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That is an award that was issued issued four times...Air Medal with 3 Oak Leaf Clusters. That means when the person was first awarded the Air Medal, he/she received the basic medal, then any additional awards was denoted with an oak leaf cluster that is wornon top the basic ribbon. If he/she get a silver oak leaf cluster, that means six awards of that medal.

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Q: What is an Air Medal with 30LCs?
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