USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 4
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 4
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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 May 30-1918
Give Government Identification Tag Number. 3193252 0
Co., Regt., Ship, or Service, First Assigned to and Date
8th Co 152nd Debut
Brigade
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 Comp Upton- Mapbank wy
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.
Daniel Selvan Canton. Mass
Name of Mother and Place of Residence
Tellie Sehan
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 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
Florence
Lehan
PLEASE WRITE PLAINLY
Name
COMPLETE NAME. NO INITIALS. Lehan
AS APPEARS ON THE SERVICE ROLL
Date of Birth .......
1
november
1893
DAY
MONTH
YEAR
Place of Birth
Canton
maso
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service/52 Bailey Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time 152 Bailey, Cantou Mass
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment
Date and Place Where Drafted.
June 27, 18. Canton Maso
Date and Place Where Mustered In or Reported for Duty Jun June 28, 18. Camp Dix, n.J
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date
Co. 40. 153
Depot Brigade
Other Regiment«, Ships or Branches of Services, Transferred to and Dates.
Co. a. 312 Enquiero
87 th
Rank While in Service.
/c 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 Dix n.G. Camp Morgan n. ........
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.
Jan: 23
Where Discharged from Service
Camp Dix, n.A.
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.
Die
Letter
Married or Single
married
If Ever Married, Maiden Name of Wife (or Wives).
Katherine Crean
Date and Place of Marriage to Wife (or Wives)
Canton, apr. 29, 1920.
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.
Daniel Lehane, Carton Maso.
Name of Mother and Place of Residence.
nellie
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' 5 1/2"
5'5 /2" 133 lbs .
Your Height in Feet and Inches.
Your Complexion-White or Colored
white
Color of Your Eyes.
Bracon
Color of Your Hair
Brown
1
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.)
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name 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. 1 52 Barley St. Canton Mass
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time. 4830 G St.
Philadelphia - Penna
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
May 28.1918
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. Seaman 3/c
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 1
Name of Father and Place of Residence Daniel Schon Carton- Mass Name of Mother and Place of Residence. Mellie Lehan.
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. 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
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 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
Maurice Lem kin
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Maurice Lemkin
AS APPEARS ON THE SERVICE ROLL
Date of Birth .. ............ 24 november
1895
DAY
MONTH
YEAR
Vilno
Russia
Place of Birth
....
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 190 Rockland Canton Mass
STREET AND NUMBER CITY OR TOWN STATE Place of Residence at Present Time 190 Rockland, Carton, Mass
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment.
Date and Place Where Drafted.
Canton mars
Date and Place Where Mustered In or Reported for Duty Sept 21, 17 Camp Devenus
Give Government Identification Tag Number. 2309642
Co., Regt., Ship, or Service, First Assigned to and Date Cor. 302 nd Suf.
Other Regiments, Ships or Branches of Services, Transferred to and Dates
7th Co. 1 st. and Trans. Co.
Co G 165 th Infantry
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 Devenus ayer
Camp merritt no Over
..
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
Port Sailed From for Overseas
Ttoboken n.C
Date of Arrival Overseas
March 20, 198
Port of Arrival Overseas
Break France
Date and Ship Sailed Returning Home
april 18 1919. Leviathan
Port Sailed from Returning Home.
Break France
april 25, 1919.
Date of Arrival from Overseas.
Hoboken n.g.
Place of Arrival in United States
Important Places Where Stationed Overseas.
Baccaratt,
Luneville, It again
Participated in What Battles and Dates of Same. Champagne
July 14, 1918.
Chateau Thierry July 26-31,1918
Wounded or Other Injuries Received in Action, Place and Date
machine gun
und Chateau Thierry July 31, 18
If Confined in Hospital, During What Time and Place
Base Hospital $9
aug. 2, 1918. Chatteau Rue.
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 6, 1919
Where Discharged from Service
Camp Deveno Mare
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 Spreader- Rubber Works
Married or Single
married
If Ever Married, Maiden Name of Wife (or Wives)
Sadie Freedman
Date and Place of Marriage to Wife (or Wives)
Nov. 10, 1917. Canton.
Date and Place of Death of Wife (or Wives)
If Any Divorce, Date and Place Where Granted.
If Married was Your Wife Ever Married Before Married to You
no.
If So, Name of Former Husband, and Date and Place of His Death or Divorce
Names. Ages and Places of Birth of All Children, if any
..
Name of Father and Place of Residence.
David Lemkin, Vilno, Russia
Name of Mother and Place of Residence.
mary
Are You Without the Foregoing Relatives in This Country
yes
If So, Have You a Brother or Sister Here.
Brother
And if so, Give Full Name and Address of Either or Both
Benjamin Lemkin
Have You a War Risk Insurance Policy
no
Give Number of Policy
What Was Your Weight When Entering the Service
135 lbs
Your Height in Feet and Inches.
5' 7'
Your Complexion-White or Colored
White
Color of Your Eyes.
....
Braun
Color of Your Hair
Braun
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Lewin Freedman 190 Rockland, Canton Morris Chaffin, 14 Eleaf
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
alatta may Lentell
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
AS APPEARS ON THE SERVICE ROLL
Date of Birth ................ 30
may
1890
DAY
MONTH YEAR
Place of Birth. Providence
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service. York Canton, Maso.
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time ne Mekelanova, Ul C. 147, Praha-Cz. Slov CITY OR TOWN STATE
STREET AND NUMBER
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 Many
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
Nurse
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Newport, R.L.
Chelsea
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. George R. Lentell Canton
Name of Mother and Place of Residence alottan
Are You Without the Foregoing Relatives in This Country
If So. Ilave 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 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 Benjamin Russell Lentell
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Benjamin Rue
le Lentel
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
march 22
1893
DAY
MONTH
YEAR
Place of Birth.
Canton,
CITY OR TOWN
..... ...... masa
STATE OR COUNTRY
Place of Residence When Entering the Service York, Canton Mass.
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time
York, Canton Mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment. Canton mars, Deb. 26, 1918.
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Camp Devens," ".
Give Government Identification Tag Number. 1681471
Co., Regt., Ship, or Service, First Assigned to and Date Headquarters Co. 302 Auf, Mar. 15,1918.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
520 th. Co. D. Engineer
91 st. Div. 364th. Ind. Co. C. Oct 28 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
Quero
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas american
If so, Date and Ship from the United States or Canada
aquitania, July 5, 1918
Port Sailed From for Overseas
New york
Date of Arrival Overseas
July 12, 1918
Port of Arrival Overseas.
Liverpool, Eng.
Date and Ship Sailed Returning Home.
arizaba march 25, 1919.
Port Sailed from Returning Home.
St nazaire France
Date of Arrival from Overseas
april 2, 1919.
Place of Arrival in United States
Hoboken n.C.
Important Places Where Stationed Overseas
Bordeaux, Belgium
Poules Deunge, alsene, Lemans.
Participated in What Battles and Dates of Same ..
Ilandere- Oct 28- Nov. 11.
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 30, 1919
Where Discharged from Service
Camp Deveno Masa
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. Plasterer
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
George Palmer Canton Mass.
Name of Mother and Place of Residence
alotta
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 110 llo
Your Height in Feet and Inches.
..........
5'2'
Your Complexion-White or Colored
White
Color of Your Eyes.
...........
Braun
Color of Your Hair
Black
Give Names and Addresses of Two or Three of Your Most Intimate Comrades William Jenkins, Rochester mass R. L. Johnson Brownville, 20
Have You a Photograph of Self, in Service Uniform, to Give Town no
If Foregoing Record is of One Deceased, Give Date of Deatlı
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
Prescott Wilmarth Lentill
..
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Prescott MLentell
AS APPEARS ON THE SERVICE ROLL
Date of Birth. ....... 15 may
1891
DAY
MONTH
YEAR
Place of Birth
Providence
P.S.
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service ..
ce York, Canton, Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
Fall River Mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted
Enlisted
Date and Place of Enlistment Fariaignes france Oct 1, 1917.
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Laissons, Och1, 1917.
Give Government Identification Tag Number. 249047
Co., Regt., Ship, or Service, First Assigned to and Date
203 Water Train, a.E.D. aug 19, 1918
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
eco
Any Service in American Expeditionary Force or Canadian or Allied Foree Overseas ame an
If so, Date and Ship from the United States or Canada
Rochaneau July 25,17
Port Sailed From for Overseas
new york
Date of Arrival Overseas
July 4
4, 1917
Port of Arrival Overseas.
Bordeau Orange
Date and Ship Sailed Returning Home. Roma. May 10, 1919.
Port Sailed from Returning Home
Mareailles,
Date of Arrival from Overseas.
may 27, 1919
Place of Arrival in United States
new york
Important Places Where Stationed Overseas.
Laissons,
St nazaire
Verdun
meuse, arine,
....
Participated in What Battles and Dates of Same.
It Michiel Meuse
drive Sector (with French)
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 9 9 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 Certificate from french.
Kind of Occupation Before War Service. Clothing in Business 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
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