USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 5
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 5
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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..
Name of Father and Place of Residence.
George PLentell, Canton.
Name of Mother and Place of Residence ...
alatta C.
Are You Without the Foregoing Relatives in This Country no
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. .....
1977142
What Was Your Weight When Entering the Service
135 lbs
Your Height in Feet and Inches.
5' 6'
...........
Your Complexion-White or Colored white
Color of Your Eyes. ........ .........
Color of Your Hair Dark Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades George Sand Genesee Idaho Lawrence Mott, Oak Park, Ale. & Crawford Detteburg, Pa.
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 liere any matter of interest relating to Your Service.) Served in american Field Service of French army for four months before entering a.82
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
Cyril Stanton Lewis
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Cyril Stanton Lewis
AS APPEARS ON THE SERVICE ROLL
march
1895
Date of Birth
17
DAY
MONTH
YEAR masa
Place of Birth.
....
Canton.
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service. IndianLave Canton Mare
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
IndianLane, Canton, Mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted Enlisted
Date and Place of Enlistment
nov 28,1917
Boston mars
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty It Slocum ny
Give Government Identification Tag Number 289548
Co., Regt., Ship, or Service, First Assigned to and Date 25th. Batt, Oh Slocum
Other Regiments, Ships or Branches of Services, Transferred to and Dates 177 th aero Service, Texas, 477 aveo
Construction, France. 1101-1st French Replace.
Private
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
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
Carmania Feb 28, 18
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
Mar, I7, 1918
Port of Arrival Overseas.
Liverpool
Date and Ship Sailed Returning Home.
Rhode Island, Jan 2, 1919
Port Sailed from Returning Home
Break
Date of Arrival from Overseas.
Jan 1919.
Place of Arrival in United States
Newport News, Va.
Important Places Where Stationed Overseas.
England, It Maxient
Columbyle Belle- It mihiel
argonne
meuse
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 29 1919
Where Discharged from Service
Garden City L.S.
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. Carpenter
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
Wilmot a Lewis, Canton
Name of Mother and Place of Residence.
Elizabeth m
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
133 lbs.
Your Height in Feet and Inches.
5' 8/2"
Your Complexion-White or Colored
White
Color of Your Eyes.
....
Braun
Color of Your Hair
Brown
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 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 David Hunt Linder
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name ................ ....
AS APPEARS ON THE SERVICE ROLL
Date of Birth
24
September
1899
DAY
MONTH YEAR
Place of Birth
Brookline,
mase
STATE OR COUNTRY
CITY OR TOWN
york
Canton, Mass
Place of Residence When Entering the Service ..
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time
Cork,
Canton, Mass.
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted
Enlisted
Date and Place of Enlistment
Canton Mass, Oct 14. 1918.
Date and Place Where Drafted.
Date and Place Where Mustered In or Reported for Duty Oct 14, 1918
Give Government Identification Tag Number 4914411
Co., Regt., Ship, or Service, First Assigned to and Date COD Harvard
Unit, S. a. T.C
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
Cambridge, mass
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. 10. 1918
Where Discharged from Service
Cambridge maso
For What Reason Discharged from Service.
Demobilization
If Given Medal of Honor, Give Action and Date. ..... .... If Given Citation or Certificate of Merit, Give Service and Date Other Medals and Foreign Decorations
Kind of Occupation Before War Service.
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
John D. Linder Canton mass
Name of Mother and Place of Residence.
mary L
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
140 lbs.
Your Height in Feet and Inches.
5'8'
Your Complexion-White or Colored
White
Color of Your Eyes.
Gray
Color of Your Hair
Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Eliot C. French Canton, Mass a. B Nichale Orleans
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 John Darlow Linder, Jr.
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name John Harlow Linder, Jr AS APPEARS ON THE SERVICE ROLL
Date of Birth.
22
november
1897
DAY
MONTH
YEAR masa
STATE OR COUNTRY
Place of Residence When Entering the Service.
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time.
york
Canton
mase.
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted. Enlisted
Date and Place of Enlistment.
Charlestown april 20,1917.
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty
Pensacola Sept 1, 1917
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date Training School for Mechanica naval aviation Pensacola.
Other Regiments, Ships or Branches of Services, Transferred to and Dates. AT School Mase. Just. Tech.
Cambridge, Oct 18 1918
Rank While in Service. Cader
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overscas, Where Stationed While in Service
Pensacola, Dla.
Cambridge, mass
Place of Birthi.
......
Brookline,
CITY OR TOWN
York
Canton mass.
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. Nov. 29, 1918.
Where Discharged from Service
Cambridge, mase
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.
College
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.
Johny Linder, Carton Mass
Name of Mother and Place of Residence.
mary H.
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
180 lla
Your Height in Feet and Inches.
6' '/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
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 melvin Ross Lagan COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
melvin Rosa.
AS APPEARS ON THE SERVICE ROLL Logan ........
....
Date of Birth.
24
august
1886
DAY
MONTH
YEAR mage
Place of Birth.
Canton
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service.
46 tennerfy
Canton Masa
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time.
46 Jenney,
Canton, mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted
Date and Place of Enlistment.
Date and Place Where Drafted. may 24,1918. L. B.#7 Boston
Date and Place Where Mustered In or Reported for Duty June 3,18 Ist Slocum.
Give Government Identification Tag Number. 390795
Co., Regt., Ship, or Service, First Assigned to and Date 6 th Rt Cp. Dort Slocum n.
Other Regiments, Ships or Branches of Services, Transferred to and Dates ...
Oct. 24, 1918.
Jak Tatten En.C. 1st. C. C. a. C.
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 Dort Totten, East New York
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. 11, 1918
Where Discharged from Service
Fart Tatten 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.
machinist
Married or Single Married
If Ever Married, Maiden Name of Wife (or Wives)
Sarah a. Walsh
Date and Place of Marriage to Wife (or Wives)
Feb. 27,1909. Beaver Falls Pa.
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.
Samuel Logan, Canton Mass
Name of Mother and Place of Residence
Endora
1.
(Deceased)
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.
...................
150 lbs
What Was Your Weight When Entering the Service
5' 2 3/4"
Your Height in Feet and Inches.
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
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.)
E
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name Russell Wolcott Lawns
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Russell N. Low
AS APPEARS ON THE SERVICE ROLL September
1900
Date of Birth.
..........
DAY
MONTH
YEAR
Place of Birth ..
Canton
CITY OR TOWN
maga
STATE OR COUNTRY Place of Residence When Entering the Service 2378 Washington Canton Mass.
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time 2378 Washington Cantow, Mace
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment
Canton, masa
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Oct 10, 1918
Give Government Identification Tag Number. ....
4913960
Co., Regt., Ship, or Service, First Assigned to and Date Co. B. Harvard Unit &. a. T.C.
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
Cambridge, mass
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. 10. 1918
Where Discharged from Service
Cambridge 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. 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.
martin Lowry Canton Mase
Name of Mother and Place of Residence,
Rosanna
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
51 7 3/4"
133 Cha
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 Clark W. Heath Buffalo new york William @ Schmitz Grania, n.J. Warren . Horse Cleveland, Ohio
Have You a Photograph of Self, in Service Uniform, to Give Town 400 If Foregoing Record is of One Deceased, Give Date of Death
Give Place of Death and Place of Burial
Give Burial Lot Number.
Any Monument or Headstone Marked to Deceased Where Buried
Any Memorial for Deceased in Other Cemetery Than Where Buried
If Grave is Unmarked Will Permission be Given to Set a Government Headstone
Name and Address of Person Filling Out This Record of Deceased.
REMARKS. (Please give here any matter of interest relating to Your Service.)
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name Dear ....
Sherwood Luce
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Dean Sherwood Luce
AS APPEARS ON THE SERVICE ROLL
Date of Birthi.
................
13
march
MONTH 1876
DAY
YEAR maga
Place of Birth. ............ Holliston, CITY OR TOWN STATE OR COUNTRY Sherman Canton Mark.
Place of Residence When Entering the Service 294
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time 294 Sherman, Cantow Mass. STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted. Enlisted
Date and Place of Enlistment.
Sept 12, 1918, Carton, Mass
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Sept 22, 18 Camp Greenleaf, La
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date medical Dept.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
Captain
If Commissioned Officer Give Date of Commission. Sept 12, 1918
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Camp Greenleaf La.
a. m. & Wash. D.C. Camp Meade Ind.
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. may 2, 1919.
Where Discharged from Service
Camp meade md
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
Physician
Married or Single ......
If Ever Married, Maiden Name of Wife (or Wives) Ethel m. Bence
Date and Place of Marriage to Wife (or Wives) Feb 15 '05 Canton Marc
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 Ilis Death or Divorce
Names, Ages and Places of Birth of All Children, if any
Name of Father and Place of Residence. Barnard Luce (Deceased)
Name of Mother and Place of Residence. Sarah Luce, Vineyard Haven Max
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. ......
..........
4150557
What Was Your Weight When Entering the Service 170 lhe
Your Height in Feet and Inches. 5' 9 '/4"
Your Complexion-White or Colored white
Color of Your Eyes ......
Grey.
Color of Your Hair Grey
Give Names and Addresses of Two or Three of Your Most Intimate Comrades John B. Hader Galveston, Texas I m. mª Laughlin, minier Sel Carl E nove Baltimore md.
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 Lukaszen
...
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Edward Lukaszewicz
Date of Birth.
7
AS APPEARS ON THE SERVICE ROLL may
1887
DAY
MONTH
YEAR
Place of Birth
CITY OR TOWN
STATE OR COUNTRY Place of Residence When Entering the Service 29 Wall Canton Mare
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time/.3. Samson ave Canton Mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted
Drafted
Date and Place of Enlistment.
Date and Place Where Drafted. June 1, 18 Canton mars
Date and Place Where Mustered In or Reported for Duty June, Of Slocum ny
Give Government Identification Tag Number. 386398
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