USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 2
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 2
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Place of Arrival in United States
Boston
Important Places Where Stationed Overseas.
Tout Sector Chatteau
Thierry
It mihiel Verdun
Participated in What Battles and Dates of Samec
2nd Marne July 1918
It michiel Sept. 1918. Cheman des
Dames Del-mar, 1918. meuse argonne
Oct- Nov 1918.
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 Serviee
april 29, 1919.
Where Discharged from Service
Camp Deveno maso
For What Reason Discharged from Service
Demobilization
If Given Medal of IIonor, 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. Clerical
Married or Single Married
If Ever Married, Maiden Name of Wife (or Wives)
Beatrice Bryder
Date and Place of Marriage to Wife (or Wives)
Canton Jan 16 1916.
Date and Place of Death of Wife (or Wives)
If Any Divorce, Date and Place Where Granted
If Married was Your Wife Ever Married Before Married to You
no
If So, Name of Former Husband, and Date and Place of His Death or Divorce
Names, Ages and Places of Birth of All Children, if any
Name of Father and Place of Residence.
Frank of Velle N. Stoughton
Name of Mother and Place of Residence
marthaC.
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. .....
..... no
What Was Your Weight When Entering the Service 5' 6/2''
132 Cho
Your Height in Feet and Inches.
Your Complexion-White or Colored
white
Color of Your Eyes.
.......
Blue
Color of Your Hair Light Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades .. Charles maker, Roxbury Mass
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
Cornelius Edward Kelleher
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Cornelis Edward Kelleher
AS APPEARS ON THE SERVICE ROLL
august
1894.
Date of Birth.
12
DAY
MONTH
YEAR
mass
Place of Birth.
Canton
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service /27 Mechanic Canton Mass
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time./27 Mechanic Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment.
Date and Place Where Drafted
Canton Oct 4 1918
Date and Place Where Mustered In or Reported for Duty Oct 5, 19 Camp Devers Maso
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date
Con. 302 nd luf.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Co. C. 307 Reg. Enquiero
Base Hospital, Camp Gordon Ga.
Rank While in Service.
Private
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
Camp Devers Maso.
If Not Overseas, Where Stationed While in Service
. ..
Camp Gordon
..
.......
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. 22 1919
Where Discharged from Service
Camp Gordon, La.
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.
James Kelleher (Deceased)
Name of Mother and Place of Residence.,
Julia
1.
...............
Are You Without the Foregoing Relatives in This Country
yes
If So, Have You a Brother or Sister Here.
....
And if so, Give Full Name and Address of Either or Both
Thomas Kelleher,
Canton maso
annan
"
Have You a War Risk Insurance Policy.
no.
Give Number of Policy.
......
What Was Your Weight When Entering the Service
1131/2 lbs.
Your Height in Feet and Inches.
51 6'/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
frank Bergen Rochester ny
.... Joseph Marerico Hazelton, Da.
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 Cornelius Joseph Kelleher COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
...... ...
Name
Cornelius Joseph Kelleher
AS APPEARS ON THE SERVICE ROLL
Date of Birth
27
march
1897
Place of Birth.
Canton.
DAY
MONTH
YEAR
masa
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 226 Neponset Cantow Maso
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time 226 Neponset Canton, Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment
Canton ...
Jeps 3, 1918
Date and Place Where Drafted.
Date and Place Where Mustered In or Reported for Duty
Camp Devens, Sept 3,18
1282121
Give Government Identification Tag Number
19th. Go 5th Batt
Co., Regt., Ship, or Service, First Assigned to and Date
151 st. Depot Brigade.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
33rd Coast artillery
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 Eustis, Va
Dort andrews,
Boston
Harbor
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 23 1918.
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. Neponset Woolen mille
Married or Single Seigle
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 Kelleher Canton
Name of Mother and Place of Residence
Catherine
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
139 lbs
Your Height in Feet and Inches.
5'9'
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
Have You a Photograph of Self, in Service Uniform, to Give Town 0220 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
Lysander
Schaffer
Kemp
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY 1st. Leur Lysander & Kemp m.C Name
AS APPEARS ON THE SERVICE ROLL
June
1889
Date of Birth. 21
DAY
MONTH
YEAR
Place of Birth.
Cambridge
mare
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service. Randolph Canton, Mars
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time.
Randolph, Canton, Mars
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted. Enlisted
Date and Place of Enlistment./. Boston Mars apr. 11 1918.
Date and Place Where Drafted.
Date and Place Where Mustered In or Reported for Duty May 8.1918
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date medical Campo. Orthopedic Surger igery
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Jagmedow May 12- July 31'18. Port Emb n.y. aug. 18, a. S. D. Nov. 11'18 to apr. 22,19.
Rank While in Service Leif.
If Commissioned Officer Give Date of Commission april 11, 1918.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service Hoboken n.J.
New york. Quera
....
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas 1
yea
If so, Date and Ship from the United States or Canada
accaneus nov 1115
Port Sailed From for Overseas
new york
Date of Arrival Overseas
nov 25'18.
Port of Arrival Overseas.
Liverpool
Date and Ship Sailed Returning Home.
Susquehanna, apr. 22, 19
Port Sailed from Returning Home
Bordeaux
Date of Arrival from Overseas.
I May 4, 1919
Place of Arrival in United States
newport news
Important Places Where Stationed Overseas.
Base Hospital #114 Beau Desert
Bordeaux, France
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 28, 1919
Where Discharged from Service
Staten beland n. 4
For What Reason Discharged from Service.
Demobilized
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
Physician
Married or Single married
If Ever Married, Maiden Name of Wife (or Wives)
Dorothy Schontag
Date and Place of Marriage to Wife (or Wives)
Dec. 12:17, Wellesley Made
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 Place of Birth of All Children, if any
Name of Father and Place of Residence.
Edwin E Kemp Winchester Mars
Name of Mother and Place of Residenee
Helena R.
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
3113380
Give Number of Policy.
....
What Was Your Weight When Entering the Service
(2) 5 / 7/4"
Your Height in Feet and Inehes.
" 140 lhe
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 Pussel Ca. Gilmore Michigan City Ind. Henry B Homas, Chicago andrew P. Mac ausland, Boston 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 here any matter of interest relating to Your Service.)
....
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name Drank Lester Rendall
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
.......
Name Kendall, Frank Lester AS APPEARS ON THE SERVICE ROLL
Date of Birth ..... 23 march 1895
Place of Birth.
milton
DAY MONTH YEAR nova Scotia
CITY OR TOWN STATE OR COUNTRY Place of Residence When Entering the Service 2253 Washington Canton Maso STREET AND NUMBER FITY OR TOWN STATE
Place of Residence at Present Time 2346 Washington Carton, Mass. STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted. Enlisted
Date and Place of Enlistment.
May 22'17 South armory Boston
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty July 25, 17 Boston, Mass
Give Government Identification Tag Number. 3551
Co., Regt., Ship, or Service, First Assigned to and Date 2nd ambulance Co. 26the Division
Other Regiments, Ships or Branches of Services, Transferred to and Dates. 103 ambulance Corpo, 101 st Sanitary Train 26th Division
Rank While in Service. Wagoner
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 american
If so, Date and Ship from the United States or Canada
Canada. Sept 16,17.
Port Sailed From for Overseas
montreal
Date of Arrival Overseas
Oct 2, 1917.
Port of Arrival Overseas.
Liverpool
Date and Ship Sailed Returning Home.
Winfriedian. apr. 6, 19
Port Sailed from Returning Home.
Brest
Date of Arrival from Overseas.
apr 19,19.
Place of Arrival in United States Commonwealth Pier, Boston.
Important Places Where Stationed Overseas. Neufchateau Sucesiones Tout Chateau Thierry Les Charges, .... ... Verdun Montigny. Sur fiene, Bree ant.
Participated in What Battles and Dates of Same line-Socison 0 Del mar.' Tout apr- June 1918. Chateau Thierry July'18 Marne July' 18. It Mihiel Sept 1918, Mensen argonn ne Och- nov 1918
Wounded or Other Injuries Received in Action, Place and Date
Gagged an Tout Sector May: 10,1918.
If Confined in Hospital, During What Time and Place
If Prisoner by Enemy, Date and Place of Capture.
Places Confined
Date and Place Released
Give Record of Service in Army or Navy before the German War if Any
When Discharged from Service.
april 29,1919
Where Discharged from Service
Camp Devers maso
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 Grocery Clerk
Married or Single Luigle
If Ever Married, Maiden Name of Wife (or Wives)
Date and Place of Marriage to Wife (or Wives)
Date and Place of Death of Wife (or Wives)
If Any Divorce, Date and Place Where Granted
If Married was Your Wife Ever Married Before Married to You
If So, Name of Former Husband, and Date and Place of His Death or Divorce
Names. Ages and Places of Birth of All Children, if any
Name of Father and Place of Residence.
Herbert @ Kendall, Cantou, Mass
Name of Mother and Place of Residence.
Sadie J
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 .. ....... 2137850
What Was Your Weight When Entering the Service
1491/2 lbs
Your Height in Feet and Inches.
5' 6'/2"
Your Complexion -- White or Colored
White
Color of Your Eyes ...
....
Gray
Color of Your Hair
....
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Richard Barrow Canton marx Ray nichale Herbert Guild
Have You a Photograph of Self, in Service Uniform, to Give Town 400
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 Frank Michael Benefic
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Frank Michael Zenefic
AS APPEARS ON THE SERVICE ROLL
Date of Birth. 30 September
DAY
MONTH
YEAR
1893
Place of Birth.
.............
Canton
masa
CITY OR TOWN
STATE OR COUNTRY Place of Residence When Entering the Service/02 Mechanic Cantou mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time. 102 mechanic Canton, Mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted. Enlisted
Date and Place of Enlistment
aug 1, 1917 Sb. Slocum ny
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty At Slocum, aug 1,17
Give Government Identification Tag Number. 27324
Co., Regt., Ship, or Service, First Assigned to and Date 25th. Recruiting Bara che
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Signal Corps aviation 66 Squadron Texas. 478 th dera Squadra
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
Querse
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
H. R. Mallory. Jan 18, 18
Port Sailed From for Overseas
Newport news. Ud
Date of Arrival Overseas
Jeb. 5, 1918
Port of Arrival Overseas.
Break
Date and Ship Sailed Returning Home.
Orca. Nov. 22 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.
Break La Havre
Winchester
Stockbridge, 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. Dec 15, 1918.
Where Discharged from Service
Camp mills L. Is
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
Chauffeur
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.
John Benefic, Canton Mass.
Name of Mother and Place of Residence
Catherine
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.
no.
Give Number of Policy. ..... ...........
What Was Your Weight When Entering the Service
150 lbs
Your Height in Feet and Inches.
5'10'
Your Complexion-White or Colored
white
Color of Your Eyes.
Blue
Color of Your Hair
Black
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Charles M. Wrenn Waterbury Com. Charles Murphy Providence P.S.
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 he 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
Thomas a. Rennally
COMPLETE NAME.
NO INITIALS. PLEASE WRITE PLAINLY
Name
Thomas
a tennally
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
....
30
December
1895-
DAY
MONTH
YEAR
Place of Birth
Canton
CITY OR TOWN
STATE OR COUNTRY
mage
Place of Residence When Entering the Service 1859 E- 86the Cleveland, Ohio
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time 1753 Broadway n.C. City
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment ..
Jan 14,18 Cleveland, Ohio
Date and Place Where Drafted.
Date and Place Where Mustered In or Reported for Duty Mar. 8.18 Newport Plo
Give Government Identification Tag Number.
Co., Regt., Ship, or Service. First Assigned to and Date mar 8-U. S. Training Station Newport P. D. 8 Reg. 11 Co.
Other Regiments, Ships or Branches of Services, Transferred to and Dates
ers' mate
School
Rank While in Service.
Le aman
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
U. Snaval Training
Station, Newport R.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
Deve 8 1919
Where Discharged from Service
Newport, P.S.
For What Reason Discharged from Service
Request S. O. S. n
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 Clark
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)
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