| LINE NUMBER |
-
- DATA ITEM:
-
-
- NAME
- STARTING COLUMN: 1
- LENGTH: 23
-
- RELIGION
- STARTING COLUMN: 25
- LENGTH: 2
-
- DATA ITEM:
-
-
- STREET
- STARTING COLUMN: 1
- LENGTH: 22
-
- COUNTY
- STARTING COLUMN: 24
- LENGTH: 3
-
- DATA ITEM:
-
-
- CITY
- STARTING COLUMN: 1
- LENGTH: 17
-
- STATE
- STARTING COLUMN: 19
- LENGTH: 2
-
- ZIP
- STARTING COLUMN: 22
- LENGTH: 5
-
- DATA ITEM:
-
-
- BLANK
- STARTING COLUMN: 1
- LENGTH: 1
-
- DATA ITEM:
-
-
- SSN
- STARTING COLUMN: 1
- LENGTH: 11
-
- MARITAL
- STARTING COLUMN: 14
- LENGTH: 1
-
- SEX
- STARTING COLUMN: 15
- LENGTH: 1
-
- DOB
- STARTING COLUMN: 17
- LENGTH: 6
-
- STATION
- STARTING COLUMN: 24
- LENGTH: 3
-
- DATA ITEM:
-
-
- BLANK
- STARTING COLUMN: 1
- LENGTH: 26
-
- DATA ITEM:
-
-
- CLAIM
- STARTING COLUMN: 1
- LENGTH: 9
-
- ELIG.
- STARTING COLUMN: 11
- LENGTH: 1
-
- SVC%
- STARTING COLUMN: 13
- LENGTH: 3
-
- PERIOD OF SERVICE
- STARTING COLUMN: 17
- LENGTH: 1
-
- MODIFIER
- STARTING COLUMN: 18
- LENGTH: 1
-
- SPECIAL
- STARTING COLUMN: 20
- LENGTH: 7
|
