USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 18
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 18
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Give Number of Policy. ........
What Was Your Weight When Entering the Service 135 lbs
Your Height in Feet and Inches.
....
5/5/2"
Your Complexion-White or Colored
white
Color of Your Eyes.
Hazel.
Color of Your Hair
Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades 2.A. Trunks, montreal Walter Greenwood, Ontario Canada
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.)
In the Hospital Etaples when Germans bombed hospitals, getting 1800 casualties in one week, May 3'18. One hospital was completely cleaned out. I was blown out of a shallow trench by are aerial bomb
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
Clayton C. Sidelinger
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Clayton C Sidelinger
AS APPEARS ON THE SERVICE ROLL
Date of Birth
22
DAY
January
1896
MONTH
YEAR
Place of Birth .... .....
Lynn,
mars
CITYY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service
Kenney.
Carton maso
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
Mc Lean Hosp Waverly maso
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment
Date and Place Where Drafted
Canton april 26, 1918
Date and Place Where Mustered In or Reported for Duty
Canton
Give Government Identification Tag Number.
..........
1692589
Co., Regt .. Ship. or Service, First Assigned to and Date
301 st Infantry
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
4 th
P. Engineer
1
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
Overseas
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas amer can
If so. Date and Ship from the United States or Canada
Cedric
Port Sailed From for Overseas
Holaken
Date of Arrival Overseas
July 16, 18
Port of Arrival Overseas.
Date and Ship Sailed Returning Home
Von Stuben July 23 '19
Port Sailed from Returning Home ..
Break
Date of Arrival from Overseas.
July 30 '19
Place of Arrival in United States
Habraken
Important Places Where Stationed Overseas.
It again angers
Ramfort Vignot,
Coblenz, Ger.
Participated in What Battles and Dates of Same Ir mihiel Sept 12-16 18. Meuse argonne Lyxt 26 - Oct 1818 army of Occupation Nov 1 7'18 - July 10 '19
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.
august 5 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. Sailor
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. Deceased.
Name of Mother and Place of Residence. Juanida Sidelunger, Mattapan
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 136 lbs
Your Height in Feet and Inches. 517'
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 Ford & Berry, Salahuge Del. Victor Spice Bath 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.
Lima
0
Name William ... ... COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name William ....
Simons AS APPEARS ON THE SERVICE ROLL
Date of Birth ..........
16
march
1890
DAY
MONTH
YEAR
Place of Birth
Boston
CITY OR TOWN
STATE OR COUNTRY
mare
Place of Residence When Entering the Service 33 Rockland Carton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
33 Rockland, Canton Maso
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment
Date and Place Where Drafted. .....
Date and Place Where Mustered In or Reported for Duty July 15 18
Give Government Identification Tag Number.
2797420
Co., Regt., Ship, or Service, First Assigned to and Date Rhode Island State
College, Auf. Trainin Detach.
Other Regiment, Ships or Branches of Services, Transferred to and Dates. 2nd Casual Detach. 37th Regt artillery, Battery a. C. a.C.
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 Kingston P.S. Dort Hancock N.J. Fort Eustis Va H. michie n.J.
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.
march 20, 1919
Where Discharged from Service
Dr. H. G. Wright, n.J.
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.
Cable Splicer n.C. J& J. Co
Married or Single
...........
married
If Ever Married, Maiden Name of Wife (or Wives).
Lea E. Blanc
Date and Place of Marriage to Wife (or Wives)
april 27'16 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
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
William L. Canton May 31, 1917.
Name of Father and Place of Residence.
William & Simons (Deceased)
Name of Mother and Place of Residence
Katherine
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
John J. Semons Dorchester Maso
Have You a War Risk Insurance Policy.
Give Number of Policy.
....
.................
3345904
What Was Your Weight When Entering the Service
128 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 alfred Nadarette Pawtucket Pl Harold Wright, Back Bay Boston Mass John Crowell New London Com
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 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
Charles Wentworth
Simpson
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Charles Wentworth.
Simpson
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
16
may
1895
DAY
MONTH
YEAR maso
Place of Birth
Canton
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service!
Randolph, Carton mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
Randolph, Cantou, maso
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted
Drafted
Date and Place of Enlistment.
Nov 20,'17 Canton
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Camp Deveno nov 20, 17
Give Government Identification Tag Number. 1675904
Co., Regt., Ship, or Service, First AAssigned to and Date 29 th. Co. 8th Batt.
Depor Brig. Nov 25. 5 th Batt, Jan 1,'18. 6th Batt, Mar 12.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Base Veterinary Hospital $1. april 12 18
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 Devens
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas amen can
yes
If so, Date and Ship from the United States or Canada
Czaritsa april 16,18
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
april 28'18
Port of Arrival Overseas.
Break
Date and Ship Sailed Returning Home. may 28, 19 Pres Grant ....
Port Sailed from Returning Home
Brest
Date of Arrival from Overseas.
June 9 1919
Place of Arrival in United States
Boston
Important Places Where Stationed Overseas.
nievre
Participated in What Battles and Dates of Same .....
Wounded or Other Injuries Received in Action, Place and Date
If Confined in Hospital, During What Time and Place aug 16-22/18 Camp Hospital 28, Maso Hoop Center, aug 22- Sept 23,'18
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 17, 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. machinist
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 Residen
JonathanE Simpson, Cantou
Name of Mother and Place of Residence.
Emma B
11
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.
....
568270
What Was Your Weight When Entering the Service
126/2 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 Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades
Have You a Photograph of Self, in Service Uniform, to Give Town
If Foregoing Record is of One Deceased, Give Date of Death Give Place of Death and Place of Burial Give Burial Lot Number.
Any Monument or Headstone Marked to Deceased Where Buried Any Memorial for Deceased in Other Cemetery Than Where Buried
If Grave is Unmarked Will Permission be Given to Set a Government Headstone.
Name and Address of Person Filling Out This Record of Deceased.
REMARKS. (Please give here any matter of interest relating to Your Service.)
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
James
Luther
Skehan
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name James L. Skehan
AS APPEARS ON THE SERVICE ROLL
april
1899
Date of Birth
7
DAY
MONTH
YEAR
Place of Birth
Rockland
mars
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 22 Sherman, Carton mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time 22
Sherman,
Canton mars
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment ..
april 2,'18 Ot Slocum n. 4
Date and Place Where Drafted.
Date and Place Where Mustered In or Reported for Duty
april 19, 1918.
Give Government Identification Tag Number.
Co., Regt., Ship. or Service, First Assigned to and Date
Head quarters Co. 1st. Field artillery
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Battery E.
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 Sill Oklahoma
1
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.
march 22, 1919
Where Discharged from Service
Camp Dix n.J.
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.
Quitter
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 James G. Skehan, Canton
Name of Mother and Place of Residence
Grace L.
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.
Give Number of Policy.
What Was Your Weight When Entering the Service
145 lbs.
Your Height in Feet and Inches.
5/ 10/2"
Your Complexion-White or Colored
Color of Your Eyes.
..........
Blue
Color of Your Hair
Brawn
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Franklin B. Cobb. Canton Mass
Ronald Tracy
Gorham, 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
John melain.
Skehan
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Jahn m. Skehan
AS APPEARS ON THE SERVICE ROLL
Date of Birth. ........... 27 DAY MONTH YEAR
February
1898
Place of Birth
Rockland
maso
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 22 Sherman Canton Mass
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time 22 Sherman ...
Canton Mare
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted. Enlisted
Date and Place of Enlistment
May 18, 1917, Boston Mare
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty May 19'17 At Slocum, n.y.
Give Government Identification Tag Number. 1550359
Co., Regt., Ship. or Service. First Assigned to and Date
Headquarters Co. 76th 2 a
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Battery a 76th & a :- back to Headquarters.
Rank While in Service
Carp Serait, Batt. Serat Maj
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
It Ethan allen Camp
Shelly Camp merritt. Overa
......
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 April 22,18. Mercury
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
May 6, 18
Port of Arrival Overseas.
Break
Date and Ship Sailed Returning Home.
Dec 7'18, mani
Port Sailed from Returning Home
Bordeaux
Date of Arrival from Overseas.
Dec. 17 1918
Place of Arrival in United States
Habaken
Important Places Where Stationed Overseas
Guer, Costiquidam,
Participated in What Battles and Dates of Same. Chateau Thierry July 6- aug 2 18. It mihiel Sept 8-20, 1918. Meuse- argonne, Sept 14- Oct 14, 1918.
Wounded or Other Injuries Received in Action, Place and Date Wounded by shell on leg Oct 14,18. argonne Comest
If Confined in Hospital, During What Time and Place Oct 14-Nov1, Verdun. Nov1- Dec 7 Base Hoop, $14 Bordeaux, Camp Devers, Dec 29, 9% 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 13, 1919.
Where Discharged from Service
Camp Deveno
For What Reason Discharged from Service.
Demobilization
If Given Medal of Honor, Give Action and Date. . If Given Citation or Certificate of Merit, Give Service and Date
Other Medals and Foreign Decorations
Kind of Occupation Before War Service. Bank clerk
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
James & Skehan, Canton
Name of Mother and Place of Residence
Grace L.
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 149 lbs.
Your Height in Feet and Inches
5' 10'
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
Charles Rupert, Hyde Park, mass
Hlave 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 Clarence Leon
Southworth
..
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name ....
AS APPEARS ON THE SERVICE ROLL
June
1891
Date of Birth.
DAY
MONTH
YEAR
Place of Birth. malden
maso
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 32. Sherman, Cantoni mass .....
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Pre ent Time. 67 Lavere e. Canton Mass.
STREET AND NUMBER CITY OR TOWN STATE
Enlisted
Enlisted or Drafted ....
Date and Place of Enlistment. Boston June 4, 1918.
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Hingham
Give Government Identification Tag Number. .... ....
Co., Regt., Ship, or Service, First Assigned to and Date U . n. R. S.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
Chief German
If Commissioned Officer Give Date of Commission
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service Hurgham
Boston nany Gard
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 ..
.....
do
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 11, 1918
Where Discharged from Service
Boston Navy yard
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. Paymaster
Married or Single married
If Ever Married, Maiden Name of Wife (or Wives)
Esther meadows
Date and Place of Marriage to Wife (or Wives)
Oct 14,16 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
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
albert w.
Canton.
May 12, 1917.
Deb 15, 1919
marjorie
Name of Father and Place of Residence
Winslow B. Southworth malden
Name of Mother and Place of Residence.
Emma
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 3529359
What Was Your Weight When Entering the Serviee
155 lbs
Your Height in Feet and Inches.
Your Complexion-White or Colored White
Color of Your Eyes.
.....
Braun
Color of Your Hair
Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades malcolm Sanford, Canton maso William Simone
Have You a Photograph of Self, in Service Uniformi, 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 Ileadstone
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 Karl COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Standish
Name
Karl
Standish
AS APPEARS ON THE SERVICE ROLL
June
1890
Date of Birth.
2
DAY
MONTH
YEAR
Stoughton
mare
Place of Birth ................
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