USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 7
USA > Massachusetts > Norfolk County > Canton > World War records : Canton, Massachusetts, 1917-1918 > Part 7
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Kind of Occupation Before War Service. Electrician
Married or Single Seigle
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 mc Cormack (Canton.
Name of Mother and Place of Residence
anna
Deceased
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 63/4"
150 lbs
Your Height in Feet and Inches.
Your Complexion-White or Colored White
Color of Your Eyes.
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
Francia Les Mc Dermott
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Francis Leo MEDDe
matt.
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
6
DAY
MONTH YEAR
STATE OR COUNTRY
CITY OR TOWN 18 maple, Carton mass
Place of Residence When Entering the Service.
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time.
18 maple, Carton, Maso
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment
april 2 1918
Boston
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty It Slocum n. Y. apr. 4.
Give Government Identification Tag Number 408417
Co., Regt., Ship, or Service, First Assigned to and Date 37th Engineers
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Rank While in Service.
Private /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
mass
Place of Birth. .... .........
Canton
april
1893
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas can
yes ...
If so, Date and Ship from the United States or Canada
Mauretania June 28, 18
Port Sailed From for Overseas
new york
Date of Arrival Overseas
July 6 1918
Port of Arrival Overseas.
Liverpool
Date and Ship Sailed Returning Home.
March 8'19 Princess matok
Port Sailed from Returning Home.
It nazaire
Date of Arrival from Overseas.
march 24,1919
Place of Arrival in United States
norfolk
Important Places Where Stationed Overseas.
montfonce
,
anernach,
Cableuz
Participated in What Battles and Dates of Same.
avene- Marne July-aug
It michiel Sept ' 18. Chateau Thierry
Meuse- argonne Sept- Nov. 1918
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 4 1919
Where Discharged from Service
Camp Devers mars
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 Electrician
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
Edward ME Dermott, Cantou
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
5' 7'
132 Cho
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 Francis a McDermott, River It. Boston I H. O Connor 102 Murdock It, Boston LA. OToole 952 Pice It Paul Minin.
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 Ileadstone 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
Henry Mc Dermott.
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Henry mc Dermott.
AS APPEARS ON THE SERVICE ROLL
Date of Birth .. .... 22
October
1894
DAY
MONTH
YEAR
Place of Birth.
Canton,
mass
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service. 18 maple, Cantou Mass
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time / 8 Maple Canton Mass
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted. Enlisted
Date and Place of Enlistment
Dec. 12 1917.
Bostan
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Dec 12,17 St andrews
Give Government Identification Tag Number. 576535 ...
Co., Regt., Ship, or Service, First Assigned to and Date
23rd Co. Coast artillery St. andrews
Other Regiment=, Ships or Branches of Services, Transferred to and Dates. 71 st. Coast artillery Battery D
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
Quena
0
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas amer can
yes
If so, Date and Ship from the United States of Canada July 31, 18 anselam
Port Sailed From for Overseas
Boston
Date of Arrival Overseas
aug. 15/18
Port of Arrival Overseas.
Date and Ship Sailed Returning Home
Deb 11 19. Mancheria
Port Sailed from Returning Home.
St nazaire
Date of Arrival from Overseas.
Deb. 22, 1919
Place of Arrival in United States
New york
Important Places Where Stationed Overseas
It nazavie
Dellawar
.. )
angieno
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 6, 1919.
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
Kind of Occupation Before War Service.
Spinner
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 ..
Edward McDermott. Canton
Name of Mother and Place of Residence.
mary
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
135 lbs
Your Height in Feet and Inches
5/7'
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
.. John Brown ...... .... Canton Masa
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
Robert Smith Ms Dowall
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Robert
Smith Mª Dowall
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
22
april
1885
DAY
MONTH
YEAR
Leatland
Place of Birth.
Paisley,
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service. Church Canton Mass
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time 196 Sherman Canton, Mass
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted. Enlisted
Date and Place of Enlistment.
april 9, 1917, Montreal
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty Upr. g montreal
Give Government Identification Tag Number. ..... 1251896
Co., Regt., Ship. or Service, First Assigned to and Date
79th Battery Canadian Field artillery
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
36th Battery O. S.a. Jan, 1918.
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
Queralas
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas yes
Canadian
If so, Date and Ship from the United States or Canada
Lepr' 17. Justicia
Port Sailed From for Overseas
Halifax
Date of Arrival Overseas
Sept. 1917.
Port of Arrival Overseas.
Liverpool
Date and Ship Sailed Returning Home.
march 17,'19, Olympic
Port Sailed from Returning Home.
Southampton
Date of Arrival from Overseas
march 25, 1919
Place of Arrival in United States
Halifax
Important Places Where Stationed Overseas.
Leus sector
Participated in What Battles and Dates of Same
nupipie - May 1918
amiens aug. 1918. arras aug. 1918
Belleau Woods Sept 1 918, meuse Nov 1918.
Cambria Valenciennes.
Sept 1 918
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 26, 1919
Where Discharged from Service
Halifax I. 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 medal to 3rd Div Canadians.
Kind of Occupation Before War Service Heel pressman
Married or Single married
If Ever Married, Maiden Name of Wife (or Wives) .. Ethel Verity
Date and Place of Marriage to Wife (or Wives) Oct 05,19 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.
JamesmcDowall Deceased
Name of Mother and Place of Residence.
mary
11
Scotland
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
John Mc Dowell Hartford Conn
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.
5/8''
Your Complexion-White or Colored
white
Color of Your Eyes.
Grey
Color of Your Hair
Braun
Give Names and Addresses of Two or Three of Your Most Intimate Comrades
alex M= Callum, Guelph, Ontario
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 Francia Heaven ME Enaney ..
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name Real Sergh major
AS APPEARS ON THE SERVICE ROLL
1893
Date of Birth.
..........
24
DAY
Janus
MONTH
YEAR
Place of Birth
Canton
mass
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service.
45 Highland Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time.
45 Highland Carton mass
STREET AUD NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment Canton maso. Oct 3, 1917
Date and Place Where Drafted.
Date and Place Where Mustered In or Reported for Duty Camp Divers, Oct 3
Give Government Identification Tag Number.
2309 825
Co., Regt., Ship, or Service, First Assigned to and Date Co.K 163rd Suf. Oct 3,1917
Other Regiments, Ships or Branches of Services, Transferred to and Dates. 14th. Co, 4th. Bat. Dep of Brigade a. S.C.
Rank While in Service.
Regis Serat Major
If Commissioned Officer Give Date of Commission.
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Overa
0
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas
can
If so, Date and Ship from the United States or Canada Mar. 12'18 Great northern
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
mar, 19, 1918
Port of Arrival Overseas.
Brest
Date and Ship Sailed Returning Home.
aug. 20:19 Graf Walder-see
Port Sailed from Returning Home.
Brest
Date of Arrival from Overseas
Sept 1 19
Place of Arrival in United States
New york
Important Places Where Stationed Overseas
Chaumont Paris
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. Left 4, 1919
Where Discharged from Service
Camp Devers 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 Serviee. Postal Service
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 Divoree, 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.
Bernard Ms Enaney Canton
Name of Mother and Place of Residence
Deceased!
Are You Without the Foregoing Relatives in This Country
20
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.
920
Give Number of Poliey. .........
What Was Your Weight When Entering the Service
155 lbs
Your Height in Feet and Inehes.
5/ 10/2"
Your Complexion-White or Colored
White
Color of Your Eyes.
Blue
Color of Your Hair
Brawn
Give Names and Addresses of Two or Three of Your Most Intimate Comrades John Oliver Daly, Canton masa Daniel D. Flood,
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 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
Charles Francia Mc Kenna
COMPLETE NAME. NO INITIALS. PLEASE WRITE PLAINLY
Name
Charles Francia mc Kenna
AS APPEARS ON THE SERVICE ROLL
Date of Birth.
.......
18
September
1886
DAY
MONTH
YEAR
Place of Birth.
....
Canton,
maso
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service.
19 Elest, Carton Mass
STREET AND NUMBER CITY OR TOWN STATE
Place of Residence at Present Time 19 Cheat,
Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Enlisted or Drafted.
Drafted
Date and Place of Enlistment.
Date and Place Where Drafted
Sept 21;17,
Canton
Date and Place Where Mustered In or Reported for Duty
Sept 21; 17 Camp Devenus
Give Government Identification Tag Number. 1658359
Co., Regt., Ship, or Service, First Assigned to and Date Co.N. 302nd Infantry
Other Regiments, Ships or Branches of Services, Transferred to and Dates.
Cam. 307 th Infantry March 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 Deveno
Overse
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas american
If so, Date and Ship from the United States or Canada
apr. 9,18 Justinia
Port Sailed From for Overseas
Holaken
Date of Arrival Overseas
april 1 8 1918.
Port of Arrival Overseas.
Liverpool
Date and Ship Sailed Returning Home.
Nov. 21,1918 Comfort
Port Sailed from Returning Home.
St nazaire
Date of Arrival from Overseas.
Dec 9, 1918
Place of Arrival in United States
new york
Important Places Where Stationed Overseas.
Calais Lucie Para
Bacaret Chery Chateau
Participated in What Battles and Dates of Same.
youes, Lamande,
Veile River.
Wounded or Other Injuries Received in Action, Place and Date aug 15, 1918 Chery Chateau( Shrapnel un in left leg)
If Confined in Hospital. During What Time and Place
Base 31. -31 St nazair razau
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. aug 15, 1919.
Where Discharged from Service
Camp Deveno
For What Reason Discharged from Service
Demobilization
If Given Medal of Honor, Give Action and Date.
If Given Citation or Certificate of Merit, Give Service and Date
Other Medals and Foreign Decorations
Kind of Occupation Before War Service.
Weaver
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 Mc Kenna Nach. Canton
Name of Mother and Place of Residence.
(Deceased)
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 .... ..........
What Was Your Weight When Entering the Service
5'7'
186 lbs
Your Height in Feet and Inches.
Your Complexion-White or Colored
Awhite
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
Peter
George Mc Kenna
......
COMPLETE NAME. NO IUTIALS. PLEASE WRITE PLAINLY
Name
Peter mc Kenna
AS APPEARS ON THE SERVICE ROLL
Date of Birth
3
march
1883
DAY
MONTH
YEAR
Place of Birth.
Pontiac
CITY OR TOWN
STATE OR COUNTRY
Place of Residence When Entering the Service Washington Canton Mass
STREET AND NUMBER
CITY OR TOWN
STATE
Place of Residence at Present Time
Rockland Canton, Mass
STREET AND NUMBER CITY OR TOWN STATE
Enlisted or Drafted.
Enlisted
Date and Place of Enlistment. June 18 17. Boston Mass
Date and Place Where Drafted
Date and Place Where Mustered In or Reported for Duty
Boston June 18, 1917
Give Government Identification Tag Number.
Co., Regt., Ship, or Service, First Assigned to and Date It. Oglethorpe, Ga
Other Regiment-, Ships or Branches of Services, Transferred to and Dates. Sept / 1917 101 st amb. Co Oramingham 101 st. Sig. Corpo Bat, Oug 4, 1918.
Rank While in Service.
Captain
If Commissioned Officer Give Date of Commission. June 18,1917
If Appointed Officer Give Date of Every Appointment
If Not Overseas, Where Stationed While in Service
Querelas
Any Service in American Expeditionary Force or Canadian or Allied Force Overseas american
If so, Date and Ship from the United States or Canada
Sept 7, 17 Gestoras
Port Sailed From for Overseas
Hoboken
Date of Arrival Overseas
Sept 21117
Port of Arrival Overseas.
St nazaire
Date and Ship Sailed Returning Home ..
Pestanas, Dec 27 '18
Port Sailed from Returning Home.
Bordeaux
Date of Arrival from Overseas.
Jan 6, 1919
newport news
Place of Arrival in United States
Important Places Where Stationed Overseas.
Ir nazaire Liffalle-
Grande neufchateau- Cheman-des-Dans
Participated in What Battles and Dates of Same
e Cheman-des-Dames,Mar 1918
Tout Mar-June 1918. Chateau Thierry July 2-3,
It michiel Sept 12, 1918 - Oct 1 918.
Verdun, Och 31, 1918
Wounded or Other Injuries Received in Action, Place and Date Gassed- Verdun- Oct 31, 1918 Leichprey- april 6, 1918
If Confined in Hospital, During What Time and Place Base $ 15, June-July 1918.
Base #26 Oct 1918. Nov 25, 1918
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, 25,1919
Where Discharged from Service
Camp Devenus, mars
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 married
If Ever Married, Maiden Name of Wife (or Wives) Leela mechan
Date and Place of Marriage to Wife (or Wives). Jamaica Plain June 18 14
Date and Place of Death of Wife (or Wives)
If Any Divorce, Date and Place Where Granted
If Married was Your Wife Ever Married Before Married to You
If So, Name of Former Husband, and Date and Place of His Death or Divorce
Names, Ages and Places of Birth of All Children, if any
.........
Name of Father and Place of Residence.
James McKenna E Providence, P.S.
Name of Mother and Place of Residence.
Margare Monahan (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.
What Was Your Weight When Entering the Service
135 lbs .
Your Height in Feet and Inches. 5/ 9/2"
Your Complexion-White or Colored White
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