The ribbons, in order from left to right, top to bottom: Meritorious Service Medal, Air Force Commendation Medal (with one Oak Leaf Cluster), Air Force Outstanding Unit Award, Air Force Good Conduct Medal (w/5 OLCs... should actually be seven), National Defense Service Medal, Air Force Overseas Ribbon (Long), Air Force Service Longevity Ribbon (w/5 OLCs), NCO PME Graduate Ribbon, Small Arms Expert Marksmanship Ribbon. I also qualify for the "Air Force Overseas Ribbon (Short)," but in my day the regulations specified you could wear one or the other, not both. That has since changed.
The command patch is the emblem of the now defunct Air Force Communications Command, the MAJCOM in which I spent my final five years of service. I also served in Air Defense Command (ADC, later Aerospace Defense Command), USAF Security Service (later Electronic Security Command) and VERY briefly in Tactical Air Command (when ADC went away).
And those are "old" Master Sergeant stripes.