World War records : Canton, Massachusetts, 1917-1918, Part 10

Author: Canton (Mass.). Town Clerk
Publication date: 1917
Publisher: The Town
Number of Pages: 634


USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 10
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 10


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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Name and Address of Person Filling Out This Record of Deceased.


REMARKS. (Please give here any matter of interest relating to Your Service.)


GERMAN WAR SERVICE RECORD of Canton, Mass.


Name


William


Patrick monahan


COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY


Name


William & Monahan


AS APPEARS ON THE SERVICE ROLL


Date of Birth


11


march


1893


DAY


MONTH


YEAR


Place of Birth.


Canton


masa


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service. Uxbridge Masa


STREET AND NUMBER


CITY OR TOWN


STATE


Place of Residence at Present Time.


Deceased


STREET AND NUMBER CITY OR TOWN STATE


Enlisted or Drafted


Enlisted


Date and Place of Enlistment


July 17, 17 allston, mass


Date and Place Where Drafted


Date and Place Where Mustered In or Reported for Duty


allston. July 17, 17.


Give Government Identification Tag Number.


Co., Regt., Ship, or Service, First Assigned to and Date CB. 101st. Field Segnal Battalion


Other Regiments, Ships or Branches of Services, Transferred to and Dates.


Rank While in Service


Corporal


If Commissioned Officer Give Date of Commission


If Appointed Officer Give Date of Every Appointment


If Not Overseas, Where Stationed While in Service Camp Norman Prince Brookline Mars


2 0


Any Service in American Expeditionary Force or Canadian or Allied Force Overseas ameri can


If so, Date and Ship from the United States or Canada Sept 12, 1917


Port Sailed From for Overseas


new york


Date of Arrival Overseas


Sept 25, 1917


Port of Arrival Overseas


Break


Date and Ship Sailed Returning Home.


Port Sailed from Returning Home


Date of Arrival from Overseas.


Place of Arrival in United States


Important Places Where Stationed Overseas Seichprey, It michiel 2nd marne


Participated in What Battles and Dates of Same.


Wounded or Other Injuries Received in Action, Place and Date


If Confined in Hospital, During What Time and Place


If Prisoner by Enemy, Date and Place of Capture.


Places Confined


Date and Place Released


Give Record of Service in Army or Navy before the German War if Any


When Discharged from Service. Where Discharged from Service


For What Reason Discharged from Service. ....


If Given Medal of Honor, Give Action and Date. .... If Given Citation or Certificate of Merit, Give Service and Date May 13, 18 Bravery at Secchiprey Other Medals and Foreign Decorations


Kind of Occupation Before War Service. Telegraphen


Married or Single Single


If Ever Married, Maiden Name of Wife (or Wives)


Date and Place of Marriage to Wife (or Wives)


Date and Place of Death of Wife (or Wives)


If Any Divorce, Date and Place Where Granted.


If Married was Your Wife Ever Married Before Married to You


If So, Name of Former Husband, and Date and Place of His Death or Divorce


Names, Ages and Places of Birth of All Children, if any


Name of Father and Place of Residence


matthew Monahan, Canton


Name of Mother and Place of Residence


martha (hcGahan)


",


Are You Without the Foregoing Relatives in This Country


no


If So. Have You a Brother or Sister Here ........


And if so, Give Full Name and Address of Either or Both


Have You a War Risk Insurance Policy.


Give Number of Policy. ..........


What Was Your Weight When Entering the Service


170 llo


Your Height in Feet and Inches.


5'8'


Your Complexion-White or Colored


white


Color of Your Eyes.


....


Blue


Color of Your Hair


Light Brown


Give Names and Addresses of Two or Three of Your Most Intimate Comrades


....


Have You a Photograph of Self, in Service Uniform, to Give Town


If Foregoing Record is of One Deceased, Give Date of Death Sept 19, 1918


Give Place of Death and Place of Burial St Michiel grand


Give Burial Lot Number. # 27 au Red Cross photo


Any Monument or Headstone Marked to Deceased Where Buried Wooden Grass


Any Memorial for Deceased in Other Cemetery Than Where Buried no


If Grave is Unmarked Will Permission be Given to Set a Government Headstone


Name and Address of Person Filling Out This Record of Deceased Unna E. Buckley Norfolk Canton Maso


REMARKS. (Please give here any matter of interest relating to Your Service.)


GERMAN WAR SERVICE RECORD of Canton, Mass.


Name arancha Mangene


COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY


Name


AS APPEARS ON THE SERVICE ROLL


Date of Birth.


DAY


MONTH YEAR


Place of Birth


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service


Grove Canton Mass


STREET AND NUMBER


CITY OR TOWN STATE


Place of Residence at Present Time.


STREET AND NUMBER CITY OR TOWN STATE


Enlisted or Drafted.


Date and Place of Enlistment.


Date and Place Where Drafted


Date and Place Where Mustered In or Reported for Duty


Give Government Identification Tag Number.


Co., Regt., Ship, or Service, First Assigned to and Date 68th. Real


Danteria Cassan D'adda


Other Regiment=, Ships or Branches of Services, Transferred to and Dates.


Rank While in Service.


If Commissioned Officer Give Date of Commission.


If Appointed Officer Give Date of Every Appointment


If Not Overseas, Where Stationed While in Service


Any Service in American Expeditionary Force or Canadian or Allied Force Overseas


If so, Date and Ship from the United States or Canada Port Sailed From for Overseas Date of Arrival Overseas Port of Arrival Overseas.


Date and Ship Sailed Returning Home.


Port Sailed from Returning Home. Date of Arrival from Overseas. Place of Arrival in United States


Important Places Where Stationed Overseas.


Participated in What Battles and Dates of Same.


Wounded or Other Injuries Received in Action, Place and Date


If Confined in Hospital, During What Time and Place


If Prisoner by Enemy, Date and Place of Capture.


Places Confined Date and Place Released Give Record of Service in Army or Navy before the German War if Any


When Discharged from Service. Where Discharged from Service


For What Reason Discharged from Service. .......... .......


If Given Medal of Honor, Give Action and Date. ... If Given Citation or Certificate of Merit, Give Service and Date Other Medals and Foreign Decorations Kind of Occupation Before War Service. Married or Single


If Ever Married, Maiden Name of Wife (or Wives)


Date and Place of Marriage to Wife (or Wives)


Date and Place of Death of Wife (or Wives)


If Any Divorce, Date and Place Where Granted.


If Married was Your Wife Ever Married Before Married to You If So, Name of Former Husband, and Date and Place of His Death or Divorce


Names. Ages and Places of Birth of All Children, if any


Name of Father and Place of Residence.


Name of Mother and Place of Residence.


Are You Without the Foregoing Relatives in This Country If So, Have You a Brother or Sister Here And if so, Give Full Name and Address of Either or Both


Have You a War Risk Insurance Policy


.............. Give Number of Policy. ..... What Was Your Weight When Entering the Service


Your Height in Feet and Inches. Your Complexion-White or Colored


Color of Your Eyes. Color of Your Hair


Give Names and Addresses of Two or Three of Your Most Intimate Comrades


Have You a Photograph of Self, in Service Uniform, to Give Town


If Foregoing Record is of One Deceased, Give Date of Death


Give Place of Death and Place of Burial


Give Burial Lot Number


Any Monument or Headstone Marked to Deceased Where Buried


Any Memorial for Deceased in Other Cemetery Than Where Buried


If Grave is Unmarked Will Permission be Given to Set a Government Headstone.


Name and Address of Person Filling Out This Record of Deceased.


REMARKS. (Please give here any matter of interest relating to Your Service. )


....


GERMAN WAR SERVICE RECORD of Canton, Mass.


Name


Peter manque


COMPLETE NAME.


NO INITIALS.


PLEASE WRITE PLAINLY


Name


Peter mongine


AS APPEARS ON THE SERVICE ROLL


October


1896


Date of Birth.


.....


..... 30


DAY


MONTH


YEAR


Place of Birth


Biella


Italy


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service.


15 Grave Cantow Mass


STREET AND NUMBER


CITY OR TOWN


STATE


Place of Residence at Present Time 15


Grove Canton Mags


STREET AND NUMBER


CITY OR TOWN


STATE


Enlisted or Drafted.


Enlisted


Date and Place of Enlistment


June 28, 1917


Boston


Date and Place Where Drafted. Date and Place Where Mustered In or Reported for Duty June 28, 17 Syracuse n Give Government Identification Tag Number. 2300419


Co., Regt., Ship, or Service, First Assigned to and Date


Co G 38th Sul


Other Regiments, Ships or Branches of Services, Transferred to and Dates


3ยช machine


Gun Batt 49 the Sud 3rd army Corps


School.


Rank While in Service.


Private /c


If Commissioned Officer Give Date of Commission.


If Appointed Officer Give Date of Every Appointment


If Not Overseas, Where Stationed While in Service Camp Merritt Tenafly NO. Overseas


Any Service in American Expeditionary Force or Canadian or Allied Force Overseas american


If so, Date and Ship from the United States or Canada July 26, 18. Jacrimina


Port Sailed From for Overseas


Hoboken


Date of Arrival Overseas


aug 6, 1918


Port of Arrival Overseas.


Break


Date and Ship Sailed Returning Home


July 30'19 mangalia


Port Sailed from Returning Home.


Break


Date of Arrival from Overseas.


aug 7, 19


Place of Arrival in United States


Haboken


Important Places Where Stationed Overseas


Clamecy,


nievre


Participated in What Battles and Dates of Same.


Wounded or Other Injuries Received in Action, Place and Date


If Confined in Hospital, During What Time and Place


....


If Prisoner by Enemy, Date and Place of Capture.


Places Confined


Date and Place Released


Give Record of Service in Army or Navy before the German War if Any


......


When Discharged from Service. Septa 1919


Where Discharged from Service


Camp Deveno mass


For What Reason Discharged from Service.


Demobilization


If Given Medal of Honor, Give Action and Date.


If Given Citation or Certificate of Merit, Give Service and Date Other Medals and Foreign Decorations


Kind of Occupation Before War Service Rubber Spreader


Married or Single Single


If Ever Married, Maiden Name of Wife (or Wives)


Date and Place of Marriage to Wife (or Wives)


Date and Place of Death of Wife (or Wives)


If Any Divorce, Date and Place Where Granted.


If Married was Your Wife Ever Married Before Married to You


If So, Name of Former Husband, and Date and Place of His Death or Divorce


Names, Ages and Places of Birth of All Children, if any ..


Name of Father and Place of Residence ..


Joseph Mangini, Italy


Name of Mother and Place of Residence


Theresa


Are You Without the Foregoing Relatives in This Country


If So, Have You a Brother or Sister Here. .......


And if so, Give Full Name and Address of Either or Both


Have You a War Risk Insurance Policy.


Give Number of Policy ....


What Was Your Weight When Entering the Service


135 lbs


Your Height in Feet and Inches.


5' 6 '


Your Complexion-White or Colored White


Color of Your Eyes.


Brown


Color of Your Hair


Brown


Give Names and Addresses of Two or Three of Your Most Intimate Comrades


Have You a Photograph of Self, in Service Uniform, to Give Town


If Foregoing Record is of One Deceased, Give Date of Death


Give Place of Death and Place of Burial ....


Give Burial Lot Number.


Any Monument or Headstone Marked to Deceased Where Buried


Any Memorial for Deceased in Other Cemetery Than Where Buried


If Grave is Unmarked Will Permission be Given to Set a Government Headstone.


Name and Address of Person Filling Out This Record of Deceased


REMARKS. (Please give here any matter of interest relating to Your Service.)


.....


GERMAN WAR SERVICE RECORD of Canton, Mass.


Name


Fred E morrison


COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY


Name


Fred & Moreon


AS APPEARS ON THE SERVICE ROLL


June


1893


Date of Birth.


.....


27


DAY


MONTH


YEAR


Place of Birth.


Canton


mass


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service.


25 Highland Canton Mass


STREET AND NUMBER


CITY OR TOWN


STATE


Place of Residence at Present Time.


455 main Walpole Mass.


STREET AND NUMBER


CITY OR TOWN


STATE


Enlisted or Drafted.


Drafted


Date and Place of Enlistment.


Canton maso


Date and Place Where Drafted


Deb. 261918


Date and Place Where Mustered In or Reported for Duty Seb 26'18


Give Government Identification Tag Number.


1681472


Co., Regt., Ship, or Service, First Assigned to and Date


9 th. Co. 3 rd Depot


Brigade. 76th Dia


Other Regiments, Ships or Branches of Services, Transferred to and Dates. Co L. 305 th Sul. 77th. Dia


Rank While in Serviee.


Private


If Commissioned Officer Give Date of Commission


If Appointed Officer Give Date of Every Appointment


If Not Overseas, Where Stationed While in Service


Camp Devers auer


Quera


as


Any Service in American Expeditionary Force or Canadian or Allied Force Overseas american


If so, Date and Ship from the United States or Canada


apr. 16, 18


Port Sailed From for Overseas


Hoboken


Date of Arrival Overseas


april 26, 1918.


Port of Arrival Overseas


Liverpool


Date and Ship Sailed Returning Home.


Deb. 27.1919.


Port Sailed from Returning Home


Brest


Date of Arrival from Overseas.


march 10, 1919


Place of Arrival in United States


Boston


Important Places Where Stationed Overseas.


Participated in What Battles and Dates of Same.


Vale Sector, July 27- aug 14, 1918.


Wounded or Other Injuries Received in Action, Place and Date


Gassed Vale Sector aug 14, 1918


If Confined in Hospital. During What Time and Place Vichy, aug. 18, 1919


If Prisoner by Enemy, Date and Place of Capture. Places Confined


Date and Place Released


Give Record of Service in Army or Navy before the German War if Any


When Discharged from Service. march 17, 1919


Where Discharged from Service


Camp Devens mass


For What Reason Discharged from Service.


Demobilization


If Given Medal of Honor, Give Action and Date.


If Given Citation or Certificate of Merit, Give Service and Date Other Medals and Foreign Decorations


Kind of Occupation Before War Service.


Married or Single ..... ........... Single


If Ever Married, Maiden Name of Wife (or Wives)


Date and Place of Marriage to Wife (or Wives)


Date and Place of Death of Wife (or Wives)


If Any Divorce, Date and Place Where Granted.


If Married was Your Wife Ever Married Before Married to You


If So, Name of Former Husband, and Date and Place of His Death or Divorce


Names. Ages and Places of Birth of All Children, if any


..


Name of Father and Place of Residence.


William Morrison (Deceased)


Name of Mother and Place of Residence ..


Etta


Walpole Mar


Are You Without the Foregoing Relatives in This Country


no


If So, Have You a Brother or Sister Here ..


And if so, Give Full Name and Address of Either or Both


Have You a War Risk Insurance Policy.


Give Number of Policy. .......


15-23581


What Was Your Weight When Entering the Service


5/5/4"


135 lbs.


Your Height in Feet and Inches.


Your Complexion-White or Colored White


Color of Your Eyes. Blue


Color of Your Hair


ight


Give Names and Addresses of Two or Three of Your Most Intimate Comrades


George Hunt Canton mass


Ilave You a Photograph of Self, in Service Uniform, to Give Town If Foregoing Record is of One Deceased, Give Date of Death


Give Place of Death and Place of Burial Give Burial Lot Number


Any Monument or Headstone Marked to Deceased Where Buried Any Memorial for Deceased in Other Cemetery Than Where Buried


If Grave is Unmarked Will Permission be Given to Set a Government Headstone. .....


Name and Address of Person Filling Out This Record of Deceased.


REMARKS. (Please give here any matter of interest relating to Your Service.)


GERMAN WAR SERVICE RECORD of Canton, Mass.


Name


Daniel Ignatius Murphy


COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY


Name Daniel I. Murphy.


AS APPEARS ON THE SERVICE ROLL


6


nove


amber


1892


Date of Birth


.....


DAY


MONTH


YEAR


Place of Birth.


Canton


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service 102 Bolivar, Canton Mass


STREET AND NUMBER


CITY OR TOWN


STATE


Place of Residence at Present Time 102 Bolivar Canton Mass


STREET AND NUMBER


CITY OR TOWN


STATE


Enlisted or Drafted


Drafted


Date and Place of Enlistment. Canton, april 26, 1918.


Date and Place Where Drafted


Date and Place Where Mustered In or Reported for Duty Canton apr. 26,'18


Give Government Identification Tag Number.


16 92591


Co., Regt., Ship, or Service, First Assigned to and Date


24th. C 6th Regt.


15, et Depot Brigade


Other Regiment, Ships or Branches of Services, Transferred to and Dates.


C. a. 201 st. Machine Gun Bat


147th mach, Gun Bat. Co.B. 330the mach Su Bat


Rank While in Service.


Private 1/c


If Commissioned Officer Give Date of Commission


If Appointed Officer Give Date of Every Appointment


If Not Overseas, Where Stationed While in Service


Camp Devenus ayer


.. Overo as.


masa


Any Service in American Expeditionary Force or Canadian or Allied Force Overseas american


yes


If so, Date and Ship from the United States of Canada July 718 Cardcanshire


Port Sailed From for Overseas


East Boston


Date of Arrival Overseas


July 22'18 Thomas River, Eng


Port of Arrival Overseas. Date and Ship Sailed Returning Home June 10,19 Frederick Wilhelm


Port Sailed from Returning Home


Brest


Date of Arrival from Overseas.


June 19 19


Place of Arrival in United States


Hoboken


Important Places Where Stationed Overseas.


Lyon Toul, It michiel


Aleville, apremont, Grandpre


Participated in What Battles and Dates of Same. Ir mihiel Sept 12 -18 1918 Meuse- argonne- Sept 26 Nov, 1918


Wounded or Other Injuries Received in Action, Place and Date


If Confined in Hospital. During What Time and Place


If Prisoner by Enemy, Date and Place of Capture.


Places Confined


Date and Place Released


Give Record of Service in Army or Navy before the German War if Any


When Discharged from Service. June 26 1919


Where Discharged from Service


Camp Deveno


For What Reason Discharged from Service


Demobilization


If Given Medal of Honor, Give Action and Date. ..........


If Given Citation or Certificate of Merit, Give Service and Date


Other Medals and Foreign Decorations


Kind of Occupation Before War Service. Rubber Worker


Married or Single .......... Luigle


If Ever Married, Maiden Name of Wife (or Wives)


Date and Place of Marriage to Wife (or Wives)


Date and Place of Death of Wife (or Wives)


If Any Divorce, Date and Place Where Granted.


If Married was Your Wife Ever Married Before Married to You


If So, Name of Former Husband, and Date and Place of His Death or Divorce


..........


Names, Ages and Places of Birth of All Children, if any ..


.........


Name of Father and Place of Residence


Daniel 2 murphy Canton.


Name of Mother and Place of Residence.


mary


Are You Without the Foregoing Relatives in This Country


If So, Have You a Brother or Sister Here.


And if so, Give Full Name and Address of Either or Both


Have You a War Risk Insurance Policy.


Give Number of Policy.


20 90565


What Was Your Weight When Entering the Service


170 lbs


Your Height in Feet and Inches.


5/ 8'


Your Complexion-White or Colored


White


Color of Your Eyes ..


Brown


Color of Your Hair


auburn


Give Names and Addresses of Two or Three of Your Most Intimate Comrades


Ilave You a Photograph of Self, in Service Uniform, to Give Town no


If Foregoing Record is of One Deceased, Give Date of Death


Give Place of Death and Place of Burial


Give Burial Lot Number.


Any Monument or Headstone Marked to Deceased Where Buried


Any Memorial for Deceased in Other Cemetery Than Where Buried


If Grave is Unmarked Will Permission be Given to Set a Government Headstone


Name and Address of Person Filling Out This Record of Deceased.


REMARKS. (Please give here any matter of interest relating to Your Service.)


....


GERMAN WAR SERVICE RECORD of Canton, Mass.


Name Michael Saul Murphy


COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY


Name .....


AS APPEARS ON THE SERVICE ROLL


Date of Birth.


DAY


MONTH YEAR


Place of Birth


......


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service. 62 Church Canton Mass


STREET AND NUMBER CITY OR TOWN STATE


Place of Residence at Present Time.


STREET AND NUMBER CITY OR TOWN STATE


Enlisted or Drafted.


Date and Place of Enlistment.


Date and Place Where Drafted.


Date and Place Where Mustered In or Reported for Duty april 4, 1917


Give Government Identification Tag Number


Co., Regt., Ship, or Service, First Assigned to and Date


navy


Other Regiments, Ships or Branches of Services, Transferred to and Dates.


Rank While in Service.


Direman 3/c


If Commissioned Officer Give Date of Commission.


If Appointed Officer Give Date of Every Appointment


If Not Overseas, Where Stationed While in Service


Portsmouth navy Yard n. 22


Any Service in American Expeditionary Force or Canadian or Allied Force Overseas


If so, Date and Ship from the United States or Canada


Port Sailed From for Overseas Date of Arrival Overseas Port of Arrival Overseas.


Date and Ship Sailed Returning Home.


Port Sailed from Returning Home.


Date of Arrival from Overseas.


Place of Arrival in United States


Important Places Where Stationed Overseas.


Participated in What Battles and Dates of Same.


Wounded or Other Injuries Received in Action. Place and Date


If Confined in Hospital, During What Time and Place


If Prisoner by Enemy, Date and Place of Capture.


Places Confined


Date and Place Released


Give Record of Service in Army or Navy before the German War if Any


When Discharged from Service. .....


Where Discharged from Service


For What Reason Discharged from Service .... ..


If Given Medal of Honor, Give Action and Date.


If Given Citation or Certificate of Merit, Give Service and Date Other Medals and Foreign Decorations Kind of Occupation Before War Service.


Married or Single .........


If Ever Married, Maiden Name of Wife (or Wives) .......


Date and Place of Marriage to Wife (or Wives)


Date and Place of Death of Wife (or Wives)


If Any Divorce, Date and Place Where Granted


If Married was Your Wife Ever Married Before Married to You


If So, Name of Former Husband, and Date and Place of His Death or Divorce


Names, Ages and Places of Birth of All Children, if any ..


Name of Father and Place of Residence. ....


Name of Mother and Place of Residence.


Are You Without the Foregoing Relatives in This Country


If So, Have You a Brother or Sister Here .. ....... ......


And if so, Give Full Name and Address of Either or Both


Have You a War Risk Insurance Policy.


...... Give Number of Policy. .....


What Was Your Weight When Entering the Service


Your Height in Feet and Inches.


Your Complexion-White or Colored


Color of Your Eyes.


Color of Your Hair


Give Names and Addresses of Two or Three of Your Most Intimate Comrades


Have You a Photograph of Self, in Service Uniform, to Give Town


If Foregoing Record is of One Deceased, Give Date of Death


Give Place of Death and Place of Burial


Give Burial Lot Number.


Any Monument or Headstone Marked to Deceased Where Buried Any Memorial for Deceased in Other Cemetery Than Where Buried


If Grave is Unmarked Will Permission be Given to Set a Government Headstone.


Name and Address of Person Filling Out This Record of Deceased.


REMARKS. (Please give here any matter of interest relating to Your Service.)


GERMAN WAR SERVICE RECORD of Canton, Mass.


Name


michael James Murray


COMPLETE NAME


NO INITIALS.


PLEASE WRITE PLAINLY


Name


michael James Murray


AS APPEARS ON THE SERVICE ROLL


Date of Birth ..


26


may


1896


DAY


MONTH


YEAR


Place of Birth.


Walpole


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service. 558 Washington, Cantou, Mass


STREET AND NUMBER


CITY OR TOWN


STATE


Place of Residence at Present Time 19 Lefferts Pl. Brooklyn, ny.


STREET Q


AAD NUMBER


CITY OR TOWN


STATE


Enlisted or Drafted


Enlisted


Date and Place of Enlistment. april 28, 17 Charlestown mass


Date and Place Where Drafted


Date and Place Where Mustered In or Reported for Duty apr. 28, 17 Charlestown


Give Government Identification Tag Number. 1444324


Co., Regt., Ship, or Service, First Assigned to and Date U. S.S. Virginia,


april 28, 1917


Other Regiments, Ships or Branches of Services, Transferred to and Dates.


Gyno School


n.G. aug 1, 18, Vermont Nov 1,18. Hampton


Rds. mar 1,19. Rec. Ship Boston, april 1, 1919


Rank While in Service.


Electrician 3/c- 2/c- 1/c


If Commissioned Officer Give Date of Commission.


If Appointed Officer Give Date of Every Appointment


If Not Overseas, Where Stationed While in Service apr.20 to Och 1,19


north Sea mine Build


mare


Any Service in American Expeditionary Force or Canadian or Allied Force Overseas Overa e x


If so, Date and Ship from the United States or Canada


april 6 1919


Port Sailed From for Overseas


Boston Masa


Date of Arrival Overseas


april 4, 1919


Port of Arrival Overseas.


Inverness Scot


Date and Ship Sailed Returning Home. Gepney, Och 1, 1919


Port Sailed from Returning Home.


...


Scapa Flow, Orkney Is


Date of Arrival from Overseas.


Nov 19 1919


Place of Arrival in United States


new york


Important Places Where Stationed Overseas


Kirkwall, Orkne


Participated in What Battles and Dates of Same


Wounded or Other Injuries Received in Action, Place and Date


If Confined in Hospital, During What Time and Place


If Prisoner by Enemy, Date and Place of Capture. .......


Places Confined


Date and Place Released


Give Record of Service in Army or Navy before the German War if Any


When Discharged from Service. Dec 26 1919


Where Discharged from Service


Partemouth, n. C


For What Reason Discharged from Service.


Demobilization


If Given Medal of Honor, Give Action and Date. ........


If Given Citation or Certificate of Merit, Give Service and Date




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