3

WAR RECORD

First went into action (place):

(date): July 25th 1918

Participated in the following engagements: Defence Center [?] 7-25-18 to 09-23-18; Battle Molbrook Hill Oct 8, 1918; Battle M[?]ville Farm 10-10-18; Attack on [?]

Cited, decorated, or otherwise honored for distinguished services (give circumstantial accounts of exploits, including dates and places where performed, also by whom and in what manner the honors were bestowed): :

Killed in action, killed by accident, died of wounds, died of disease, wounded, gassed, shell-shocked, taken prisoner:

Nature of casuality:

(place):

(date):

Nature of casuality:

(place):

(date):

Nature of casuality:

(place):

(date):

Under medical care:-

Name of hospital:

Location:

From (date):

to (date):

Name of hospital:

Location:

From (date):

to (date):

Name of hospital:

Location:

From (date):

to (date):

Name of hospital:

Location:

From (date):

to (date):

Permanently disabled (through loss of limb, eyesight, etc.) (specify disability):

Arrived at (American port): Newport News, Virginia

on (ship): Matsonia

Date: May 20, 1919

(from):

Discharged from service at (place): Camp Lee, Virginia

(date): May, 1919

as a (rank): Bugler

RETURN TO CIVIL LIFE

Occupation after the war: Farmer

If a change of occupation was occasioned by reason of disability acquired in the service, describe the process of re-education and readjustment, and indicate the agencies or individuals chiefly instrumental in furnishing the new occupations::