(Citation Needed) – SYNOPSIS: Lieutenant General James G. Roudebush, United States Air Force, was awarded a Bronze Oak Leaf Cluster in lieu of a Second Award of the Air Force Distinguished Service Medal for exceptionally meritorious and distinguished service in a position of great responsibility to the Government of the United States as Surgeon General of the United States Air Force from 1 August 2006 to 11 August 2009. The singularly distinctive accomplishments of General Roudebush culminate a long and distinguished career in the service of his country and his dedicated contributions reflect the highest credit upon himself and the United States Air Force.