gee aes ein 1 tree mm 6 or i wed oe were ae wNReNT eek yey Pe nS Saran See eee an . : br nee weet 2 AE LED: TUE RN: TPR OG ATEN, BIER = ama arn cauaneseteE D et rere ema RS PO on PR ESSE ct tert oO at re
4-000 vat a fit ANT eEL Madre A SAER- eat a, Bhh dee : ‘ Dm beter ee tee bere Fe be CAUTEGiEE. RO CHANGE WH ED PGR iG ADIGR AN ANI ED BAL Bie Ghai fF bOW ¥ 1G Gret VE Ore eae Se OES a REPT are A ge lh ene Dey ere rea et tree f. vies Gi Suen ts ee ee neta ae A RS 0 2 Eee STEERED EO AE Gel 1 escaree ie ERED  feetsREED ECS is tte PNR AND A aterm, ee se tts Gyn a gantry uate SB atoyon ne evah ssc wall “A WHE SUTIYIVOR BEET 10 yet choi the ouesiny aed Feo Gt VADOWER see to ge dere air dtchens wi by ecdinad getup de SLC G yyor ued ae tbe baw for The womuts payobte by PE of any ar the suevirer beneia plus let od Bite eu teed BAe ae SOP Cae et Set trices OF etoue atinuaily "OU Warf ote ts oo De BASE FEF ELAS ar OR MEIC L RS} GURNESOR Arete used ® yeu rete for total abuePuhts befor ape and pet a gue. ante mene dheatebty vnnity, sed may tac ado aes part ofoyen Ces antics as the bone fer the sure beach, You gannot use oby cus andy wha maiy by payable te mike up the poarantecd! esa arity 7 gee went aft pews anayifp wied an the base Ene Hy ser ciowr fi epeeta, meite the mord “oll Inthe Bae balow 18 paw amo’ f tate part oF yous wunelly wrod os Fhe bree foe the syeorous pr write the pamity ammount af pour anauilp pox wart ated @ if sour wile Cor basbomnd) sbouht die before yeu, mo chaitge in type ef anrunty wil be perentio€, peur annuny will net be ine red Por tay peu mutec guy other person as SENN, / V Tet SUB TCC  weUTEYITY WEL BE SH%. OF #53 CoB Artal. “ete Frets cer rue aynite fou Sha tle @e fad base Cok mt (Oa tthy BEMeE AIT. @ Thesuener's aunudy will bon vpen your ith and end when she dor heb dies of comuatnicy, ob 8 Ef you cheese thes type pour wile for hasta) canned be paid a surer anauity alter your alvath setae desiee ty wife dor husbands ue teecieg & ferector gimaty boneht after ony death - @ Phe type provedes snnuity paymtente de sou only Gs. WES OF AHINUITY: UNMAMHIZED AFFLICARITS ONLY (Inclocieny Viieowed and Diverced] OW you are net marncd, you will rece Chis tyyw ad annuity SALTY WATHOUT SURVIVOR BENEFIT 2H ge are at gear ee @ This type provides yamurty payments ty you only SVET? AQNUUY WITH SURVIVOR efnerir 19 ett RIED PERSON HAVING AN INSURAELE 0 tin ared hee on, LUT Lets . “@ Ut provides a reduved annuity to yeu - the poor samod as having aa meeably atcrest. employecs whe are pos aeailible te uff retiring cormnse f health. . ttay s 8 ® and a uiniser annuity te @ The surnaor'e anpuety will begin open your death aad cng when sete fet wawt HL atideogeut and Datd OF giete oe fork PERE Tan fy Widen she for hep dees 1G SEL GIs fed SURE APRUTE F metae Fen, waddle hath @ The sursisor'’s annuity will be 45°) of the rafuood annuity you feceive uslt ore en pi ee entree IT you ghee this Ope) you will hase to undergo a medical onasees Balt OF eta CMe, day. pd stanton whisk will be arcanged by the Duestar of Personne: BE net gal fer you . { : i ; @ ff the person nanicd 29 haveing an insurable interest shoukl die before you. nu change in type of annuity will be permuted, your annuity will not be anvreased, aor may you mame ony other Pe ese BY SUP Per SE 4 Gee PS SES RMPL OVATE UreSld IHIGT MATION @1GA AL: ws SUE VISOR BPE OAG Lee Te eC aL nh intOrmahOre Sill Hoe t8e, acer 0 Od BR Pv ae sme FI gare HW. ChetFiCANON CS APPLICANT “DP herehy ceste’y that ell safernenn made in thin apphyatien are true to the best of my knowledge and ber] y . . te weiabon relative [erctar isa & 2 bee Senate a fone of mot more than $10 088- ap sets ef ces moot Tat fF years, or both Ig LSC 10s Pr! 10 Dace, 1970+ -% wR OE ain toate. 1 QW OFFICE GF _PENSONNTT USE ONLY, |.