USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 20
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 20
Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).
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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 1, 1919
Where Discharged from Service
Brooklyn, ny
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. Tool 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.
Frank D. Summer, Canton
Name of Mother and Place of Residence
Edith 8.
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.
T. 2446830
What Was Your Weight When Entering the Service
15 4 lbs .
Your Height in Feet and Inches.
5/q'
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 Im. Lynden, 58 Dundee, Boston, Mass Olivier Evans, Dix ave, Detroit, mich. ... albert Le Blanc Channell New Orleans, La.
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 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 Edward Swardlick
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Edward
Swardlick
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
15
DAY
ma
yay
1897
MONTH
YEAR
Plaee of Birth
Russia
CITY OR TOWN
STATE OR COUNTRY Place of Residence When Entering the Service 40 Salman Canton Mare
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time 40 talman Canton mare
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted. Enlisted
Date and Place of Enlistment
July 16, 1918
Boston
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty
Give Government Identification Tag Number .. Co., Regt., Ship, or Service, First Assigned to and Date 30th, Co. 1et. Reg" Unit De.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
6th Reait
Co 610
Unit 96
......
Rank While in Service.
Leaman 2/c
If Commissioned Officer Give Date of Commission. .....
....
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Hampton Roads
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.
Jan 31, 1919
Where Discharged from Service
Hampton Roads
For What Reason Discharged from Service.
Dependency
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
max Swardlick, 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
yes
Ilave You a War Risk Insurance Policy.
..........
Give Number of Policy.
........
3717697
What Was Your Weight When Entering the Service
5.' 8'/2"
135 lbs
Your Height in Feet and Inches.
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 Louis Danovitch, Carton mass David meyera May Fieldman 4
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
Calvert James
Sweet
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Calvert James
Sweet
5
AS APPEARS ON THE SERVICE ROLL november. 1895-
Date of Birth. ......... DAY
MONTH YEAR
me.
Place of Birth.
Portland
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service (2) Linie Canton Maso STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time 2) Pine, Canton, mass
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted Enlisted
Date and Place of Enlistment Boston navy yard, nov 10, 17
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Dec 5, 17 Boston
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date Bureau of Navigation u.s.n.R. S
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Rec. Ship Phil. May 3, 18 adm. Sini's Office London, June 14, 1918. air Station, Eastleigh Deb. 8,19. Patricia" Mar 27,19
Rank While in Service. German /c. Chief German
If Commissioned Offieer Give Date of Commission ....
If Appointed Offieer Give Date of Every AAppointment
If Not Overseas, Where Stationed While in Service Washington, D.C.
Philadelphia Querelas
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas amer e can
If so, Date and Ship from the United States or Canada Standard arrow, May2,18
Port Sailed From for Overseas
new york
Date of Arrival Overseas
June 3, 1918
Port of Arrival Overseas.
S. Endan Thames
Date and Ship Sailed Returning Home
Patrícia, May 231919
Port Sailed from Returning Home
Break
Date of Arrival from Overseas.
June 3, 1919
Place of Arrival in United States
new york
Important Places Where Stationed Overseas
London Paris, Dunkirk
Eastleigh, antongnes
..
Participated in What Battles and Dates of Same.
Wounded or Other Injuries Received in Action, Place and Date
Injured in
auto accident, It englebert Dr.
July 5,
If Confined in Hospital, During What Time and Place
It Inglebert
July 5 - aug 15 1918
If Prisoner by Enemy, Date and Place of Capture.
Places Confined
Date and Place Released
Give Record of Service in Army or Navy before the German War if Any
When Discharged from Service.
June 8, 1919
Where Discharged from Service
new york
For What Reason Discharged from Service.
By request
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. Clerical Mark
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, AAges and Places of Birth of All Children, if any
Name of Father and Place of Residence Jack C. Sweet (Deceased)
Name of Mother and Place of Residence. Gertrude Canton
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.
200
Give Number of Policy. .............
......
What Was Your Weight When Entering the Service
5/8 "
123 lbs
Your Height in Feet and Inches.
Your Complexion-White or Colored White
Color of Your Eyes .. .....
Color of Your Hair
Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Frank a. Kennedy, Winthrop mace .. Sym F. Kennedy So. Boston 11
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 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 intere-t relating to Your Service.)
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
William Ellery Sweet
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name William Ellery
Sweet
AS APPEARS ON THE SERVICE ROLL
Date of Birth. .... 25 Januar 1900
DAY
MONTH
YEAR
Place of Birth
Portland
maine
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service (2) Pine Canton Maso
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time.
21 Pinie
STREET AND NUMBER
CITY OR TOWN
STATE
Canton Maso
Enlisted or Drafted. Enlisted
Date and Place of Enlistment
Oct 31, 1918 Boston
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty. Paris Sg. &C. Nov. 2,'18
Give Government Identification Tag Number.
Co., Regt., Ship, or Service. First Assigned to and Date
418 th Co. Batt.W.
u & m. C.
Other Regiment-, Ships or Branches of Services, Transferred to and Dates marine Detach. "Oklahoma"
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
Paris Da & C
Quera
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas ....
If so, Date and Ship from the United States or Canada 1
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 11, 1919
Where Discharged from Service
Norfolk Va
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. 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 ..
Jack Sweet (Deceased)
Name of Mother and Place of Residence.
Gert E
Canton
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.
yes
Give Number of Policy.
T. 4420891
What Was Your Weight When Entering the Service
5/ 8 /2"
145 lbs
Your Height in Feet and Inches.
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 Winfield & Linville Lovena, Tex. Charles S. Watt Nestum Springs, Ill
Have You a Photograph of Self, in Service Uniform, to Give Town no.
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.)
Oklahoma lacarted Pres Wilson
across 10 in July 1919
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name Jaseph
Suskene
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
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date
..... .
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
If Commissioned Officer Give Date of Commission
If Appointed Officer Give Date of Every Appointment If Not Overseas, Where Stationed While in Service
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 Ileight 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.)
Resident of Canton but short time
GERMAN WAR SERVICE RECORD
of Canton, Mass.
Name Sherwood Holmes Taber
COMPLETE NAME. /NO INITIALS. PLEASE WRITE PLAINLY
Name
Sherwood St. Taber
AS APPEARS ON THE SERVICE ROLL
Date of Birth. 31 st
DAY
MONTH
YEAR
Place of Birth Stoneham
CITY OR TOWN
Mars
Place of Residence When Entering the Service. 299W aguachinatoSt. Com
STATE OR COUNTRY
STREET AND NUMBER CITY OR TOWN STATE
Fort Randolph Canal Zone.
Place of Residence at Present Time.
STREET AND NUMBER
CITY OR TOWN
STATE
appointed
Enlisted or Drafted. 12nd Lient Coast artillery Corps Ang, 9-1917
Date and Place of Enlistment. Jaking oath of acceptance, Aug 24. 1919 Canton Mass.
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Seht 3.1911- Fortran Monroe Via.
Give Government Identification Tag Number none
Co., Regt., Ship, or Service, First Assigned to and Date 2nd Training Corpus Coast artillery Corps- Fortress Bonne Na. Sept 3-1917
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Dec. 15.1919 to Oct 15 1918 Coast Defense of narragansett Bay Oct: 16-1918 .. Feb. 12-1919-59th Immination Train Rank While in Service and fient C.a.@istFient@.a.C CahtCA.
If Commissioned Officer Give Date of Commission 2 nd fient 8/4/3 1st fient 8/3 Caht,2/3/5
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service : Dept. 3/19 to Nov 21/19 Fortress Monroe. V.a. Was: 15/17 to June 15/18 Fort Sable R.I. June 18 to Feb. 12/9 Fort adams R.I. Feb. 12/19 to present, Fort Randolph, Canal Zone
august
1894
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas home
If so, Date and Ship from the United States or Canada
Port Sailed Fron 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 I: Federal Training Camp. Platteburg 1916 July 5 to Cuq. 8
When Discharged from Service. not discharged
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.
Student
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.
ne Everett Sheword Jaber Canton Mass.
Name of Mother and Place of Residence.
Elizabeth am Taber
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. Mes Give Number of Policy. Unhomme
What Was Your Weight When Entering the Service
125 lbs
Your Height in Feet and Inches.
5 ft. 5/2 inches
Your Complexion-White or Colored
White
Color of Your Eyes.
Brown
roun
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 no
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.)
Original.com na anded a result of
con petitive examination for admission to Regular army held at Cambridge, Mass Cpu- 23-1917
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
arthur Jeremiah Taylor
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name arthur J. Taylor
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
2
august
1896
DAY
MONTH
YEAR mass
Place of Birth.
Canton
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service.
39 Wash, Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
39 Washington Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted
Drafted
Date and Place of Enlistment.
Canton
Sept 3, 1918
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty
Sept 3 1918
Give Government Identification Tag Number.
4/02/36
19th Co. 5 th Batt
Co., Regt., Ship, or Service, First Assigned to and Date 15 et Depat Brig.
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Battery B. 33rd. C. a.c.
Rank While in Service.
Private
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Camp Deveno Camp
Eustis St andrews Of Strong.
.......
Any Service in American Expeditionary Foree 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 Aetion, Place and Date
If Confined in Hospital, During What Time and Place
If Prisoner by Enemy, Date and Plaec 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, 1919
Where Discharged from Serviee
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. automobile mechanic
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 E. Taylor Canton
Name of Mother and Place of Residence
Susanna
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.
yes
Give Number of Policy. .......
3835929
What Was Your Weight When Entering the Service
143 lbs
Your Height in Feet and Inches.
5' 1'/4"
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