US Air Force Ribbon Medal Bar
From Top left ribbon and down in order:
X2/: Achievement. / Outstanding Unit Award.
X3/: Good Conduct (with oak leaf bronze). / National Defense.; / Armed Forces Expeditionary Service.
X3/: Kuwait Liberation, Kingdom of Saudi Arabia (with palm tree and cross swords). / Southwest Asia Service (x2 stars bronze). / Overseas (long).
X3/: Longevity Service Award (with oak leaf bronze) ./ Small Arms Expert Marksmanship. / Training.
Condition as pictured.