USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 23
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 23
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Wounded or Other Injuries Received in Action, Place and Date
If Confined in Hospital, During What Time and Place
Base $,8 Chaumont
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 28 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. 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 Residence. Peter Wells, Chazy n.y.
Name of Mother and Place of Residence many 11
Are You Without the Foregoing Relatives in This Country
ono.
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 143/2 lbs .
Your Height in Feet and Inches.
5'7'
Your Complexion-White or Colored
white
Color of Your Eyes .. .........
Brown
Color of Your Hair
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Ralph Dalkino, arlington, Mase Wilton Jardine
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.)
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name Herbert Hyman Weresky
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Herbert Af. Herecky
AS APPEARS ON THE SERVICE ROLL
august
1897
Date of Birth.
2
DAY
Canton
MONTH
mass
YEAR
Place of Birth.
.....
CITY OR TOWN
STATE OR COUNTRY Place of Residence When Entering the Service 16 Lincoln 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.
Enlisted
Date and Place of Enlistment
July 10,18 It Warren Mass
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty aug 10'18 Dr. Warren
Give Government Identification Tag Number. ....... 2454281
Co., Regt., Ship, or Service, First Assigned to and Date Co31 S. a. P. D Unit $3 C. a.c.
Other Regiments, Ships or Branches of Services, Transferred to and Dates. 2nd. Co 1st Batt. 151st. Depot Brig Battery C. 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 At Warren St. andrews Camp Eustis Va
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.
Plaees 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
Campo 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 Deeorations
Kind of Occupation Before War Service. Rubber 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
Joseph Menesky, Canton
Name of Mother and Place of Residence.
Кевисса
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
Ilave You a War Risk Insurance Policy
no.
Give Number of Policy. .....
What Was Your Weight When Entering the Service
124 lbs
Your Height in Feet and Inches.
5'7'
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
arthur Taylor Canton maso ...
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.
Wentworth
Name Chester J 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 ... Washington It - Canton Mass.
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time Washington St Canton . Mass.
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted.
Date and Place of Enlistment.
Date and Place Where Drafted.
Date and l'lace 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 Sansa E Wentworth - Deceased
Name of Mother and Place of Residence Evelyn J. Wentworth Canton- Mas Are You Without the Foregoing Relatives in This Country
If So, Have You a Brother or Sister IFere. ....
.....
And if so, Give Full Name and Address of Either or Both
Have You a War Risk Insurance Policy
Give Number of Policy
What Was Your Weight When Entering the Service
Your Height in Feet and Inches.
Your Complexion -- White or Colored
Color of Your Eyes. ....
Color of Your Hair
Give Names and Addresses of Two or Three of Your Most Intimate Comrades
Have You a Photograph of Self. in Service Uniform, to Give Town If Foregoing Record is of One Deceased, Give Date of Death Give Place of Death and Place of Burial. Give Burial Lot Number. ......
Any Monument or Headstone Marked to Deceased Where Buried Any Memorial for Deceased in Other Cemetery Than Where Buried
If Grave is Unmarked Will Permission 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.)
V
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
William James White
COMPLETE NAME.
NO INITIALS.
PLEASE WRITE PLAINLY
Name Milliar m. James White AS APPEARS ON THE SERVICE ROLL
Date of Birth
....
31
December
1898
DAY
MONTH YEAR
Place of Birth Canton
mass
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service, 193 Pleasant, Cantou, Mass
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time.
Bailey
Carton mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted. Enlisted
Date and Place of Enlistment
Oct 21,1916 Boston
Date and Place Where Drafted.
Date and Place Where Mustered In or Reported for Duty Oct 21, 1916, Boston
Give Government Identification Tag Number. ...... .....
1718812
Co., Regt., Ship, or Service. First Assigned to and Date "new york"
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service. 2.3/2, 22/0 2/c. Water Tender
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 British. Grand Oleet
If so, Date and Ship from the United States or Canada n. C. 1st trip nov 29, 17.
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. 9. 1919
Where Discharged from Service
Bremerton Wash.
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 apprentice
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 White Bailey Canton
Name of Mother and Place of Residence.
margaret ....
..
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
5/ 8/2"
160 lbs.
Your Height in Feet and Inches.
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
Harald Larson Indianapolis Ind.
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.) Present at surrender of German Oleet
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
Thomas Edward Whitty
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Thomas Edward Whitty
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
.....
6
July
MONTH
1892
DAY
YEAR
Place of Birth.
Canton
masa
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 66 Rockland, Cantou, Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time 110 High Canton mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted
Drafted
Date and Place of Enlistment. Canton, Oct 5, 1917
Date and Place Where Drafted.
Date and Place Where Mustered In or Reported for Duty Oct 8, 17. Camp Devers
Give Government Identification Tag Number. 1676770
Co., Regt., Ship, or Service, First Assigned to and Date
Cor. 302 nd. Jul.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Depot Brig
14th. Co. 4 th. Batt, Nov. 1917.
104 the Ing.
Headquarters Co. Class. Camp. Ist Depot Div.
Rank While in Service.
Private, Corp. Serait
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
Overseas
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
mt. Vernon. apr. 19, 1918.
Port Sailed From for Overseas
New york
Date of Arrival Overseas
april 2 8, 1918
Port of Arrival Overseas.
Break
Date and Ship Sailed Returning Home
march 27, 1919 mt Vernon
Port Sailed from Returning Home.
Brest
Date of Arrival from Overseas.
april 4, 1919
Place of Arrival in United States
Boston mass
Important Places Where Stationed Overseas.
IS aias
man Ora.
and
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.
april 28, 1919
Where Discharged from Service
Camp Devena
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 ............
married
If Ever Married, Maiden Name of Wife (or Wives)
Katherine Kelliker
Date and Place of Marriage to Wife (or Wives)
W. Stoughton. Nov 27, 19 .
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
Nm. 2 Whitty, Canton
Name of Mother and Place of Residence annie 11 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
5' 10'/2"
180 lbs.
Your Height in Feet and Inches.
Your Complexion-White or Colored
white
Color of Your Eyes ..
Brau
Color of Your Hair
Braun
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Robert Rand Bramy n. 4 2.96. ME Enaney, Canton mass andrew Smith Holyoke 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.
m Les Whitty
Name
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
William D. Whitty
AS APPEARS ON THE SERVICE ROLL
Date of Birth. ...... ......... 7 DAY
July
1897
MONTH
YEAR
Place of Birth
Canton
masa
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 6 amis ave Canton mass
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Tim
26 mechanic Carton Mass
STATE
Enlisted or Drafted.
Enlisted
STREET AND NUMBER
CITY OR TOWN
Boston
Date and Place of Enlistment
may 23, 1917.
Date and Place Where Drafted.
Date and Place Where Mustered In or Reported for Duty may 23,1917, Boston
Give Government Identification Tag Number. 60215
Co., Regt., Ship, or Service, First Assigned to and Date Co. C. 101 st. Sul
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
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
Querelas
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
Tenadora
0,
Sept. 6,17
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
Sept 21, 1917
Port of Arrival Overseas.
Ir nazaire
Date and Ship Sailed Returning Home
Sidney. apr. 17, 1919
Port Sailed from Returning Home
Bordeaux
Date of Arrival from Overseas.
april 27, 1919
Place of Arrival in United States
Hoboken
Important Places Where Stationed Overseas.
Neufchateau, Tout.
Cheman.
des Dames, Chateau Thierry,
It mihiel Verdun argonne
Participated in What Battles and Dates of Same. Chateau Thierry-Sept 18-25. Ir mihiel Sept 12-13
Verdure -.
argonne
Wounded or Other Injuries Received in Action, Place and Date
Gassed at argonne, Oct 23, 1918
If Confined in Hospital, During What Time and Place
Nevera, Oct 23, 1918
Bardeaux Base Hosp #14, Ev 20 Jan 20, Broken leg
If Prisoner by Enemy, Date and Place of Capture.
Places Confined
Date and Place Released
Give Record of Service in Army or Navy before the German War if Any
When Discharged from Service
may 16, 1919.
Where Discharged from Service
Camp Devens
For What Reason Discharged from Service
Demobilization
If Given Medal of Honor, Give Action and Date .. ........
If Given Citation or Certificate of Merit, Give Service and Date
Other Medals and Foreign Decorations
Kind of Occupation Before War Service. 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 Residence
David Whitty (Deceased)
Name of Mother and Place of Residence.
Eliza Whitty, 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.
no
Give Number of Policy
What Was Your Weight When Entering the Service
15/ lho.
Your Height in Feet and Inehes.
5/7/2"
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 Patrick Murphy, Charlestown maso Daniel OConnor Dorchester 11.
Jahre Hennessey Charlestonin,
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 Robbins Wild
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Jama
Robbins Wild
AS APPEARS ON THE SERVICE ROLL
Date of Birth. 3 June
1886
DAY
MONTH
YEAR
Place of Birth
Quincy
mago
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service /783 Mask, Canton Mass
STREET AND NUMBER CITY OR TOWN STATE Place of Residence at Present Time 1783 Wash, Carton Maso STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted
Enlisted
Date and Place of Enlistment
New york City, July 10, 1917,
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Camp Sherman, Nov 8, 17
Give Government Identification Tag Number. 1973893
Co., Regt., Ship, or Service, First Assigned to and Date
Co. a. 319 the Field
Signal Batt
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
Private, Corporal. Sergeant
If Commissioned Officer Give Date of Commission ..
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Camp Sherman Ohio
Overa
alas
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
america may 8,1918.
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
may 18, 1918
Port of Arrival Overseas
Break
Date and Ship Sailed Returning Home.
Italia may 10, 1919
Port Sailed from Returning Home.
marçailles
Date of Arrival from Overseas.
may 29,1919
Place of Arrival in United States
New york
Important Places Where Stationed Overseas.
Handelaccount La
Derte-sous-jouarre-Tout-Ouches- Dux-
surmeuse, Bar-sur-aube
Participated in What Battles and Dates of Same.
Ir michiel drive
argonne
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.
June 6, 1919
Where Discharged from Service
New york City
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. accounting
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 R. Wild (Deceased)
Name of Mother and Place of Residence.
Jeannie
11
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
Give Number of Policy.
What Was Your Weight When Entering the Service
180 lbs
Your Height in Feet and Inches.
5/11"
Your Complexion-White or Colored white
Color of Your Eyes. .... ....
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