USA > Massachusetts > Hampden County > Brimfield > War veterans register, town of Brimfield > Part 6
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Prior service: 2
Noncommissioned officer
Military qualifications 3
Army specialty.
Attendance at.
(Name of noncommissioned officers' or special service school)
Battles, engagements, skirmishes, expeditions.
Decorations, service medals, citations.
Wounds received in service.
Date and result of smallpox vaccination 4
Date of completion of all typhoid-paratyphoid vaccinations 4
Date and result of diphtheria immunity test (Schick) 4
Date of other vaccinations (specify vaccine used) 4
Physical condition when discharged.
Honorably discharged by reason of 5
Character.
Periods of active duty "
Remarks 7
Signature of soldier.
Commanding.
Print of Right Thumb
INSTRUCTIONS FOR ENLISTED RECORD
" Enter date of induction only in case of trainee inducted under Selective Training and Service Act of 1940 (Bull. 25, W. D., 1940); in all other cases enter date of enlistment. Eliminate word not applicable.
" For each enlistment give company, regiment, or arm or service with inclusive dates of service, grade, cause of discharge, number of days lost under A W 107 (if none, so state), and number of days retained and cause of retention in service for convenience of the Government, if any. $ Enter qualifications in arms, horsemanship, etc. Show the qualification, date thereof; and number, date, and source of order announcing same. 4 See paragraph 12, A R 40-210. " If discharged prior to expiration of service, give number, date, and source of order or full description of authority therefor.
" Enter periods of active duty of enlisted men of the Regular Army Reserve and the Enlisted Reserve Corps and dates of induction into Federal Service in the cases of members of the National Guard.
7 In all cases of men who are entitled to receive Certificates of Service under A R 345-500, enter here appointments and ratings held and all other items of special proficiency or merit other than those shown above.
INSTRUCTIONS FOR CERTIFICATE OF DISCHARGE
A R 345-470 Insert name; as "John J. Doe," in center of form. Insert Army serial number, grade, company, regiment, or arm or service; as "1620302""; "Corporal, Company A, 1st Infantry"; "Sergeant, Quartermaster Corps."
The name and grade of the officer signing the certificate will be typewritten or printed below the signature.
FORM II R 100 A PRODUCT OF WILSON JONES CO APARMET SE MAL SON JAMES CA FA 750727 PRINTED IN !
E8 750727 PRINTED IN U S A.
Married or single.
army of the United States Honorable Discharge This is to certify that
Army of the United States
is hereby HONORABLY DISCHARGED from the military service of the United States of America This certificate is awarded as a testimonial of Honest and Faithful Service to his country.
Given at.
Date.
ENLISTED RECORD OF
(Last name)
(First name)
(Middle Initial )
(Army serial number) (Grade)
Born in.
in the State of.
Enlisted or inducted 1 19
a
When enlisted or inducted he was.
.years of age and by occupation
a
He had.
.eyes,
hair, complexion
and was.
feet
inches in height
Completed
years
months, days service for longevity pay
Prior service: 2
Noncommissioned officer.
Military qualifications 3
Army specialty ..
Attendance at.
(Name of noncommissioned officers' or special service school)
Battles, engagements, skirmishes, expeditions.
Decorations, service medals, citations.
Wounds received in service.
Date and result of smallpox vaccination 4
Date of completion of all typhoid-paratyphoid vaccinations +
Date and result of diphtheria immunity test (Schick) '
Date of other vaccinations (specify vaccine used) +
Physical condition when discharged Married or single.
Honorably discharged by reason of5
Character. Periods of active duty "
Remarks 7
Signature of soldier.
Commanding ...
Print of Right Thumb
INSTRUCTIONS FOR ENLISTED RECORD
1 Enter date of induction only in case of trainee inducted under Selective Training and Service Act of 1940 (Bull. 25, W. D., 1940); in all other cases enter date of enlistment. Eliminate word not applicable.
2 For each enlistment give company, regiment, or arm or service with inclusive dates of service, grade, cause of discharge, number of days lost under A W 107 (if none, so state), and number of days retained and cause of retention in service for convenience of the Government, if any.
3 Enter qualifications in arms, horsemanship, etc. Show the qualification, date thereof; and number, date, and source of order announcing same. * See paragraph 12, A R 40-210. " If discharged prior to expiration of service, give number, date, and source of order or full description of authority therefor.
" Enter periods of active duty of enlisted men of the Regular Army Reserve and the Enlisted Reserve Corps and dates of induction into Federal Service in the cases of members of the National Guard.
7 In all cases of men who are entitled to receive Certificates of Service under A R 345-500, enter here appointments and ratings held and all other items of special proficiency or merit other than those shown above.
INSTRUCTIONS FOR CERTIFICATE OF DISCHARGE
A R 345-470 Insert name; as "John J. Doe," in center of form. Insert Army serial number, grade, company, regiment, or arm or service; as "1620302"; "Corporal, Company A, 1st Infantry"; "Sergeant, Quartermaster Corps."
The name and grade of the officer signing the certificate will be typewritten or printed below the signature.
FORM U 100 A PRODUCT OF WILSON JOMES CO.
army of the United States honorable Discharge This is to certify that
Army of the United States
is hereby HONORABLY DISCHARGED from the military service of the United States of America This certificate is awarded as a testimonial of Honest and Faithful Service to his country.
Given at.
Date.
ENLISTED RECORD OF
(Last name)
(First name)
(Middle Initial)
(Army serial number) (Grade)
Born in.
in the State of
Enlisted or inducted 1
19 ......... , at
When enlisted or inducted he was.
.... years of age and by occupation
a.
He had.
eyes,
hair,
complexion
and was.
feet
inches in height
Completed
years,
.months, days service for longevity pay
Prior service: 2
Noncommissioned officer.
Military qualifications 3
Army specialty.
Attendance at.
(Name of noncommissioned officers' or special service school)
Battles, engagements, skirmishes, expeditions ..
Decorations, service medals, citations.
Wounds received in service.
Date and result of smallpox vaccination 4
Date of completion of all typhoid-paratyphoid vaccinations 4
Date and result of diphtheria immunity test (Schick) 4
Date of other vaccinations (specify vaccine used) 4
Physical condition when discharged Married or single
Honorably discharged by reason of 5
Character. Periods of active duty "
Remarks 7
Signature of soldier.
Commanding.
Print of Right Thumb
INSTRUCTIONS FOR ENLISTED RECORD
1 Enter date of induction only in case of trainee inducted under Selective Training and Service Act of 1940 (Bull. 25, W. D., 1940); in all other cases enter date of enlistment. Eliminate word not applicable.
2 For each enlistment give company, regiment, or arm or service with inclusive dates of service, grade, cause of discharge, number of days lost under A W 107 (if none, so state), and number of days retained and cause of retention in service for convenience of the Government, if any. $ Enter qualifications in arms, horsemanship, etc. Show the qualification, date thereof; and number, date, and source of order announcing same. 4 See paragraph 12, A R 40-210. 5 If discharged prior to expiration of service, give number, date, and source of order or full description of authority therefor.
6 Enter periods of active duty of enlisted men of the Regular Army Reserve and the Enlisted Reserve Corps and dates of induction into Federal Service in the cases of members of the National Guard.
7 In all cases of men who are entitled to receive Certificates of Service under A R 345-500, enter here appointments and ratings held and all other items of special proficiency or merit other than those shown above.
INSTRUCTIONS FOR CERTIFICATE OF DISCHARGE
A R 345-470 Insert name; as "John J. Doe," in center of form. Insert Army serial number, grade, company, regiment, or arm or service; as "1620302"; "Corporal, Company A, 1st Infantry"; "Sergeant, Quartermaster Corps."
The name and grade of the officer signing the certificate will be typewritten or printed below the signature.
CT Q ET 750727 PRINTED IN U
Army of the United States Honorable Discharge This is to certify that
Army of the United States
is hereby HONORABLY DISCHARGED from the military service of the United States of America This certificate is awarded as a testimonial of Honest and Faithful Service to his country.
Given at.
Date .. ........ ........
ENLISTED RECORD OF
(Last name)
( First name)
(Middle Initial)
(Army serial number ) (Grade)
Born in ..
in the State of.
Enlisted or inducted 1 19
at.
When enlisted or inducted he was.
.. years of age and by occupation
a.
He had.
eyes.
hair. complexion
and was.
feet
inches in height
Completed
years
.months,. days service for longevity pay
Prior service: 2
Noncommissioned officer.
Military qualifications 3
Army specialty.
Attendance at ..
(Name of noncommissioned officers' or special service school)
Battles, engagements, skirmishes, expeditions.
Decorations, service medals, citations.
Wounds received in service ..
Date and result of smallpox vaccination 4
Date of completion of all typhoid-paratyphoid vaccinations
Date and result of diphtheria immunity test (Schick) 4
Date of other vaccinations (specify vaccine used) +
Physical condition when discharged. Married or single
Honorably discharged by reason of 5
Character.
Periods of active duty ®
Remarks 7
Signature of soldier.
Commanding ..
Print of Right Thumb
INSTRUCTIONS FOR ENLISTED RECORD
" Enter date of induction only in case of trainee inducted under Selective Training and Service Act of 1940 (Bull. 25, W. D., 1940); in all other cases enter date of enlistment. Eliminate word not applicable.
2 For each enlistment give company, regiment, or arm or service with inclusive dates of service, grade, cause of discharge, number of days lost under A W 107 (if none, so state), and number of days retained and cause of retention in service for convenience of the Government, if any.
3 Enter qualifications in arms, horsemanship, etc. Show the qualification, date thereof; and number, date, and source of order announcing same.
4 See paragraph 12, A R 40-210. 5 If discharged prior to expiration of service, give number, date, and source of order or full description of authority therefor.
" Enter periods of active duty of enlisted men of the Regular Army Reserve and the Enlisted Reserve Corps and dates of induction into Federal Service in the cases of members of the National Guard.
7 In all cases of men who are entitled to receive Certificates of Service under A R 345-500, enter here appointments and ratings held and all other items of special proficiency or merit other than those shown above.
INSTRUCTIONS FOR CERTIFICATE OF DISCHARGE
A R 345-470 Insert name; as "John J. Doe," in center of form. Insert Army serial number, grade, company, regiment, or arm or service; as "1620302"; "Corporal, Company A, 1st Infantry"; "Sergeant, Quartermaster Corps."
The name and grade of the officer signing the certificate will be typewritten or printed below the signature.
FORM U. S. 100 A PRODUCT OF WILSON JONES CO EN 75.727
army of the United States Honorable Discharge This is to certify that
Army of the United States
is hereby HONORABLY DISCHARGED from the military service of the United States of America This certificate is awarded as a testimonial of Honest and Faithful Service to his country.
Given at .... ......
Date ........
ENLISTED RECORD OF
(Last name)
(First name)
(Middle Initial)
(Army serial number) (Grade)
Born in.
in the State of.
Enlisted or inducted 1 19
at
When enlisted or inducted he was.
.... years of age and by occupation
a.
He had. ... eyes
hair. complexion
and was ..
feet
inches in height
Completed.
years
months, days service for longevity pay
Prior service:
Noncommissioned officer.
Military qualifications 3
Army specialty.
Attendance at ..
(Name of noncommissioned officers' or special service school)
Battles, engagements, skirmishes, expeditions.
Decorations, service medals, citations.
Wounds received in service.
Date and result of smallpox vaccination 4
Date of completion of all typhoid-paratyphoid vaccinations , 4
Date and result of diphtheria immunity test (Schick) 4
Date of other vaccinations (specify vaccine used) 4
Physical condition when discharged. .Married or single.
Honorably discharged by reason of 5
Character.
Periods of active duty ®
Remarks 7
Signature of soldier.
Commanding ...
Print of Right Thumb
INSTRUCTIONS FOR ENLISTED RECORD
1 Enter date of induction only in case of trainee inducted under Selective Training and Service Act of 1940 (Bull. 25, W. D., 1940); in all other cases enter date of enlistment. Eliminate word not applicable.
2 For each enlistment give company, regiment, or arm or service with inclusive dates of service, grade, cause of discharge, number of days lost under A W 107 (if none, so state), and number of days retained and cause of retention in service for convenience of the Government, if any. $ Enter qualifications in arms, horsemanship, etc. Show the qualification, date thereof; and number, date, and source of order announcing same. 4 See paragraph 12, A R 40-210. 5 If discharged prior to expiration of service, give number, date, and source of order or full description of authority therefor.
6 Enter periods of active duty of enlisted men of the Regular Army Reserve and the Enlisted Reserve Corps and dates of induction into Federal Service in the cases of members of the National Guard.
7 In all cases of men who are entitled to receive Certificates of Service under A R 345-500, enter here appointments and ratings held and all other items of special proficiency or merit other than those shown above.
INSTRUCTIONS FOR CERTIFICATE OF DISCHARGE
A R 345-470 Insert name; as "John J. Doe," in center of form.
Insert Army serial number, grade, company, regiment, or arm or service; as "1620302"; "Corporal, Company A, 1st Infantry"; "Sergeant, Quartermaster Corps."
The name and grade of the officer signing the certificate will be typewritten or printed below the signature.
army of the United States Honorable Discharge This is to certify that
Army of the United States
is hereby HONORABLY DISCHARGED from the military service of the United States of America This certificate is awarded as a testimonial of Honest and Faithful Service to his country.
Given at.
Date
ENLISTED RECORD OF
(Last name)
( First name)
(Middle Initial)
(Army serial number) (Grade)
Born in.
in the State of.
Enlisted or inducted 1
19
at
When enlisted or inducted he was.
... years of age and by occupation
a.
He had.
eyes,
hair complexion
and was.
feet
inches in height
Completed.
years,.
months, .days service for longevity pay
Prior service:
Noncommissioned officer.
Military qualifications 3
Army specialty.
Attendance at ..
(Name of noncommissioned officers' or special service school)
Battles, engagements, skirmishes, expeditions.
Decorations, service medals, citations.
Wounds received in service.
Date and result of smallpox vaccination 4
Date of completion of all typhoid-paratyphoid vaccinations 4
Date and result of diphtheria immunity test (Schick) '
Date of other vaccinations (specify vaccine used) 4
Physical condition when discharged. Married or single
Honorably discharged by reason of 5
Character.
Periods of active duty "
Remarks 7
Signature of soldier.
Commanding.
Print of Right Thumb
INSTRUCTIONS FOR ENLISTED RECORD
1 Enter date of induction only in case of trainee inducted under Selective Training and Service Act of 1940 (Bull. 25, W. D., 1940); in all other cases enter date of enlistment. Eliminate word not applicable.
2 For each enlistment give company, regiment, or arm or service with inclusive dates of service, grade, cause of discharge, number of days lost under A W 107 (if none, so state), and number of days retained and cause of retention in service for convenience of the Government, if any.
3 Enter qualifications in arms, horsemanship, etc. Show the qualification, date thereof; and number, date, and source of order announcing same. * See paragraph 12, A R 40-210. 5 If discharged prior to expiration of service, give number, date, and source of order or full description of authority therefor.
" Enter periods of active duty of enlisted men of the Regular Army Reserve and the Enlisted Reserve Corps and dates of induction into Federal Service in the cases of members of the National Guard.
" In all cases of men who are entitled to receive Certificates of Service under A R 345-500, enter here appointments and ratings held and all other items of special proficiency or merit other than those shown above.
INSTRUCTIONS FOR CERTIFICATE OF DISCHARGE
A R 345-470 Insert name; as "John J. Doe," in center of form. Insert Army serial number, grade, company, regiment, or arm or service; as "1620302"; "Corporal, Company A, 1st Infantry"; "Sergeant, Quartermaster Corps."
The name and grade of the officer signing the certificate will be typewritten or printed below the signature.
FORM U. S. 100 A PRODUCT OF WILSON JONES CO
army of the United States Honorable Discharge This is to certify that
Army of the United States
is hereby HONORABLY DISCHARGED from the military service of the United States of America This certificate is awarded as a testimonial of Honest and Faithful Service to his country.
Given at .... ........
Date .......
ENLISTED RECORD OF
(Last name)
(First name)
(Middle Initial)
(Army serial number) (Grade)
Born in.
in the State of.
Enlisted or inducted 1 19
at
When enlisted or inducted he was.
.... years of age and by occupation
a ....
He had
.. eyes,
hair.
complexion
and was.
feet
.inches in height
Completed
years,
months, .days service for longevity pay
Prior service: 2
Noncommissioned officer.
Military qualifications 3
Army specialty ..
Attendance at ..
(Name of noncommissioned officers' or special service school)
Battles, engagements, skirmishes, expeditions.
Decorations, service medals, citations.
Wounds received in service.
Date and result of smallpox vaccination 4
Date of completion of all typhoid-paratyphoid vaccinations
Date and result of diphtheria immunity test (Schick) 4
Date of other vaccinations (specify vaccine used) 4
Physical condition when discharged Married or single.
Honorably discharged by reason of 5
Character
Periods of active duty "
Remarks ™
Signature of soldier.
Commanding ........
Print of Right Thumb
INSTRUCTIONS FOR ENLISTED RECORD
1 Enter date of induction only in case of trainee inducted under Selective Training and Service Act of 1940 (Bull. 25, W. D., 1940); in all other cases enter date of enlistment. Eliminate word not applicable.
2 For each enlistment give company, regiment, or arm or service with inclusive dates of service, grade, cause of discharge, number of days lost under A W 107 (if none, so state), and number of days retained and cause of retention in service for convenience of the Government, if any. 8 Enter qualifications in arms, horsemanship, etc. Show the qualification, date thereof; and number, date, and source of order announcing same. + See paragraph 12, A R 40-210. 5 If discharged prior to expiration of service, give number, date, and source of order or full description of authority therefor.
6 Enter periods of active duty of enlisted men of the Regular Army Reserve and the Enlisted Reserve Corps and dates of induction into Federal Service in the cases of members of the National Guard.
7 In all cases of men who are entitled to receive Certificates of Service under A R 345-500, enter here appointments and ratings held and all other items of special proficiency or merit other than those shown above.
INSTRUCTIONS FOR CERTIFICATE OF DISCHARGE
A R 345-470
Insert name; as "John J. Doe," in center of form.
Insert Army serial number, grade, company, regiment, or atm or service; as "1620302"; "Corporal, Company A, 1st Infantry"; "Sergeant, Quartermaster Corps." The name and grade of the officer signing the certificate will be typewritten or printed below the signature.
Army of the United States Honorable Discharge This is to certify that
Army of the United States
is hereby HONORABLY DISCHARGED from the military service of the United States of America This certificate is awarded as a testimonial of Honest and Faithful Service to his country.
Given at. ..........
Date ... .
ENLISTED RECORD OF
(Last name)
( First name)
(Middle Initial )
(Army serial number) (Grade)
Born in ..
in the State of.
Enlisted or inducted 1
19 ....
... , at ..
When enlisted or inducted he was.
.... years of age and by occupation
a ....
He had
eyes,
hair
complexion
and was.
feet.
inches in height
Completed
years,
months, days service for longevity pay
Prior service:
Noncommissioned officer.
Military qualifications 3
Army specialty
Attendance at ..
(Name of noncommissioned officers' or special service school)
Battles, engagements, skirmishes, expeditions.
Decorations, service medals, citations.
Wounds received in service.
Date and result of smallpox vaccination 4
Date of completion of all typhoid-paratyphoid vaccinations 4
Date and result of diphtheria immunity test (Schick) 4
Date of other vaccinations (specify vaccine used) 4
Physical condition when discharged Married or single
Honorably discharged by reason of 3
Character ..
Periods of active duty "
Remarks
Signature of soldier.
Commanding.
Print of Right Thumb
INSTRUCTIONS FOR ENLISTED RECORD
1 Enter date of induction only in case of trainee inducted under Selective Training and Service Act of 1940 (Bull. 25, W. D., 1940); in all other cases enter date of enlistment. Eliminate word not applicable.
2 For each enlistment give company, regiment, or arm or service with inclusive dates of service, grade, cause of discharge, number of days lost under A W 107 (if none, so state), and number of days retained and cause of retention in service for convenience of the Government, if any.
3 Enter qualifications in arms, horsemanship, etc. Show the qualification, date thereof; and number, date, and source of order announcing same. 4 See paragraph 12, A R 40-210. 5 If discharged prior to expiration of service, give number, date, and source of order or full description of authority therefor.
" Enter periods of active duty of enlisted men of the Regular Army Reserve and the Enlisted Reserve Corps and dates of induction into Federal Service in the cases of members of the National Guard.
7 In all cases of men who are entitled to receive Certificates of Service under A R 345-500, enter here appointments and ratings held and all other items of special proficiency or merit other than those shown above.
INSTRUCTIONS FOR CERTIFICATE OF DISCHARGE
A R 345-470 Insert name; as "John J. Doe," in center of form.
Insert Army serial number, grade, company, regiment, or arm or service; as "1620302"; "Corporal, Company A, Ist Infantry"; "Sergeant, Quartermaster Corps."
The name and grade of the officer signing the certificate will be typewritten or printed below the signature.
FORM U. S. 100 A PRODUCT OF WILSON JONES CO.
.
No.
Army of the United States Honorable Discharge This is to certify that
Army of the United States
is hereby HONORABLY DISCHARGED from the military service of the United States of America This certificate is awarded as a testimonial of Honest and Faithful Service to his country.
Given at ... .
Date ..
ENLISTED RECORD OF
(Last name) (First name)
( Middle Initial)
(Army serial number)
(Grade)
Born in ..
in the State of
Enlisted or inducted 1 19 at ..
When enlisted or inducted he was.
.. years of age and by occupation
a
He had. eyes
hair, complexion
and was.
feet
inches in height
Completed
years
months, days service for longevity pay
Prior service: 2
Noncommissioned officer.
Military qualifications 3
Army specialty
Attendance at
(Name of noncommissioned officers' or special service school)
Battles, engagements, skirmishes, expeditions ..
Decorations, service medals, citations.
Wounds received in service.
Date and result of smallpox vaccination 4
Date of completion of all typhoid-paratyphoid vaccinations 4
Date and result of diphtheria immunity test (Schick)
Date of other vaccinations (specify vaccine used) 4
Physical condition when discharged.
Honorably discharged by reason of 5
Character. Periods of active duty 6
Remarks 7
Signature of soldier.
Commanding.
Print of Right Thumb
INSTRUCTIONS FOR ENLISTED RECORD
1 Enter date of induction only in case of trainee inducted under Selective Training and Service Act of 1940 (Bull. 25, W. D., 1940); in all other cases enter date of enlistment. Eliminate word not applicable.
2 For each enlistment give company, regiment, or arm or service with inclusive dates of service, grade, cause of discharge, number of days lost under A W 107 (if none, so state), and number of days retained and cause of retention in service for convenience of the Government, if any.
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