World War records : Canton, Massachusetts, 1917-1918, Part 12

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 12
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 12


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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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


Stanley John Oldquesky


COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY


Name Stanley John Oldziesky


AS APPEARS ON THE SERVICE ROLL


november


1895


Date of Birth.


12


DAY


MONTH


YEAR


Place of Birth


...........


Anyseyn


Poland


CITY ORDOWN


STATE OR COUNTRY


Place of Residence When Entering the Service/ Riverside ave Medford


STREET AND NUMBER CITY OR TOWN STATE


Place of Residence at Present Time 207 Sherman.


Portland, Oregon.


STREET AND NUMBER CITY OR TOWN Enlisted


Date and Place of Enlistment Boston, mass


Date and Place Where Drafted


Date and Place Where Mustered In or Reported for Duty June 5'17 Framingham


Give Government Identification Tag Number. 60198


Co., Regt., Ship, or Service, First Assigned to and Date 9th. mass n. G. C.C.


Other Regiments, Ships or Branches of Services, Transferred to and Dates aug. 5, 1917. Co. C. 101 st. O Seud


Rank While in Service


1/a Private


Corporal


If Commissioned Officer Give Date of Commission.


If Appointed Officer Give Date of Every Appointment


If Not Overseas, Where Stationed While in Service


STATE


Enlisted or Drafted.


may 31, 1917.


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


american


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


Sept 7, 17 Tenadress


Port Sailed From for Overseas


Hoboken


Date of Arrival Overseas


Sept 21, 1917


Port of Arrival Overseas.


St nazaire


Date and Ship Sailed Returning Home.


Seb 4'19. matsonia


Port Sailed from Returning Home


Bordeaux


Date of Arrival from Overseas.


Deb 16, 1919


Place of Arrival in United States


Hoboken


Important Places Where Stationed Overseas


Chemin de dames


Participated in What Battles and Dates of Same


Taul, Chateau Thierry July 18, 1918.


Wounded or Other Injuries Received in Action, Place and Date


machine.


Yun Wound, Chateau Thierry


July 20 1918


If Confined in Hospital. During What Time and Place


Base $15.


Base a Operation acute appendix


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.


Feb. 28,1919


Where Discharged from Service


Camp Devers


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 Heel Pressman. 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,


Jahra Oldziesky, Stoughton


Name of Mother and Place of Residence.


Deceased


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.


yes


Give Number of Policy.


2996407


What Was Your Weight When Entering the Service


5/ 7/2"


155 lbs


Your Height in Feet and Inches.


Your Complexion-White or Colored


White


Color of Your Eyes.


......


Hazel


Color of Your Hair


Light Brown


Give Names and Addresses of Two or Three of Your Most Intimate Comrades Edward flattery Joseph Benson


Charles ms Elroy.


10, et lux. ..


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


Emil Thomas Olsen


COMPLETE NAME.


NO INITIALS.


PLEASE WRITE PLAINLY


Name


Emil Thomas


Olsen mus. 2/c


AS APPEARS ON THE SERVICE ROLL


Date of Birth.


8


march


1895-


DAY


MONTH


YEAR


Place of Birth.


Canton


mars


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service /2 Crane Canton Mass


STREET AND NUMBER


CITY OR TOWN


STATE


Place of Residence at Present Time 102 Bolivar Carton Mass


STREET AND NUMBER


CITY OR TOWN


STATE


Enlisted or Drafted.


Enlisted


Date and Place of Enlistment.


July 31, 1917


Boston


Date and Place Where Drafted


Date and Place Where Mustered In or Reported for Duty


July 29, 1917


Give Government Identification Tag Number. Co., Regt., Ship, or Service, First Assigned to and Date Dugle Squad aug 21; 17 Rec Ship Band, Dec 16, 1917.


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


Rank While in Service.


2/c musician


If Commissioned Officer Give Date of Commission ....


If Appointed Officer Give Date of Every Appointment


If Not Overseas, Where Stationed While in Service


Newport R.O.


Boston mass


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. Dec. 16 1918


Where Discharged from Service


Boston mass


For What Reason Discharged from Service.


Business


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. Coal merchant


Married or Single


married


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


Date and Place of Marriage to Wife (or Wives)


July 28'18 Carton


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


no.


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 ..


Emil Olsen Canton Mass.


Name of Mother and Place of Residence ..


Jennie


"1


1,


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.


no.


Give Number of Policy.


What Was Your Weight When Entering the Service


164 lbs.


Your Height in Feet and Inches.


51 6 3/4"


Your Complexion-White or Colored


valute


Color of Your Eyes ..


Blue


Color of Your Hair


Flaxen


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 le 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


John Frederic Olsen


COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY


Nanie


Jahn Frederic Olsen


AS APPEARS ON THE SERVICE ROLL


Date of Birthi


6


December


1897


Place of Birth


Canton


DAY


MONTH


YEAR


masa


...


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service/ 2 Crane Canton Mass


STREET AND NUMBER


CITY OR TOWN


STATE


Place of Residence at Present Time /2


Crane


Canton Mars


STREET AND NUMBER


CITY OR TOWN


STATE


Enlisted or Drafted.


Enlisted


Date and Place of Enlistment


april 16, 1916 Boston


Date and Place Where Drafted


Date and Place Where Mustered In or Reported for Duty Boston, april 16'16


Give Government Identification Tag Number.


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


Newport R.O.


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


Virginia" June 1916


Druid


Oct.


1916


Rank While in Service.


Leaman


If Commissioned Officer Give Date of Commission


If Appointed Officer Give Date of Every Appointment


If Not Overseas, Where Stationed While in Service


Querelas


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


yes


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


Druid, Nov 1917


Port Sailed From for Overseas


new york


Date of Arrival Overseas


Nov 1917


Port of Arrival Overseas.


Gibraltar - azares


Date and Ship Sailed Returning Home


Druid Dec 15, 1918


Port Sailed from Returning Home.


Gibraltar


Date of Arrival from Overseas.


Jan 6, 1919


Place of Arrival in United States


New London


Important Places Where Stationed Overseas


Gibraltar


Break


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 One year in Navy


When Discharged from Service. april 16, 1919


Where Discharged from Service


new york


For What Reason Discharged from Service


Enlistment expired


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. Teamster


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.


Emil Olsen Cantor mass


Name of Mother and Place of Residence ...


Jennie


11


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


no


Give Number of Policy


152 lbs


What Was Your Weight When Entering the Service


5'5''


Your Height in Feet and Inches.


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


A. J. Bresnahan, 16 Dudley St of A. Creighton 21 Leslie Dorchester


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


John Paradiso


COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY


Name


Giovanni Paradiso


AS APPEARS ON THE SERVICE ROLL


Date of Birth


July


1893


DAY


MONTH


YEAR


Place of Birth.


Perta


CITY OR TOWN


Storina


Italy


STATE OR COUNTRY


Place of Residence When Entering the Service. 34 Dedham, Cantou Mars


STREET AND NUMBER


CITY OR TOWN


STATE


Place of Residence at Present Time / 36/2 Elm, Lawrence Mass


STREET AND NUMBER


CITY OR TOWN


STATE


Enlisted or Drafted


Enlisted


Date and Place of Enlistment


Boston Deb. 13 1917


Date and Place Where Drafted. Date and Place Where Mustered In or Reported for Duty June 13, 17 Syracuseny


Give Government Identification Tag Number.


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


Co. L. 38th. Suf


Jak. Dia. June 13, 1917


Other Regiments, Ships or Branches of Services, Transferred to and Dates. 2nd. Co. Prov Bri, 16th. Sauf July 1917 B. Co. 16th. Auf. July 26, 1917. 158 Sul


Rank While in Service. Private


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 american


yes


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


July 26, 1917.


Port Sailed From for Overseas


New york


Date of Arrival Overseas


Port of Arrival Overseas.


Liverpool


Date and Ship Sailed Returning Home


april 3 1919


Port Sailed from Returning Home.


Bordeaux


Date of Arrival from Overseas


Place of Arrival in United States


new york


Important Places Where Stationed Overseas.


Tout. Bordeaux


Participated in What Battles and Dates of Same


Chateau Thierry


Cantigny. argonne


If michiel


Laissons


Wounded or Other Injuries Received in Action, Place and Date


Tout Seb , 0, '18


Cantigny May 4,'18. Sacevous July 2018


argonne Oct 7,18.


..


If Confined in Hospital, During What Time and Place Base 42, Base 11.


Base 13 Base 8. Base 17.


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 april 1919


Where Discharged from Service


Camp Devers 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


Moving Picture Operator


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


Dominic Paradiso, Italy


Name of Mother and Place of Residence


Giovannia


Are You Without the Foregoing Relatives in This Country


yes


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


yes


Give Number of Policy


What Was Your Weight When Entering the Service


125 lbs


Your Height in Feet and Inches.


Your Complexion-White or Colored White


Color of Your Eyes.


Brown


Color of Your Hair


Dark brown


Give Names and Addresses of Two or Three of Your Most Intimate Comrades Charles Reyes Philadelphia Pa. Captain Bruce Boston


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


Samuel Perry


COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY


Name


Samuel


Perry


Date of Birth.


.............


15


DAY


MONTH YEAR


Place of Birthi.


......


Santiago


Cape Verde Os.


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service 13 Mechanic Canton Mase


STREET AND NUMBER CITY OR TOWN STATE


Place of Residence at Present Time 214 Vince Everett Mass.


STREET AND NUMBER


CITY OR TOWN


STATE


Enlisted or Drafted Drafted


Date and Place of Enlistment June 1917


Date and Place Where Drafted.


Date and Place Where Mustered In or Reported for Duty


april 26.1918


Give Government Identification Tag Number.


1692863


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


24th. Co. 6th. Bat.


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


Com. 367th. Real, May 26, 1918


Rank While in Service.


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 Deveno


Camp Upton


Quero


ยท


AS APPEARS ON THE SERVICE ROLL march 1894


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


If so, Date and Ship from the United States of Canada June 10,18 Chodland


Port Sailed From for Overseas


Hoboken


Date of Arrival Overseas


June 19, 18


Port of Arrival Overseas.


Break


Date and Ship Sailed Returning Home.


Rotterdam Feb. 18, 19


Port Sailed from Returning Home


Break


Date of Arrival from Overseas.


Feb 27,'19


Place of Arrival in United States


Habaker


Important Places Where Stationed Overseas.


Participated in What Battles and Dates of Same.


Eastern grant, Sept.


argonne


Oct 10-16. Maybach Oct 18-28.


fammiel Sector nov. 3-11.


Wounded or Other Injuries Received in Action, Place and Date


Gassed


If Confined in Hospital. During What Time and Place


18 days


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 10, 1919


Where Discharged from Service


Camp Devens ayer


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 Oeeupation Before War Service. Laborer


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


Dale Perry, Cape Verde Is


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 ....


What Was Your Weight When Entering the Service


5/8''


150 lbs.


Your Height in Feet and Inehes.


Your Complexion-White or Colored


Colored


Color of Your Eyes. ..... ..........


Braun


Color of Your Hair Black


Give Names and Addresses of Two or Three of Your Most Intimate Comrades Leo Campbell 142 N. 121st St. n.4 Fulton Next 139 Valley Tarrytown n. 4 John Donsecca 165-18th St Newport news


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


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


Guiseppe Perzechino


COMPLETE NAME.


NO INITIALS.


PLEASE WRITE PLAINLY


Name


Juicio


Perzechino


AS APPEARS ON THE SERVICE ROLL


Date of Birth.


9


march


1895


DAY


MONTH


YEAR


Casserta, Italy


Place of Birth


Rocca de Vandra


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service 277 almy, Lawrence Mass


STREET AND NUMBER


CITY OR TOWN


STATE


Place of Residence at Present Time ..


7. Lily


Providence.


STREET AND NUMBER


CITY OR TOWN


STATE


Enlisted or Drafted.


Drafted


Date and Place of Enlistment.


July 9 1918


Date and Place Where Drafted


Canton mars


Date and Place Where Mustered In or Reported for Duty


July 10, 1918


Give Government Identification Tag Number


352892


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


Bat D 47th Regt.


O. a.c.


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


Camp Eustis, Virginia


Rank While in Service


...


Private


If Commissioned Officer Give Date of Commission


If Appointed Officer Give Date of Every Appointment


If Not Overseas, Where Stationed While in Service


It Slocum, n. y


Overseas.


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


yes


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


Gelander, Oct 11,18


Port Sailed From for Overseas


Newport news, Va.


Date of Arrival Overseas


Oct 22, 18


Port of Arrival Overseas


Break


Date and Ship Sailed Returning Home


madameska. Seb 1, 1919


Port Sailed from Returning Home.


Qualika


Date of Arrival from Overseas.


Jeb. 15, 1919.


Place of Arrival in United States


Newport news, Va.


Important Places Where Stationed Overseas.


Brest ancholine


Bordeaux.


Bajo


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. april 5, 1919


Where Discharged from Service


Camp Devers Mage


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 mill-hand


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.


Carmine Perzechino, Italy


Name of Mother and Place of Residence.


maria


Are You Without the Foregoing Relatives in This Country


yes


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


Sister


And if so, Give Full Name and Address of Either or Both Elizabeth Franko 108 Federal, Providence R.Q.


I


Have You a War Risk Insurance Policy


........


no


Give Number of Policy


What Was Your Weight When Entering the Service 125 lbs


Your Height in Feet and Inches.


516'


Your Complexion-White or Colored


White


Color of Your Eyes.


Brauer


Color of Your Hair


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


michele Coletta, 13 Chestnut, Lawrence Ma


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


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. )


1


I


GERMAN WAR SERVICE RECORD of Canton, Mass.


Name


Renel alfred Grence


COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY Pierce


Name


Panel alfred


AS APPEARS ON THE SERVICE ROLL


September


1889


Date of Birth


7


DAY


MONTH


YEAR


mass


Place of Birth.


Taunton


CITY OR TOWN


STATE OR COUNTRY


Place of Residence When Entering the Service.


470 Washington Canton Mass.


STREET AND NUMBER


CITY OR TOWN


STATE


Place of Residence at Present Time.


78 Pleasant Worcester, mass


STREET AND NUMBER CITY OR TOWN STATE


Enlisted or Drafted.


Enlisted


Date and Place of Enlistment


Boston, May 4, 1917


Date and Place Where Drafted


Date and Place Where Mustered In or Reported for Dutys


Put June 17,17


June 17'17, Boston


Give Government Identification Tag Number


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


Dield Hospital #1. May 4, 1917.


Other Regiments, Ships or Branches of Services, Transferred to and Dates. 183rd. U. S. Ouf. January 1918.




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