USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 15
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 15
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If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Any Service in American Expeditionary Force or Cinadian or Allied Force Overseas Ofes
american
If so, Date and Ship from the United States or Canada
Pastorie
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
Sept 21 1917
Port of Arrival Overseas.
It nazaire
Date and Ship Sailed Returning Home
Deb. 61919, matsonia
Port Sailed from Returning Home
Bordeaux
Date of Arrival from Overseas
Deb 15, 1919
Place of Arrival in United States
Hoboken
Important Places Where Stationed Overseas.
Neufchateau
Touro.
Blais
Participated in What Battles and Dates of Same.
Chemin-de-dames
Deb. 21. Tout June 20. Chateau Thierry,
July 17, St Michiel Oct 25.
Wounded or Other Injuries Received in Action, Place and Date
Gassed-
Chateau Thierry July 18. Tout Sector
two machine gun bullets, June 25.
If Confined in Hospital, During What Time and Place
Base #43, Blais
July august, Sept
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 mexican Border Service June 1916- Nov. 1916.
When Discharged from Service.
march 15, 1919
Where Discharged from Service
Camp Deveno mago
For What Reason Discharged from Service
Disabled
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 .. Cutter
Married or Single Lungle
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.
Peter & Robertson, Canton
Name of Mother and Place of Residence.
Cath
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.
1645032
What Was Your Weight When Entering the Service
155 lbs.
Your Height in Feet and Inches.
5/ 11/2"
Your Complexion-White or Colored
White
Color of Your Eyes.
..........
Blue
Color of Your Hair
Braun
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Jahr Haman, Dorchester maxx Frank martin, Somerville Frank Sullivan Charlestown"
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
Dana R. Robie
COMPLETE NAME.
NO INITIALS. PLEASE WRITE PLAINLY
Name Dona.
R. Rafie
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
.......
6
may
1895.
DAY
MONTH YEAR
amesbury
masa
Place of Birth ..
.....
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 729 Wach. Canton Mars.
STREET AND NUMBER .
CITY OR TOWN STATE
Place of Residence at Present Time 16 Endicott Cantow, Mass.
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment Taunton, Nov 30, 1917
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Dec 7. 1917.
Give Government Identification Tag Number. 2489215
Co., Regt., Ship, or Service. First Assignel to and Date 2nd Div. aviation Squadron 27 Other Regiments, Ships or Branches of Services, Transferred to and Dates 833 Squad
Field #2, Gen. Supply Concen. Camp
Rank While in Service.
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 Naco Texas
Hempstead L.l.
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas american
If so, Date and Ship from the United States or Canada
may 11,12 Quelem
Port Sailed From for Overseas
Liverpool
Date of Arrival Overseas
may 22, 18
Port of Arrival Overseas.
Liverpool
Date and Ship Sailed Returning Home.
nov 23 1918
Port Sailed from Returning Home
Liverpool
Date of Arrival from Overseas
Dec 4 1918
Place of Arrival in United States
New york
Important Places Where Stationed Overseas.
Grantham Winchester
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 14, 1918
Where Discharged from Service
Camp mille L.S
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. Railroad Fireman
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.
Raymond Robie, Canton
Name of Mother and Place of Residence
Justine Robie
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.
ono.
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.
......
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
Norman Leander Robinson
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
norman
Leander Polucon
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
9
October
1896
DAY
MONTH
YEAR
nova
Scotia.
Place of Birth.
annapolis
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service.
6 Waverly Roxbury Mare
STREET AND NUMBER
CITY'OR TOWN
STATE
Place of Residence at Present Time 580 Main, Rutland, Oregon
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment.
Date and Place Where Drafted.
June 5, 17, Canton mass
Date and Place Where Mustered In or Reported for Duty Canton nov 2017
Give Government Identification Tag Number.
....
1676147
Co., Regt., Ship, or Service, First AAssigned to and Date
29th Co. 15, Depot Brig. 20th Nov. 1917.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
Cook
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
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 5,1918
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. Trope business
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.
Edward Polencon nova Scotia
Name of Mother and Place of Residence.
Harriet
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
James a. Robinson
5408n. Sawyer ave, Chicago, All. Frank Robinson Chicago Il
Have You a War Risk Insurance Policy. Give Number of Policy.
What Was Your Weight When Entering the Service
130 lbs.
Your Height in Feet and Inches.
5/ 5/2''
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 Joseph H Wilcock Barry masa Walter Hermes, Troy n.4
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
Edward Joseph Rockett
COMPLETE NAME
NO INITIALS.
PLEASE WRITE PLAINLY
Name
Edward . Rockett
......
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
6
Janu
.......
1891
DAY
MONTH
YEAR
Ireland
Place of Birth
Tram
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service.
96 Bolivar Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
96 Bolivar Canton maso
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment
Date and Place Where Drafted
august 30, 1918
Date and Place Where Mustered In or Reported for Duty aug. 30, 1918
Give Government Identification Tag Number
Co., Regt., Ship, or Service, First Assigned to and Date
yth. Co. 2nd. Batt.
152 nd. Depot Brig.
Other Regiments, Ships or Branches of Services, Transferred to and Dates Headquarters Co. Sept 21,1918.
2 et Cd. 42nd. Auf. Och 4, 1918
Rank While in Service. vate
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 n. 4
Any Service in American Expeditionary Force or Canadian or Allied Foree 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. Steam fitter
Married or Single married
If Ever Married, Maiden Name of Wife (or Wives) Cath, E Regan
Date and Place of Marriage to Wife (or Wives)
Nov 20'19, 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 His Death or Divorce
Names. Ages and Places of Birth of All Children, if any
..
Name of Father and Place of Residence James Rockett Waterford Ire.
Name of Mother and Place of Residence ..
11
",
Are You Without the Foregoing Relatives in This Country
If So. Have You a Brother or Sister Here.
Yes
And if so. Give Full Name and Address of Either or Both
Nellie Rockett 39 Thomas Park, S. Boston.
Have You a War Risk Insurance Policy
no.
Give Number of Policy.
What Was Your Weight When Entering the Service
175 lbs.
Your Height in Feet and Inches.
5/ 10/2"
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 Francis Mc Dermott Canton maso James Cleary
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
Edward Rogers
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINL
Name James Edward Rogers
AS APPEARS ON THE SERVICE ROLL February .... :1893
Date of Birth
24
DAY
MONTH
YEAR
Place of Birth.
Canton
masa
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service. 68 Pand Canton Mars
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time ..
68 Land, Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment
Boston,
Jan 27, 1918
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Boston, Jan 30, 1918
Give Government Identification Tag Number. 1115549
Co., Regt., Ship, or Service, First Assigned to and Date
Ist Training Brig.
Other Regiment-, Ships or Branches of Services, Transferred to and Dates.
7th. Co. a. S. S. C. U. I air Service
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
Kelley Field, Texas.
Camp Sevier.
J.O
Quera
cas
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas american
If so, Date and Ship from the United States or Canada
June 24, 1918
Port Sailed From for Overseas
New york
Date of Arrival Overseas
July J, 1918
Port of Arrival Overseas.
Southampton
Date and Ship Sailed Returning Home.
Dec 12 1918
Port Sailed from Returning Home.
Date of Arrival from Overseas.
Dec 30 1918
Place of Arrival in United States
Important Places Where Stationed Overseas.
Break
Dover.
..
Marake by Sea
Eng
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 mills, n. 4.
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.
Paper worker
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.
anthony Rogers (Deceased)
Name of Mother and Place of Residence
mary
"1
Are You Without the Foregoing Relatives in This Country
If So, Ilave You a Brother or Sister Here.
And if so, Give Full Name and Address of Either or Both
Belle Rogers, 68 Pond, Canton Mass
Ilave You a War Risk Insurance Policy.
no.
Give Number of Policy
What Was Your Weight When Entering the Service
160 lbs .
Your Height in Feet and Inches.
5/ 11/2"
Your Complexion-White or Colored
Color of Your Eyes.
Brown
Color of Your Hair
Black
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Ralph Deady Clark St. .. Jahre Gorman Smith Hill Prov PO
Thomas ahearn, E Walpole mass
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 liere any matter of interest relating to Your Service. )
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
Stanislaw Roman
anski
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
ist
December
Decem
893
Place of Birth. .... ....
Meracz
Poland
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 54 Rockland St. Canton Mars.
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
, Pierce Place
Canton. Mass.
STREET AND NUMBER
GITY OR TOWN
STATE
Enlisted or Drafted
Enlisted
Date and Place of Enlistment
abril 2 1918
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty
y Stingham Press. april 2.1918
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date
Other Regiment-, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
Second class seaman-First Third class confertips
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Stringhan-Wakefield
Pumpkin Island - Provincetown Boston section
DAY
MONTH YEAR
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 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.
Peter Romanosbei : Poland
Name of Mother and Place of Residence ..
Katherine
..
Are You Without the Foregoing Relatives in This Country
yes
If So, Have You a Brother or Sister Here
lista
And if so, Give Full Name and Address of Either or Both
anastasia Romanonabi
Have You a War Risk Insurance Policy.
no
Give Number of Policy.
What Was Your Weight When Entering the Service
Your Height in Feet and Inches.
Your Complexion-White or Colored
White
Color of Your Eyes.
Light blue
Color of Your Hair
1 Bland
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 1jea If Foregoing Record is of One Deceased, Give Date of Deathi
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 Fe 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 Rosenblatt
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Samuel
Rosenblatt
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
16
may
1887
DAY
MONTH
YEAR
Place of Birth
Boston
maga
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 16 Sancola, Canton Mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
16 Lincoln Canton mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment Canton Nov 11, 1918
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Camp Deveno, nov 11,1918.
Give Government Identification Tag Number.
4196525
Co., Regt., Ship. or Service, First Assigned to and Date Depot Brig. 19th. Co. 5th. Batt.
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Dec 4, 1918. 3rd. O. 1st. Batt. 151 st. Depat Brig.
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 Devers Mass
..
Any Service in American Expeditionary Force or Canadian or AAllied 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.
Debe 6,1919
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 manufacturing
Married or Single
married
If Ever Married, Maiden Name of Wife (or Wives)
Sophia Liberman
Date and Place of Marriage to Wife (or Wives).
Jan 14, 1910
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
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
..
Harry, Oct 14, 1910, Boston, mase
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