The 'E's -
-The lower two ribbons are Rifle Expert & Pistol Expert. Silver 'E' signifies Expert, whereas a bronze 'S' would be Sharpshooter.
-The 2nd from top on right shows I was twice with a unit that was awarded the Navy Battle Efficency (Battle 'E')
-The stars indicate additional awarding of that particular medal or award

"We do not inherit the Earth from our ancestors,
we borrow it from our children."