USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 13
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 13
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Rank While in Service.
1st. Leist. Captain
If Commissioned Officer Give Date of Commission .. may 4, 17, Sept 16, 18.
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 ... Sept y' 17 Tenadores
Port Sailed From for Overseas
Habaken
Date of Arrival Overseas
Sept 21, 1917
Port of Arrival Overseas.
St nazaire
Date and Ship Sailed Returning Home.
March 28, 19, america
Port Sailed from Returning Home.
Break
Date of Arrival from Overseas.
april 5, 1919
Place of Arrival in United States
Boston
Important Places Where Stationed Overseas.
Bazalles sur meuse-
Liffall-Grande Vanderson St Gervais
Chattel- Orleans-
It Remy- Ramboucourt
Participated in What Battles and Dates of Samne Chemin des Dames Seb 6- mar Toul May 4- June 20. Chateau Thierry July 10-17; Tranne Sept 20- Oct 8, Meuse argonne Oct 18 - Nov 11.1918.
Wounded or Other Injuries Received in Action, Place and Date Wounded near La Voice du Chattel July 16, 1918
If Confined in Hospital, During What Time and Place Base #202 July 18, 1918-Sept 12, 1918
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 28 1919
Where Discharged from Service Camp Devenus
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 Citations Sept 26,18 Div+ Pershing
12- Oct 11. St Milide
Other Medals and Foreign Decorations Croix de Guerre, June 16,1918
Kind of Occupation Before War Service Physician
Married or Single Married
If Ever Married, Maiden Name of Wife (or Wives) .. Jeanne m. Cornell
Date and Place of Marriage to Wife (or Wives). Oct 5, 1911 Boston Mass.
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.
Oscar n. Pierce Taunton.
Name of Mother and Place of Residence.
nettie m.
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
IHave You a War Risk Insurance Policy
..........
yes
Give Number of Policy .........
What Was Your Weight When Entering the Service
5' 6 1/2"
131lbs
Your Height in Feet and Inches.
Your Complexion-White or Colored white
Color of Your Eyes.
........
Blue
Color of Your Hair Chestnut
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Peter G. Mª Kenna. Carton, masa Stanhope B. Jones. New Juliano, La. Harry T. Robertson Portland, me
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
Carlo
Parcard
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Carlo
Porcaro
AS APPEARS ON THE SERVICE ROLL
Date of Birth
12
march
1896
DAY
MONTH YEAR
Place of Birth
naples
Italy
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service ..
Bolivar Cantou mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time ..
6) Bolivar, Cantou, mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted
Drafted
Date and Place of Enlistment.
Date and Place Where Drafted
Sept 21, 1917. Canton
Date and Place Where Mustered In or Reported for Duty.
Sept 21, 17, Camp Devers.
Give Government Identification Tag Number.
2309657
Co., Regt., Ship, or Service, First Assigned to and Date- Co.K. 302nd. Suf
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Salvage Squad 9, 2.M. C. Demol. Group #2.
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
Las
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
mar. 20 1918
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
mar, 27, 1918
Port of Arrival Overseas
Brest
Date and Ship Sailed Returning Home.
June 2119, Geo Washington
Port Sailed from Returning Home
Brest
Date of Arrival from Overseas.
June 29 19 .
Place of Arrival in United States
New york
Important Places Where Stationed Overseas.
nichritiel
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. Jeely 17, 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. Spinner in Woolen mill
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.
Louis Parc aro
Name of Mother and Place of Residence.
Rose
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
51 6"
135 lbs
Your Height in Feet and Inches.
Your Complexion-White or Colored
White
Color of Your Eyes.
Brown
Color of Your Hair
Black
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
Cesare
Pancaro
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Naine
Cesare
Parcard
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
6
DAY
may
1896
MONTH
YEAR Italy
Place of Birth
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service.
61 Bolivar, Cantou Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
58 Bolivar Canton,
mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted
Drafted
Date and Place of Enlistment.
Date and Place Where Drafted
Canton
Date and Place Where Mustered In or Reported for Duty
Canton
Give Government Identification Tag Number.
1658361
Co., Regt., Ship, or Service, First Assigned to and Date
Cor. 302 Surf
Sept 21, 1917
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Glattsburg, n.C. Bannen
Galand
1
Wehawk n. J. Co. a. U. S. Guard
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
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. Jan. 23, 1919
Where Discharged from Service
Camp Dix n.J.
For What Reason Discharged from Service ...
Demobilization
If Given Medal of Honor, Give Metion and Date .............. If Given Citation or Certificate of Merit, Give Serviee and Date
Other Medals and Foreign Decorations
Kind of Oeeupation Before War Service. Spinner
Married or Single
married
If Ever Married, Maiden Name of Wife (or Wives)
alice Barlata
Date and Place of Marriage to Wife (or Wives)
Stoughton June 27,'20
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.
nicholas Porcaro, Cantou
Name of Mother and Place of Residence.
Carmela
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 Poliey
What Was Your Weight When Entering the Service 138 lbs
5/5''
Your Height in Feet and Inehes.
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 Carlo Porcaro Bolivar, Canton mars ... Joseph Poliano Revere .... "
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
Victor
COMPLETE NAME. Pazza
PLEASE WRITE PLAINLY
Name
Victor
Pazzo
AS APPEARS ON THE SERVICE ROLL
Date of Birth
24
..... 1897
DAY
MONTH
YEAR
Place of Birth
moncalvo
STATE OR COUNTRY Italy
CITY OR TOWN
Place of Residence When Entering the Services 2 Frederic Dorchester Mase
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time 14 Norfolk Canton Mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment
June 15, 1917.
Boston
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty> June 15 1917, Boston
Give Government Identification Tag Number. 1101221
Co., Regt., Ship, or Service, First Assigned to and Date
22d Cavalry
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Battery O. 80th, 2 9. 7th. Div, ammunition Train, Headquarters Dept.
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. Oglethorpe, Ga.
Maco, Texas,
Queseas
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas
yes, . .. ameri an
If so, Date and Ship from the United States or Canada
aug. 18, 18. Geo Washington
Port Sailed From for Overseas
New york
Date of Arrival Overseas
aug. 1918
Port of Arrival Overseas.
Break
Date and Ship Sailed Returning Home.
June 1919
Port Sailed from Returning Home.
Break
Date of Arrival from Overseas
June 28, 1919
Place of Arrival in United States
new york
Important Places Where Stationed Overseas
Vanc
German
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 June 28, 1919
Where Discharged from Service
Camp Deveno mars
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 Waiter
Married or Single married
If Ever Married, Maiden Name of Wife (or Wives) Santina Ottinio
Date and Place of Marriage to Wife (or Wives)
nov 27'19. Boston
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.
Eugene Pozzo, Italy
Name of Mother and Place of Residence.
Caroline
1,
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 .........
What Was Your Weight When Entering the Service 145 lbs
Your Height in Feet and Inches.
5' 4 1/2"
Your Complexion -- White or Colored
white
Color of Your Eyes.
..........
Blue
Color of Your Hair Bran
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
alvin William Quennell
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
alvin N. Quennell
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
................
24
Oct.
1889
DAY
MONTH
YEAR
Place of Birth
Roxbury
mars
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service ..
71 High, Canton, Mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time
7) High Canton, mask
STREET ANENUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment.
It. Sheridan, Il. aug 27'17
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty
: 21 Sheridan aug 27.
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date Officers Training
Camp, It. Sheridan, aug 27, 1917
Other Regiments, Ships or Branches of Services, Transferred to and Dates Camp, C.a.C. aug 21; 17
Instructor Detach Service aug. 15'19
Rank While in Service.
2nd Lunt.
If Commissioned Officer Give Date of Commission nov. 27, 1917.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Overseas
Trainer
Any Service in American Expeditionary Force or Canadian or AAllied Force Overseas american
If so, Date and Ship from the United States or Canada
Sept 25'18 Northern Pacifi
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
Oct 4, 1918
Port of Arrival Overseas
Break
Date and Ship Sailed Returning Home
July 19, 1919 Zeppelin
Port Sailed from Returning Home.
Break
Date of Arrival from Overseas.
July 29, 1919
Place of Arrival in United States
Hoboken
Important Places Where Stationed Overseas.
- Paris-
lo- our- Till- Bar-sur- Robe- atelier de mehun-sur-yèvre
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.
aug 15, 1919
Where Discharged from Service
Boston
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. Commercial engineer
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.
Irm. Quennell (Deceased)
Name of Mother and Place of Residence.
ada E
Canton
Are You Without the Foregoing Relatives in This Country
no.
If So, Ilave 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
.......
203723
What Was Your Weight When Entering the Service
5/11'
179 lbs.
Your Height in Feet and Inches.
Your Complexion-White or Colored
White
Color of Your Eyes ........................
Color of Your Hair
auburn
Give Names and Addresses of Two or Three of Your Most Intimate Comrades John M. Hinchcliffe, 2412 Cherry Vicksburg miss Charles P Storms, Oradell, n.J. P. S. Jones, 40, So 5th ave, Bozeman Mont.
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 Patrick Juin
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. ...........
Canton Mass
STREET AND NUMBER
CITY OR TOWN STATE
Place of Residence at Present Time
Unkown
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
July 22, 1918
Give Government Identification Tag Number 3149688
Co., Regt., Ship, or Service, First Assigned to and Date the Company 2 nd
Battalion 151 st Depot Brigade
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
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 Wevers, anger, 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. 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
And if so, Give Full Name and Address of Either or Both
mary Summ If So, Have You a Brother or Sister Here 1902 Gorsuch ave Baltimore Md.
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
Pasquale Rastelli 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. 194 hehouset St. Canton Mass. STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time Cellio Ser Carega Provincia Povera Italia
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 162 Veg Fanteria
4th Company 35th Divisione a.M
Other Regiments, 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. Italy
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
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