USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 14
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 14
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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 AAddresses 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
accen
Joseph Reardon
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name allen
2. Reund on
AS APPEARS ON THE SERVICE ROLL
Date of Birth
3
nove
1895
DAY
YEAR
Place of Birth
Canton
MONTH
mass
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 57 Bolivar Canton Mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time ..
57 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
Camp Devene
...
Give Government Identification Tag Number.
1692594.
Co., Regt., Ship, or Service. First Assigned to and Date Utility Dept
Quartermaster Campo
Other Regiment, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
Private, Sergeant
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service.
Camp Devens, 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. may 16, 1919.
Where Discharged from Service
Camp Devens
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. Carder, at Woolen mille
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.
allen Reardon, Canton
Name of Mother and Place of Residence.
Julia Reardon
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.
yes
Give Number of Policy. ....
What Was Your Weight When Entering the Service
150 lbs .
Your Height in Feet and Inches.
5/7'
Your Complexion-White or Colored White
Color of Your Eyes.
Blue
Color of Your Hair
Light
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 afes
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
Slovence Carroll Reardon
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Florence
Carroll Reardon
AS APPEARS ON THE SERVICE ROLL
Date of Birth 12 august ...... 1892
DAY
MONTH
YEAR
Place of Birth ..
Canton
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 5 7 Bolivar Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time 57 Balina
Canton Mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted
Drafted
Date and Place of Enlistment
Date and Place Where Drafted
Canton
Sept 5 1918
Date and Place Where Mustered In or Reported for Duty Sept 5' 18 Camp Uptown, n.y.
Give Government Identification Tag Number. 4168790
Co., Regt., Ship. or Service, First Assigned to and Date
5 th. Co. 2nd Batt.
Other Regiments, Ships or Branches of Services, Transferred to and Dates
Co.E. 49th. Auf. Och. 1918
Co.D. 38th luf. Oct 24,1918.
Rank While in Service.
Private- Sergeant
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Camp Upton on
Cao
mage
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas american
If so, Date and Ship from the United States or Canada
Och 8,18 Platteburg
Port Sailed From for Overseas
Date of Arrival Overseas
Oct 22 1918
Port of Arrival Overseas.
Break
Date and Ship Sailed Returning Home.
aug 1119 Mateania
Port Sailed from Returning Home.
Breet
Date of Arrival from Overseas.
aug 20 1919
Place of Arrival in United States
Hoboken
Important Places Where Stationed Overseas.
Cablenz
Participated in What Battles and Dates of Same
Meuse-argonne, Och' 18.
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. Sept 16, 1919
Where Discharged from Service
Camp Devene
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.
Book keeper
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 ...
all in Reardon, Canton
Name of Mother and Place of Residence.
Julia
Are You Without the Foregoing Relatives in This Country
no
If So, Hlave 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 125 lbs .
Your Height in Feet and Inehes.
.....
5/ 7'
Your Complexion-White or Colored white
Color of Your Eyes. ....
Blue
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 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 James Francia Reardon COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
AS APPEARS ON THE SERVICE ROLL
Date of Birth ...................
1
December
1894
DAY
MONTH YEAR
Place of Birth.
Canton
mase
CITY OR TOWN STATE OR COUNTRY
Place of Residence When Entering the Service/14 Mechanic, Canton Mare
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time 114 Mechanic Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment.
Date and Place Where Drafted.
Och 4, 1917. Canton
Date and Place Where Mustered In or Reported for Duty
Oct 8, 1917
Give Government Identification Tag Number.
1658363
Co., Regt., Ship, or Service, First Assigned to and Date
Co. R. 302 nd. Inf. 76th.
Dia.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Co. C. 7 th. Real U.S. Guarde.
Rank While in Service.
Private- Corp-Sergh
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service Campo Deveno
Ot. adams- newport- Boston
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 12 , 1918
Where Discharged from Service
Camp Deveno Mase
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 ....
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 M. Reardon Canton
Name of Mother and Place of Residence.
Catherine
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
140 lbs .
Your Height in Feet and Inches.
5' 4 '/2"'
Your Complexion-White or Colored
white
Color of Your Eyes ...
Blue
Color of Your Hair
Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades
ITave 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
Howard Freeman Richards
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Howard Freeman Richards
AS APPEARS ON THE SERVICE ROLL
....
6
april
1899
Date of Birth .. ....
....
DAY
MONTH
YEAR
Place of Birth.
Canton
mage
CITY OR TOWN STATE OR COUNTRY Place of Residence When Entering the Service 5/ Independence, Canton Mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Tim
(5) Independence, Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted
Enlisted
Date and Place of Enlistment.
mar. 29'17, Of. Slocum ny
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Mar, 28'17 It Slocum.
Give Government Identification Tag Number. ...... 2380970
Co., Regt., Ship, or Service, First Assigned to and Date Co. a. 23 rd. Suf. april 8 1917
Other Regiment=, Ships or Branches of Services, Transferred to and Dates.
Hiatus Co. 50th Inf. June 5, 1917.
Rank While in Service
/c Private
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service Syracuse n. y. El Paso, Texas Camp Greene n.C Overseas
Any Service in Ameriean Expeditionary Force or Canadian or Allied Foree Overseas army Occupation
If so, Date and Ship from the United States or Canada
Oct 20'19 Gres, Grant.
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
Nov 1, '19
Port of Arrival Overseas.
Brest
Date and Ship Sailed Returning Home.
april 13'20 Mercury
Port Sailed from Returning Home.
antwerp
Date of Arrival from Overseas.
april 24'20
Place of Arrival in United States
Hoboken
Important Places Where Stationed Overseas
mayen
Colleuz
Readermandig andernach.
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
Dec 10-Jan 3, 1920
Camp-
Servier PC
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.
May 5, 1920
Where Discharged from Serviee
Camp Dix
For What Reason Discharged from Service
Circular $75 Nar Lepp
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.
mas an
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
RV. Richards, Canton
Name of Mother and Place of Residence.
....
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
130 lbs
Your Height in Feet and Inches.
5/53/4"
Your Complexion-White or Colored
nhite
Color of Your Eyes.
.........
Blue
Color of Your Hair
Dark Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Jess & Gaffenberger, Beech Hill W. Va. Drank a. Weaver Pleasant Gap. Ga
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 Louis Richarda 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. .............
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 9 1917
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date
Virginia
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.)
no information could be obtained
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
Jahr Richardson
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
John Richardson
AS APPEARS ON THE SERVICE ROLL
Date of Birth ..
30
Sept.
DAY
MONTH
YEAR
Place of Birth
newton
mass
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service
Green, Canton Mass
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time.
Green,
Canton,
mase
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment
Date and Place Where Drafted
Canton,
Sept 8, 1917
Date and Place Where Mustered In or Reported for Duty
Sept 8, 1917
Give Government Identification Tag Number. .......
Co., Regt., Ship. or Service, First Assigned to and Date Co K. 302 nd. Inf. Sept 10, 1917
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Co.E. 302 nd Suf. Dec 5 1917. 3rd. O. C. Camp Deveu Jau 5, 1918 Cent. Off. Train, School. Camp Lee, July1- nov.29,18
Rank While in Service.
Sera't 2nd Lecit. 1st. Lecit. Capt.
If Commissioned Officer Give Date of Commission June 1,18. Nov1,18. Jan 10,19
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Camp Deveno Maso.
Camp Lee, Va.
1886
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas
If so, Daie 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.
Nov 29, 1918
Where Discharged from Service
Camp Lee Va
For What Reason Discharged from Service.
Return to Civilian life
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. Lawyer
Married or Single married
If Ever Married, Maiden Name of Wife (or Wives) Hope Hemenway
Date and Place of Marriage to Wife (or Wives) Sept 7, 1909, Canton
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 IIis Death or Divorce
......
......
Names. Ages and Places of Birth of All Children, if any Hope July 18,'10 Cohasset
Louisa nov 1,112, Canton, Hetty, Dec. 10,14 Canton
Daith, Dec 21,18 Boston Mass
Name of Father and Place of Residence.
Jahn Richardson, (Deceased)
Name of Mother and Place of Residence.c
Lovisa Ca
Newton, maso
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
173 lbs
Your Height in Feet and Inches.
6' '/2"
Your Complexion-White or Colored
White
Color of Your Eyes.
Blue
Color of Your Hair
Brown
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
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
George Robertson
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name George Robertson
AS APPEARS ON THE SERVICE ROLL
november
1898
Date of Birth ..
....
DAY
MONTH YEAR
Place of Birth.
Wellesley Hello
maga
..
CITY OR TOWN
STATE OR COUNTRY
Green.
Canton, masa
Place of Residence When Entering the Service.
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Times
2745 Wash. St. Canton Masa
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted
Enlisted
Date and Place of Enlistment June 21, 1916. Boston
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty June 21 1916
Give Government Identification Tag Number. 60045
Co., Regt., Ship, or Service, First Assigned to and Date Co. B. 101st. Sul.
51st Brig. 26th. Div
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
1/c Private
If Commissioned Officer Give Date of Commission ..
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