USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 6
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 6
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Co., Regt., Ship, or Service, First Assigned to and Date Q.M.C. army Replacement Depot
Other Regiments, Ships or Branches of Services, Transferred to and Dates. Camp Jackson
Batt, B. 2nd Batt S. C.R.D
CoH. 53rd Pioneer Inf, Camp Wadsworth.
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
CampJackson, Camp Wadsworth
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. march 10, 1919
Where Discharged from Service
Camp Wadsworth
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
Married or Single married
If Ever Married, Maiden Name of Wife (or Wives) Franciska
Date and Place of Marriage to Wife (or Wives) Russia Oct 15, 1905
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 anthony, , 11 years ... Russia. Bronislava Tyeara Russia.
Name of Father and Place of Residence.
Thadeus Lukaszewicz, Russia
Name of Mother and Place of Residence amelia Russia
Are You Without the Foregoing Relatives in This Country
If So, Have You a Brother or Sister Here. Lister
And if so, Give Full Name and Address of Either or Both Palmiera matulaitis, 392 atin If South Boston, mase
Have You a War Risk Insurance Policy.
Give Number of Policy. .....
...........
What Was Your Weight When Entering the Service 160 lbs
Your Height in Feet and Inches. 5' 6'
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 Kazimierz Mikestowicz, 2938. 155. n. Y. Bronx J. Szymazyh 264, Tylton, Philadelphia, Pa.
Ilave 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 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 Henry Las COMPLETE NONE. NO INITIALS. PLEASE WRITE PLAINLY
Name
S APPEARS ON THE SERVICE ROLL
Date of Birth.
7
DAY
november
1878
MONTH
YEAR
Place of Birth.
Brookline
maga
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service.
Elm,
Canton Mass
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time
6cm
Canton
mare
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted Enlisted
Date and Place of Enlistment
aug 24 15 m. R.
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty
May 7, 1917, Boston
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date may 6, 1917
U. S. a. Base Hospital #5.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
1st. Sunt Capt, major
If Commissioned Officer Give Date of Commission 1st Leeich M.R.C. Clug 24, 15-
If Appointed Officer Give Date of Every Appointment
Capt aug 11, 17 Maj alug. 20
If Not Overseas, Where Stationed While in Service
Querelas
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas americ
If so. Date and Ship from the United States or Canada
May 11,17
Lavonia
Port Sailed From for Overseas
new york
Date of Arrival Overseas
may 22 17
Port of Arrival Overseas.
Falmouth Eng
Date and Ship Sailed Returning Home.
apr. 7,'19 Graf Walderale
Port Sailed from Returning Home
Break
Date of Arrival from Overseas.
april 20, 1919
Place of Arrival in United States
New york.
Important Places Where Stationed Overseas.
Dannes Camiers
Boulogne
eur
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 5 yrs Qvist Carpe Cadets- m.v.m
When Discharged from Service.
may 6 1919
Where Discharged from Service
Camas Deveno Maga
For What Reason Discharged from Service
General Ordero Wash.
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.
Biological Chemist
Married or Single ........... married
If Ever Married, Maiden Name of Wife (or Wives)
Elizabeth Cabal
Date and Place of Marriage to Wife (or Wives)
Dec. 19, 1908 Boston
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
Cara, 10, Boston
Charles, 8, Brookline, Henry, 5, Boston
Name of Father and Place of Residence.
Theodore Lyman (Deceased)
Name of Mother and Place of Residence.
Elizabeth R.
"
..
Are You Without the Foregoing Relatives in This Country
If So. Have You a Brother or Sister Here.
Brother
And if so, Give Full Name and Address of Either or Both
Theodore Lyman
Heath It Brookline
Ilave You a War Risk Insurance Policy
no.
Give Number of Policy.
..................
What Was Your Weight When Entering the Service
176 lbs
Your Height in Feet and Inches
5'10'
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
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 Joseph Lunch
COMPLETE NAME,
NO INITIALS. PLEASE WRITE PLAINLY
Name
Edward Joseph Launch
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
28
march
1891
DAY
Place of Birth.
.................
Canton
MONTH YEAR masa
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service.
ce. 60 mechanic Canton Maso
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
60 mechanic.
Canton mass.
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
....
Date and Place of Enlistment.
april 28 1918
Canton
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty
Camp Devers apr. 28, 1918
Give Government Identification Tag Number. 1692580
Co., Regt., Ship, or Service, First Assigned to and Date Depot Brigade 24the Co. 6th Batt.
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
aug. 1918
Co L. 30, et Jut. Post Exp. Service
Rank While in Service.
1/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 Devens,
.....
Overa e 2
...
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas american
If so. Date and Ship from the United States or Canada
July 5'18 Cedric
Port Sailed From for Overseas
Holaken
Date of Arrival Overseas
July 17 1918.
Port of Arrival Overseas.
Liverpool
Date and Ship Sailed Returning Home
aug 26,19 aeolus
Port Sailed from Returning Home.
Brest
Date of Arrival from Overseas.
Sept 5, 1919
Place of Arrival in United States
Hoboken
Important Places Where Stationed Overseas
Laura- Lorraine-
nancy-
Conflans- Moselle- Break
Coblenz
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.
Sept 12, 1919
Where Discharged from Service
Camp Devenu
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. Post Office
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 F. Launch
Name of Mother and Place of Residence.
mary.
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 lbs
Your Height in Feet and Inches.
5/10'
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
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
Joseph Harold Lyone
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Joseph Harold Lyone
AS APPEARS ON THE SERVICE ROLL
Date of Birth. .25 Luquet 1894
DAY MONTH YEAR masa
Place of Birth
........
Canton
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service 531 Chapman, Canton, Mass
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time 531 Chapman Canton, Mais.
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment.
Nov. 26 1917. Boston Mass
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Dec. 1,1917
Give Government Identification Tag Number. 773965
Co., Regt., Ship, or Service, First Assigned to and Date Office Workers Col, Quartermaster's Corpo. 00
Other Regiments, Ships or Branches of Services, Transferred to and Dates. 2MG Supply Co. 311 army Service Corpo.
Rank While in Service.
Private- Sergeant
If Commissioned Officer Give Date of Commission
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Jacksonville Fla.
Newport news Va.
Overseas
Any Service in AAmerican Expeditionary Force or Canadian or Allied Force Overseas american
~
If so, Date and Ship from the United States of Canada June 5,18 Martha Washing
Port Sailed From for Overseas
newport news
Date of Arrival Overseas
June 18 1918
Port of Arrival Overseas.
Brest
Date and Ship Sailed Returning Home.
mexican may 10, 1919.
Port Sailed from Returning Home
Bardeaux
Date of Arrival from Overseas
may 22, 1919
Place of Arrival in United States
new york
Important Places Where Stationed Overseas
Break Bordeaux
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 27, 1919
Where Discharged from Service
mitchell Build Ll
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.
Stenographer
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.
Name of Mother and Place of Residence.
Cath & M= Causlin Carton, Mass,
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 808565
What Was Your Weight When Entering the Service
126 llo
Your Height in Feet and Inehes.
5' 6'/4"
Your Complexion-White or Colored
White
Color of Your Eyes ..
Brown
Color of Your Hair
Dark
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Joseph Hulda, 200 State St. Boston Richard Mugford. & Eliot ave. Readville
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 E. maloney 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 422 Sherman. Cantone Maso
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time.
Unknown
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. 1258179
Co., Regt., Ship, or Service, First Assigned to and Date
3rd Canadian Heavy Battalion
Other Regiment=, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
Gunner
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, 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
ITave 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.) In Canton but a short time
GERMAN WAR SERVICE RECORD of Canton, Mass.
Name
Patrick Roger ME Cabe
.......
COMPLETE NAME. NOINITIALS. PLEASE WRITE PLAINLY
Name
Patrick
P. mª Cabe
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
..............
14
april
1895-
DAY
MONTH
Place of Birth
Canton
YEAR Mare
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service.
Rockland Canton Masa
STREET AND N'JMBER
CITY OR TOWN
STATE
Place of Residence at Present Time / 28 Bolivar Carton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment ..
aug 26,16 Portland me.
Date and Place Where Drafted.
Date and Place Where Mustered In or Reported for Duty
aug 26. 21 Slocum, n.Y
Give Government Identification Tag Number. 567472
Co., Regt., Ship, or Service, First Assigned to and Date
COD 9th. U. S Infantry
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
COD 47th Inf.
Co. B. 10 the machine Gun Bat
.
Rank While in Service.
Corporal-Sergeant-Private
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
new york.
Texas
north Carolina
Any Service in American Expeditionary Foree or Canadian or Allied Force Overseas ameri can a May 9, 18 Princess Matok
If so. Date and Ship from the United States or Canada
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
May 22, 1918
Port of Arrival Overseas.
Brest
Date and Ship Sailed Returning Home
march 9 '19. Haverford
Port Sailed from Returning Home
Break
Date of Arrival from Overseas.
mar. 22 1919
Place of Arrival in United States
Philadelphia
Important Places Where Stationed Overseas
Calais Visice
Souilly
Participated in What Battles and Dates of Same ..
Chateau Thierry
Wounded or Other Injuries Received in Action, Place and Date
aug 4 18
Sergy Woodo
If Confined in Hospital, During What Time and Place
aug 1918. augiero
Base
Hospital
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 V 8 Infantry, Texas, 1916.
When Discharged from Service.
May 17, 1919
Where Discharged from Service
Camp Dix ong
For What Reason Discharged from Service.
Disability
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. Laborer
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
Patrick ME Cabe. (Deceased)
Name of Mother and Place of Residence
mary
"
Carton Maso
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' 7 '/2''
140 lbs
Your Height in Feet and Inches.
Your Complexion-White or Colored
white
Color of Your Eyes ...
Blue
Color of Your Hair
Dark Brown
Give Names and Addresses of Two or Three of Your Most Intimate Comrades Langt Truedell' Langt Walter 4 Still in service
Corp. Basham
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 Patrick Joseph Mc Cormick COMPLETE NAME. NOINITIALS. PLEASE WRITE PLAINLY
Name Patrick Jaseph Mc Cormick
AS APPEARS ON THE SERVICE ROLL
Date of Birthı.
.....
8
april
1894
DAY MONTH
YEAR maso
Place of Birth
Canton
CITY OR TOWN
STATE OR COUNTRY Place of Residence When Entering the Service. 139 Mechanic, Carton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time 39 Mechanic Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted ..
Drafted
Date and Place Where Drafted
Canton
Date and Place of Enlistment. Sept 21, 1917
Date and Place Where Mustered In or Reported for Duty-
Sept 21, 17 Camp Devens
Give Government Identification Tag Number .. .......... 1658648
Co., Regt., Ship, or Service, First Assigned to and Date Cor. 302 nd Infantry
Other Regiments, Ships or Branches of Services, Transferred to and Dates Headquarters Co. 302nd. Ind. C.B 2nd PSat. Oct 3.
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
Camp Deveno
Querse 0
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas
caro
If so, Date and Ship from the United States or Canada
aquitania July 5, 18
Port Sailed From for Overseas
Newyork
Date of Arrival Overseas
July 12 1918
Port of Arrival Overseas
Liverpool
Date and Ship Sailed Returning Home July, 1919. Human
Port Sailed from Returning Home
Bordeaux
Date of Arrival from Overseas.
July 12, 1919
Place of Arrival in United States
Newport News.
Important Places Where Stationed Overseas.
Bordeaux.
Irmihiel
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 181919
Where Discharged from Service
Camp Devens mass
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
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