USA > Massachusetts > Hampden County > Brimfield > War veterans register, town of Brimfield > Part 13
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Remarks:
Recommendations: Married or single: Objections to reenlistment:
Paid in full: .dollars.
Signature of marine:
I CERTIFY that this is the actual print of the right index finger of the man herein named.
N. M. C. 258-A. & I.
FORM U. S. 300 M PRODUCT OF WILSON JONES CO. EB 750439 PRINTED IN U. S. A.
U. S. M. C., Commanding Marines.
No.
United States Marine Corps
To all whom it may concern:
Know ye, That
a
of the U. S. Marine Corps. who was
enlisted at .on the .. .day of
19 ......... , to serve for. ............. is hereby (Insert four years, or duration of national emergency)
Honorably Discharged
Said
was born
19 ......... , at ............... ..; when
enlisted was inches high, with. eyes,
hair, complexion;
citizenship ..
Delivered at
this ....... day
of
19
Character:
U. S. M. C., Commanding Marines.
MILITARY HISTORY
Previous service:
Promotions and reductions:
Weapons qualifications:
Special military qualifications:
Sea service:
Foreign service:
Wounds received in service:
Battles, engagements, skirmishes, expeditions:
Remarks:
Recommendations:
Married or single: Objections to reenlistment:
Paid in full: .dollars.
Signature of marine:
I CERTIFY that this is the actual print of the right index finger of the man herein named.
N. M. C. 258-A. & I.
FORM U. S. 300 M PRODUCT OF WILSON JONES CO EB 750439 PRINTED IN U S A.
U. S. M. C., Commanding Marines.
United States Marine Corps
To all whom it may concern:
Know ye, That
a
of the U. S. Marine Corps .. ., who was
enlisted at
on the. day of
19 ......... , to serve for. .. is hereby (Insert four years, or duration of national emergency)
Honorably Discharged
Said
was born
19 ... ... , at ...
....... .; when
enlisted was inches high, with. eyes,
hair, complexion;
citizenship ...
Delivered at
this ........ day
........
.......
of ........ 19
Character:
U. S. M. C., Commanding Marines.
MILITARY HISTORY
Previous service:
Promotions and reductions:
Weapons qualifications:
Special military qualifications:
Sea service:
Foreign service:
Wounds received in service: Battles, engagements, skirmishes, expeditions:
Remarks:
Recommendations:
Married or single:
Objections to reenlistment:
Paid in full:
.dollars.
Signature of marine:
I CERTIFY that this is the actual print of the right index finger of the man herein named.
N. M. C. 258-A. & I.
FORM U. S. 300 M PRODUCT OF WILSON JONES CO. E8 750439 PRINTED IN U. S. A.
U. S. M. C., Commanding Marines.
United States Marine Corps
To all whom it may concern:
Know ye, That
a of the U. S. Marine Corps. ., who was enlisted at on the. day of
19 ......... , to serve for. .. is hereby (Insert four years, or duration of national emergency)
Honorably Discharged
Said
was born
19 ......... , at ..... .; when
enlisted was .inches high, with. eyes,
hair, complexion; citizenship ....
Delivered at
this ......... day
19
Character:
U. S. M. C., Commanding Marines.
MILITARY HISTORY
Previous service:
Promotions and reductions:
Weapons qualifications:
Special military qualifications:
Sea service:
Foreign service:
Wounds received in service: Battles, engagements, skirmishes, expeditions:
Remarks:
Recommendations:
Married or single: Objections to reenlistment:
Paid in full:
.dollars.
Signature of marine:
I CERTIFY that this is the actual print of the right index finger of the man herein named.
N. M. C. 258-A. & I.
U. S. M. C., Commanding Marines.
FORM U. S. 300 M PRODUCT OF WILSON JONES CO. EB 750439 PRINTED IN U S. A.
United States Marine Corps On all whom it may concern:
Know ye, That
a
of the U. S. Marine Corps .. who was
enlisted at
on the .. .. day of
19 ......... , to serve for .. hereby (Insert four years, or duration of national emergency)
Honorably Discharged
Said
was born
19 ......... , at .. .; when
enlisted was inches high, with. eyes,
hair, complexion;
citizenship .............
Delivered at
this .................................. day
of. ........ ...... 19
Character:
U. S. M. C., Commanding Marines.
MILITARY HISTORY
Previous service:
Promotions and reductions:
Weapons qualifications:
Special military qualifications:
Sea service:
Foreign service:
Wounds received in service:
Battles, engagements, skirmishes, expeditions:
Remarks:
Recommendations:
Married or single: Objections to reenlistment:
Paid in full:
.dollars.
Signature of marine:
I CERTIFY that this is the actual print of the right index finger of the man herein named.
N. M. C. 258-A. & I.
FORM U. S. 300 M PRODUCT OF WILSON JONES CO. EB 750439 PRINTED IN U. S. A.
U. S. M. C., Commanding Marines.
United States Marine Corps
To all whom it may concern:
Knou ye, That
a
of the U. S. Marine Corps. who was
enlisted at .on the ... .. day of
19 ......... , to serve for. .. is hereby (Insert four years, or duration of national emergency)
honorably Dischargen
Said
was born
19 ... , at ......... ...; when
enlisted was inches high, with .. eyes,
hair, complexion; citizenship.
Delivered at
this ............... day of ... 19
U. S. M. C., Commanding Marines.
MILITARY HISTORY
Previous service:
Promotions and reductions:
Weapons qualifications:
Special military qualifications:
Sea service:
Foreign service:
Wounds received in service: Battles, engagements, skirmishes, expeditions:
Remarks:
Recommendations:
Married or single: Objections to reenlistment: dollars.
Paid in full:
Signature of marine:
I CERTIFY that this is the actual print of the right index finger of the man herein named.
N. M. C. 258-A. & I.
FORM U. S. 300 M PRODUCT OF WILSON JONES CO. EB 750439 PRINTED IN U S A.
U. S. M. C., Commanding Marines.
Character:
COAST GUARD - SPAR
Honorable Discharge
from the United States Coast Guard
This is to certify that
.a.
is HONORABLY DISCHARGED from the .. ........
and from the United States Coast Guard this. ........ ........ .day of ..
This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
(Date)
At
for.
............ years
Born
(Date)
Qualifications
Ratings held.
Certificates
.Trade schools completed. Special duties for which qualified.
Service (vessels and stations served on)
Discharged from. (Regular or special temporary)
enlistment.
Rating at discharge. ....
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating.
Conduct.
U. S. C. G. and Executive Officer.
Height ... ft. .in.
Weight lbs. Eyes.
Hair
Complexion.
Personal marks, etc., ....
Final average health.
Last vaccinated against smallpox.
(Date)
Last inoculated against typhoid. (Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged. .......
I hereby certify that the within named man has been furnished travel allowance amounting to $
at the rate of. cents per mile from ..
to ......... ............ and paid $ „in full to date of discharge.
(Amount)
Total net service for pay purposes .. ........
...... years. ..... months „days.
(Signature of man.)
U. S. C. G. and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U. S. A.
............. at
........
Honorable Discharge
from the United States Coast Guard
This is to certify that
...... ........
is HONORABLY DISCHARGED from the ..
and from the United States Coast Guard this. ...... ... day of. This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
Born
(Date)
Qualifications
Ratings held.
Certificates
.Trade schools completed. Special duties for which qualified.
Service (vessels and stations served on)
Discharged from. enlistment.
(Regular or special temporary)
Rating at discharge.
........
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating ...
Conduct ..
U. S. C. G. and Executive Officer.
Height ........ ft. in.
Weight
lbs.
Eyes.
Hair ...........
Complexion.
Personal marks, etc., ..............
Final average health.
Last vaccinated against smallpox.
(Date)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged.
I hereby certify that the within named man has been furnished travel allowance amounting to $ at the rate of ... .cents per mile from.
to ..... ...... and paid $ „in full to date of discharge.
(Amount)
Total net service for pay purposes.
... years .. ..... months ................... days.
U. S. C. G.
(Signature of man.)
and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U. S. A.
(Date) At
for.
... years
... at
Honorable Discharge
from the United States Coast Guard
This is to certify that
is HONORABLY DISCHARGED from the ..
and from the United States Coast Guard this. .day of.
This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
Born
(Date)
Qualifications
Ratings held
.Certificates
Trade schools completed. Special duties for which qualified.
Service (vessels and stations served on)
Discharged from. enlistment.
(Regular or special temporary)
Rating at discharge ... .......
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating ....
Conduct.
U. S. C. G. and Executive Officer.
Height ....... ft.
.in.
Weight
.......
lbs.
Eyes ...
Hair. ........
Complexion
Personal marks, etc., .......
Final average health.
Last vaccinated against smallpox.
(Datc)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
........ U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged.
I hereby certify that the within named man has been furnished travel allowance amounting to $ at the rate of. ... cents per mile from.
........................ and paid $.
... in full to date of discharge.
(Amount)
Total net service for pay purposes ..
.... years ...
.months days.
(Signature of man.)
U. S. C. G. and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U S. A.
(Date) At
for.
years
at
Do.
Honorable Discharge
from the United States Coast Guard
This is to certify that
is HONORABLY DISCHARGED from the ..
and from the United States Coast Guard this. .... .day of .. This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed. Special duties for which qualified
Service (vessels and stations served on)
Discharged from. enlistment.
(Regular or special temporary)
Rating at discharge .. .......
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating ...
Conduct.
U. S. C. G. and Executive Officer.
Height ft. in.
Weight ...... lbs. Eyes ..
Hair. .......
Complexion.
Personal marks, etc., ........
Final average health.
Last vaccinated against smallpox ..
(Date)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged ..
I hereby certify that the within named man has been furnished travel allowance amounting to $ ... at the rate of ..... .cents per mile from.
....... ..... and paid $
in full to date of discharge.
(Amount)
Total net service for pay purposes.
....... years ...
... months ....... .. days.
(Signature of man.)
(Date) At
for. ................ years
.... at
FORM U. S. 400 C
PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U. S. A.
U. S. C. G. and Disbursing officer.
Honorable Discharge
from the United States Coast Guard
This is to certify that
is HONORABLY DISCHARGED from the .... ...... .....
and from the United States Coast Guard this. ......... .. day of ...
This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as
(Rate)
At
years
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed .. Special duties for which qualified.
Service (vessels and stations served on)
Discharged from enlistment.
(Regular or special temporary)
Rating at discharge. .......
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating ...
Conduct.
U. S. C. G. and Executive Officer.
Height ... ft. in.
Weight lbs. Eyes.
Hair
Complexion.
Personal marks, etc., ..
Final average health.
Last vaccinated against smallpox ..
(Date)
Last inoculated against typhoid. (Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged.
I hereby certify that the within named man has been furnished travel allowance amounting to $ at the rate of .......................... cents per mile from
to ..... ...
... and paid $ „in full to date of discharge.
(Amount)
Total net service for pay purposes.
... years .. ... months days.
(Signature of man.)
U. S. C. G. and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U. S. A.
... at
(Date) for.
No.
Honorable Discharge
from the United States Coast Guard
This is to certify that
.a
is HONORABLY DISCHARGED from the.
and from the United States Coast Guard this. ........... .day of. This certificate is awarded as a Testimonial of Fidelity and Obedience.
.....
Enlisted as (Rate)
for.
years
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed. .Special duties for which qualified.
Service (vessels and stations served on)
Discharged from .. enlistment.
(Regular or special temporary)
Rating at discharge.
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating ...
Conduct.
U. S. C. G. and Executive Officer.
Height .. ft. .in.
Weight lbs. Eyes ..........
Hair .... ..........
Complexion.
Personal marks, etc., .....
Final average health
Last vaccinated against smallpox.
(Date)
Last inoculated against typhoid ..
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
......
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged.
I hereby certify that the within named man has been furnished travel allowance amounting to $ ..
at the rate of. ................ cents per mile from .. ........
to ....
..... and paid $. „in full to date of discharge.
(Amount)
.. months
........ ............... days.
Total net service for pay purposes.
.... years ..
(Signature of man.)
U. S. C. G. and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U. S. A.
(Date) At
at
Honorable Discharge
from the United States Coast Guard
This is to certify that
"ט
is HONORABLY DISCHARGED from the ..
and from the United States Coast Guard this. ........... ...... .. day of ...
This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
for.
years
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed.
.Special duties for which qualified.
Service (vessels and stations served on)
Discharged from .. enlistment.
(Regular or special temporary)
Rating at discharge ... ...........
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating ..
Conduct.
U. S. C. G. and Executive Officer.
Height ft. in.
Weight ........ ........ lbs.
Eyes. .......
Hair
Complexion.
Personal marks, etc., ....
Final average health.
Last vaccinated against smallpox.
(Date)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged.
I hereby certify that the within named man has been furnished travel allowance amounting to $
at the rate of. ... cents per mile from.
„and paid $
(Amount)
Total net service for pay purposes ..
........ years. ...... ................ months ........ ... days.
(Signature of man.)
U. S. C. G. and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U. S. A.
(Date) At
... at
... in full to date of discharge.
...
Honorable Discharge
from the United States Coast Guard
This is to certify that
.........
is HONORABLY DISCHARGED from the ..
and from the United States Coast Guard this. ...... day of. This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as
(Rate)
(Date)
At
for.
years
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed .. Special duties for which qualified.
Service (vessels and stations served on)
Discharged from .. enlistment.
(Regular or special temporary)
Rating at discharge. .....
.........
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating.
Conduct.
U. S. C. G. and Executive Officer.
Height ... ft. in.
Weight ......... lbs. Eyes. ....... ........
Hair
Complexion.
Personal marks, etc., ....
Final average health
Last vaccinated against smallpox ..
(Date)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
.......
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged.
I hereby certify that the within named man has been furnished travel allowance amounting to $
at the rate of ..................... cents per mile from
to .... ..... and paid $
„.in full to date of discharge.
Total net service for pay purposes ..
.... years. months . .days.
(Signature of man.)
and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U S. A.
(Amount)
U. S. C. G.
at
Honorable Discharge
from the United States Coast Guard
This is to certify that
a
is HONORABLY DISCHARGED from the ............ and from the United States Coast Guard this. .day of.
This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
for.
....... years
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed. Special duties for which qualified.
Service (vessels and stations served on)
Discharged from. enlistment.
(Regular or special temporary)
Rating at discharge ..
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating .....
Conduct.
U. S. C. G. and Executive Officer.
Height ................ .. ft.
.in.
Weight .......... lbs.
Eyes.
Hair
Complexion ..
Personal marks, etc., .....
Final average health.
Last vaccinated against smallpox.
(Date)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged ..
I hereby certify that the within named man has been furnished travel allowance amounting to $ at the rate of .. ... cents per mile from.
to ....... „and paid $
„in full to date of discharge.
(Amount)
Total net service for pay purposes ... ..........
..... years ... ...... months
........
....... ........ .... days.
(Signature of man.)
U. S. C. G.
and Disbursing officer.
FORM U. S. 400 C
PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U. S. A.
(Date) At
... at
Honorable Discharge
from the United States Coast Guard
This is to certify that
is HONORABLY DISCHARGED from the.
and from the United States Coast Guard this. ........ day of. This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
(Date)
At
for.
years
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed.
Special duties for which qualified.
Service (vessels and stations served on)
Discharged from. enlistment.
(Regular or special temporary)
Rating at discharge. .......
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating.
Conduct.
U. S. C. G. and Executive Officer.
Height ft. .in.
Weight lbs. Eyes. .....
Hair. ...... ......
Complexion ..
Personal marks, etc., ..
Final average health ..
Last vaccinated against smallpox ...
(Date)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged .. ......
I hereby certify that the within named man has been furnished travel allowance amounting to $
at the rate of. ........................... cents per mile from.
to ..... .. and paid $
(Amount) ... in full to date of discharge.
Total net service for pay purposes.
.. years .. months . „days.
U. S. C. G.
(Signature of man.)
and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U S. A.
... at
.. a ...
Honorable Discharge
from the United States Coast Guard
This is to certify that
.a ..
is HONORABLY DISCHARGED from the ...
and from the United States Coast Guard this. ........ .. day of.
This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
At
years
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed.
Special duties for which qualified.
Service (vessels and stations served on)
Discharged from. enlistment.
(Regular or special temporary)
Rating at discharge .. .......
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating ..
Conduct.
U. S. C. G. and Executive Officer.
Height ft.
....... „in.
Weight .... lbs. Eyes .............
Hair ...........
Complexion.
Personal marks, etc .............
Final average health.
Last vaccinated against smallpox.
(Date)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
... , U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged.
I hereby certify that the within named man has been furnished travel allowance amounting to $ at the rate of. cents per mile from.
.......... and paid $ in full to date of discharge.
(Amount)
Total net service for pay purposes.
.................... years .. ........... .months ... days.
(Signature of man.)
U. S. C. G. and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U S. A.
.at
(Date) for.
Honorable Discharge
from the United States Coast Guard
This is to certify that
is HONORABLY DISCHARGED from the .. .... a ......
and from the United States Coast Guard this. „day of. This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as
(Rate)
for.
years
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed.
Special duties for which qualified.
Service (vessels and stations served on)
Discharged from enlistment.
(Regular or special temporary)
Rating at discharge ..
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating.
Conduct.
U. S. C. G. and Executive Officer.
Height ... ft. .in.
Weight ......... lbs. Eyes ........
Hair
.......
Complexion.
Personal marks, etc.,.
Final average health. .......
Last vaccinated against smallpox ..
(Date)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged ..
I hereby certify that the within named man has been furnished travel allowance amounting to $ at the rate of ... ... cents per mile from.
to ....
...... and paid $ „in full to date of discharge.
(Amount)
Total net service for pay purposes.
........
.... years.
... months ..................... days.
(Signature of man.)
U. S. C. G.
and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U. S. A.
(Date) At
..........
........
Honorable Discharge
from the United States Coast Guard
This is to certify that
.a.
is HONORABLY DISCHARGED from the .. ..... and from the United States Coast Guard this. day of.
This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
for.
years
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed. Special duties for which qualified.
Service (vessels and stations served on)
Discharged from. enlistment.
(Regular or special temporary)
Rating at discharge.
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating.
Conduct.
U. S. C. G. and Executive Officer.
Height ... ft. in.
Weight ........
lbs.
Eyes.
Hair .........
Complexion ..
Personal marks, etc .................
Final average health.
Last vaccinated against smallpox.
(Date)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged.
I hereby certify that the within named man has been furnished travel allowance amounting to $
at the rate of. ........... ................. cents per mile from.
to ............. „and paid $ .in full to date of discharge.
(Amount)
Total net service for pay purposes ........... .......... years. .. months ........ days .
(Signature of man.)
U. S. C. G. and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U. S. A.
(Date) At
.... at
Honorable Discharge
from the United States Coast Guard
This is to certify that
is HONORABLY DISCHARGED from the ..
and from the United States Coast Guard this. ... „day of. This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
(Date)
At
for ....... years
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed. Special duties for which qualified.
Service (vessels and stations served on)
Discharged from .. enlistment.
(Regular or special temporary)
Rating at discharge.
.......
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating.
Conduct
U. S. C. G. and Executive Officer.
Height ft. n.
Weight lbs. Eyes. .......
Hair
Complexion.
Personal marks, etc .............
Final average health.
Last vaccinated against smallpox ...
(Date)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged.
I hereby certify that the within named man has been furnished travel allowance amounting to $ at the rate of .............................. cents per mile from.
to ...... .......... and paid $ .in full to date of discharge.
(Amount)
.. months ... .days.
Total net service for pay purposes. ..... years ..
U. S. C. G.
(Signature of man.)
and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U. S. A.
No.
Honorable Discharge
from the United States Coast Guard
This is to certify that
a
is HONORABLY DISCHARGED from the.
and from the United States Coast Guard this. ....... day of
This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed. Special duties for which qualified.
Service (vessels and stations served on)
Discharged from. enlistment.
(Regular or special temporary)
Rating at discharge ... .........
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating ..
Conduct.
U. S. C. G. and Executive Officer.
Height ................. .. in.
Weight
lbs.
Eyes.
......
Hair
Complexion
Personal marks, etc.,. ........
Final average health.
Last vaccinated against smallpox.
(Date)
Last inoculated against typhoid.
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged.
I hereby certify that the within named man has been furnished travel allowance amounting to $ at the rate of ... ... cents per mile from.
to ...
.... and paid $. .................. in full to date of discharge.
(Amount)
Total net service for pay purposes. ..... years.
...... months „days.
(Signature of man.)
U. S. C. G. and Disbursing officer.
FORM U. S. 400 C PRODUCT OF WILSON JONES CO. EB 750487 PRINTED IN U. S. A.
(Date) At
for
years
.at
Honorable Discharge
from the United States Coast Guard
This is to certify that
.a is HONORABLY DISCHARGED from the .. and from the United States Coast Guard this. „day of.
This certificate is awarded as a Testimonial of Fidelity and Obedience.
Enlisted as (Rate)
(Date)
At
for
years
Born
(Date)
Qualifications
Ratings held.
Certificates
Trade schools completed .. Special duties for which qualified.
Service (vessels and stations served on)
Discharged from enlistment.
(Regular or special temporary)
Rating at discharge ......
Acting Permanent.
Character of service excellent.
Final average: Proficiency in rating ..
Conduct.
U. S. C. G. and Executive Officer.
Height .ft. in.
Weight lbs. Eyes.
Hair .........
Complexion
Personal marks, etc., ...
Final average health.
Last vaccinated against smallpox.
(Date)
Last inoculated against typhoid. ......
(Date)
I certify that this is the actual print of the right index finger of the man herein mentioned.
U. S. C. G. and Executive Officer.
Monthly rate of pay when discharged. .......
I hereby certify that the within named man has been furnished travel allowance amounting to $
at the rate of. ............................ cents per mile from ..
to ...... ...... .and paid $ „.in full to date of discharge.
(Amount)
Total net service for pay purposes ..
.... years. .. months .. days.
(Signature of man.)
FORM U. S. 400 C
PRODUCT OF WILSON JONES CO. ER 750487 PRINTED IN U S. A.
U. S. C. G. and Disbursing officer.
..... at
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