USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 3
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 3
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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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
Thomas Kennally, Canton Mars
Name of Mother and Place of Residence.
Bridget
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
Ilave You a War Risk Insurance Policy.
no
Give Number of Policy. .......
..........
What Was Your Weight When Entering the Service
180 lbs
Your Height in Feet and Inches.
5/ 11/2"
Your Complexion-White or Colored
White
Color of Your Eyes. ..... ...........
Blue
Color of Your Hair
Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Joe I. Daly, 17W42& Lt, New York City Ed.J. Smith, 12543 Euclid ave Cleveland . Charles Heckel Laplan are Jamaica, ny.
Ilave You a Photograph of Self, in Service Uniform, to Give Town Uno
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 Deeeased 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
William Clifford Renually
COMPLETE NAME. NO INITIALS PLEASE WRITE PLAINLY
Name
Vennally William
Clifford
/ AS APPEARS ON THE SERVICE ROLL
Date of Birth
22
march
1891
DAY
Place of Birth.
Canton
MONTH
YEAR
mass
....
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Services
252, Auburn Cincinnati, Ohio
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time 41
e41 Chapel, Canton Mars
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment
May 22,1917 Cincinnati Chio
Date and Place Where Drafted Date and Place Where Mustered In or Reported for Duty July 15,17 Cincinnati
Give Government Identification Tag Number.
1166459.
Co., Regt., Ship, or Service, First Assigned to and Date
8 th Co. 147 th.
ambulance Campo
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
147th ambulance Corpo. 112th
Sanitary Train
Rank While in Service ..
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 Montgomery, ala
Camp Stanley, Texas. Over
e
a
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas American
If so, Date and Ship from the United States or Canada June 26,18 Placey
Port Sailed From for Overseas
Brooklyn, n.Y.
Date of Arrival Overseas
July 10, 1918.
Port of Arrival Overseas
Glasgow
Scotland
Date and Ship Sailed Returning Home
Mar. 13 19 montana
Port Sailed from Returning Home
Brest
Date of Arrival from Overseas.
march 24,'19
Place of Arrival in United States
Hoboken
Important Places Where Stationed Overseas.
Baccarat Verdun,
...
Ir mihiel Flanders
Participated in What Battles and Dates of Same
argonne July 31 - Sept 12, 18
It mihiel Oct 6-14 18. Jeres Oct 30-
Nov 5'18 and Now 9-11,'18.
Wounded or Other Injuries Received in Action, Place and Date
If Confined in Hospital, During What Time and Place
Baccarat
aug 10 -25, 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.
april 25, 1919
Where Discharged from Service
Camp Sherman, Ohio
For What Reason Discharged from Service.
Service expired
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 Storage que Battery
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
Thomas Kennally, Canton, Mass
Name of Mother and Place of Residence.
Bridget
"
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. .........
...........
1336373
What Was Your Weight When Entering the Service
165 lbs
Your Height in Feet and Inches.
.......
5' 11/2"
Your Complexion-White or Colored
white
Color of Your Eyes .. ........ ............. Blue
Color of Your Hair Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades H. D. Graesser 53064th St. Newport Ky. Chas. E Jones, 402. 8. main; Middleton Ohio alphonse Tappe 13th . Main, Cucinati Theo Have You a Photograph of Self, in Service Uniform, to Give Town
If Foregoing Record is of One Deceased, Give Date of Death
Give Place of Death and Place of Burial
Give Burial Lot Number.
Any Monument or Headstone Marked to Deceased Where Buried Any Memorial for Deceased in Other Cemetery Than Where Buried
If Grave is Unmarked Will Permission be Given to Set a Government Headstone.
Name and Address of Person Filling Out This Record of Deceased.
REMARKS. (Please give here any matter of interest relating to Your Service. )
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
Edward Patrick Renney
......
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Edward Patrick Renney
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
....
30
may
1885
DAY
MONTH
YEAR
Place of Birth
Little Falls
CITY OR TOWN
n.4
STATE OR COUNTRY
Place of Residence When Entering the Service. 46 Centre Canton Mare
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time 46 Centre, Canton Masa.
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted. Enlisted
Date and Place of Enlistment
Boston, June 6 1917
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty. Boston June 6, 1917
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date
Receiving. Ship, Boston
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
Engineman 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
Overseas
....
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. June 21,1919
Where Discharged from Service
Boston
For What Reason Discharged from Service.
End of War.
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.
Leather finisher
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.
PS Kenney 4, Sherman Little Falls.
Name of Mother and Place of Residence.
Bridget
. n.y.
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
ITave You a War Risk Insurance Policy.
Give Number of Policy.
What Was Your Weight When Entering the Service
5' 7'/2''
147/2 lbs.
Your Height in Feet and Inches
Your Complexion-White or Colored
White
Color of Your Eyes.
Hazel
Color of Your Hair
Bra
Give Names and Addresses of Two or Three of Your Most Intimate Comrades John C. Murphy, 35 Beach Gian ny
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.) made 14 tripe across
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
Charles Hibbard Kunne
....
..
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Charles
.......... .......
AS APPEARS ON THE SERVICE ROLL
Date of Birth
8
September
1895
DAY
MONTH
YEAR
Place of Birth
Little
CITY OR TOWN
New Hampshire
STATE OR COUNTRY
Place of Residence When Entering the Service. Canton mass.
STREET AND NUMBER CITY OR TOWN STATE
Littleton n.2
Place of Residence at Present Time.
R.S.D#2
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted
Enlisted
Date and Place of Enlistment.
June 20, 17. Little ton n. 2
Date and Place Where Drafted.
Date and Place Where Mustered In or Reported for Duty July 25,17. Berlin 91.21.
Give Government Identification Tag Number.
69435
Co., Regt., Ship, or Service, First Assigned to and Date
June 20, 1917
Other Regiments, Ships or Branches of Services, Transferred to and Dates. COL 103duf.
aug 22, 17. Co.E. 107 the Supply Train. apr. 13,18.
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
0
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas amer
yes
If so, Date and Ship from the United States or Canada
Sept. 27, 17 Lapland
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
Oct 8 17
Port of Arrival Overseas
Liverpool
Date and Ship Sailed Returning Home.
may 7'19 Virginia
Port Sailed from Returning Home.
Brest
Date of Arrival from Overseas.
May 2019
Place of Arrival in United States
Newport News Va
Important Places Where Stationed Overseas.
Liffol le Grand
Pranthoy,
St Germain alsace
Chateau Thierry Marcerockdarf, Ger.
Participated in What Battles and Dates of Same
alsace May 18-July 21, 18
drive- Marne July 29- Queg 7' 18, Viene-alone
aug 26- Sept 6, 18, Meuse- argonne Sept26-
nov 1 1 8
Wounded or Other Injuries Received in Action, Place and Date
If Confined in Hospital, During What Time and Place march 14 - april 19 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.
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.
auto-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
Henry V Kinice Littleton n.7
Name of Mother and Place of Residences
Senna
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
150 lles
Your Height in Feet and Inches.
5' 7 1/2"
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 Charles C. austin Manchester n. Frank Hanna abbotsford Wie Stanley Cheely, Coalport, 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
Jahn Fran
wie Lake
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name John Francis Lake AS APPEARS ON THE SERVICE ROLL
Date of Birth
4
June
1890
DAY
MONTH
YEAR
Place of Birth.
Blair
md
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service-
32 Highland, Cantou Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time ..
32 Highland Canton mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment.
Date and Place Where Drafted
Oct 5, 1917 Camp Devens
Date and Place Where Mustered In or Reported for Duty
Oct 8, 1917
Give Government Identification Tag Number.
82176
Co., Regt., Ship, or Service, First Assigned to and Date Co.K. 302nd. Sud
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Trapp m. 3rd Cavalry, mar. 8 1918
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
Camp Gordon,
Overa
e
0
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas american
400
If so. Date and Ship from the United States or Canada
martha Washington Seb. 9,
Port Sailed From for Overseas
new york
Date of Arrival Overseas
Deb. 22 1918
Port of Arrival Overseas.
Break
Date and Ship Sailed Returning Home.
June 21 1990 Sinland
Port Sailed from Returning Home
Boston July 1,1920
Date of Arrival from Overseas
July 11,1920
Place of Arrival in United States
C
Boston
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 July 3, 1920
Where Discharged from Service
Campo Devino
For What Reason Discharged from Service.
If Given Medal of IFonor, 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. Conductor
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
Berij. n. Lake
Name of Mother and Place of Residence.
mary 8. Lake
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
14/ lbs
Your Height in Feet and Inches
....
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 Harry Service New york City James Day. Brockton mare Gym. murphy
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
Glorinah Lebens 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 Regiment-, 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 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 Fe Given to Set a Government Headstone ..
......
Name and Address of Person Filling Out This Record of Deceased.
REMARKS. (Please give here any matter of interest relating to Your Service. )
..........
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name Jamen n. Lechas
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name James n. Lecha
AS APPEARS ON THE SERVICE ROLL
Date of Birth 10 September 1893
DAY
MONTH YEAR
Place of Birth.
ag. George
CITY OR TOWN
Estiana
Greece
STATE OR COUNTRY
Place of Residence When Entering the Service.
Wood, Canton Mars.
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time. 16 Capen Pl. Canton Mass
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment.
Date and Place Where Drafted. July 22'18 Carton Mass
Date and Place Where Mustered In or Reported for Duty July 22 1918
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date Co. C. 36 Infantry
Other Regiments, Ships or Branches of Services, Transferred to and Dates
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 Deveres ayer Maso
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 31, 1918
Where Discharged from Service
Camp Deveno Mass
For What Reason Discharged from Service.
End of War
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.
assistant Dyer
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.
Nicholas & Lechas, Greece
Name of Mother and Place of Residence marpaula. 11 'ו' 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
Ilave You a War Risk Insurance Policy
no
Give Number of Policy.
What Was Your Weight When Entering the Service
115 /2 Cho
Your Height in Feet and Inches.
4' 7 3/4'
Your Complexion-White or Colored
White
Color of Your Eyes.
.....
Color of Your Hair
Black
Give Names and Addresses of Two or Three of Your Most Intimate Comrades angelo &Johnson, Canton, Maso Nicholas Baptis Jony Vlapas
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 Daniel J. Lehan 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. 152 Bailey St. Canton Mass
STREET AND NUMBER CITY OR TOWN STATE
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