Chesterfield County (Va.)

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Ellison, Clarence Veneman.

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WAR HISTORY COMMISSION

STATE OF VIRGINIA

MILITARY SERVICE RECORD

Name in full

(family name):

(first name):

(middle name):

Date of birth

(month):

(day):

(year):

Place of Birth

(town):

(county):

(state):

(country):

Name of father:

Birthplace (country):

Maiden name of mother:

Birthplace (country):

Are you White, Colored, Indian or Mongolian:

Citizen (Yes or no):

Voter (yes or no):

Church (denomination):

Married:

year:

at:

To (maiden name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Fraternal Orders:

College Fraternities:

Previous military service or training:

Education

(Preparatory):

(College):

Education

(University):

(Degrees):

Occupation before entry into service:

employer:

Residence before entry into the service

(street number):

(town):

(county):

Present home address

(street number):

(town):

(county):

(state):

Last edit over 1 year ago by hiwony
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WAR RECORD

Inducted into service or enlisted on (date): [Too light to read month & day], 1917

at (place): [Too light to read]

as a (rank): [Private?]

in the: [Too light to read]

section of the : Blank

Identification number: [91??171?]

Assigned originally to

(company): [Too light to read]

(regiment): [Too light to read]

(division):

(or)

(ship):

at (place):

Trained or stationed before going to Europe:-

School, camp, station, ship: Fort Leavenworth, [Kansas ?]

From (date): [Too light to read]

to (date): [Too light to read]

School, camp, station, ship:

From (date):

to (date):

School, camp, station, ship:

From (date):

to (date):

Transferred to:-

Company:

Regiment:

Division:

Ship:

Date:

New Location:

Company:

Regiment:

Division:

Ship:

Date:

New Location:

Company:

Regiment:

Division:

Ship:

Date:

New Location:

Promoted:-

From (rank): [Private?]

to (rank): [Too light to read]

Date:

From (rank):

to (rank):

Date:

Embarked from (port): [Too light to read]

on (ship):

(date): [July , 1917]

and arrived at (foreign port): [Too light to read]

(date): July 25, 1917

Proceeded from : [Too light to read]

to: [?] [?]

(date):

From: [Too light to read]

to: [Too light to read]

(date):

From: [Too light to read]

to: [Too light to read]

(date):

Trained or stationed abroad:-

Country: [Too light to read]

Place:

From (date):

to (date):

Country:

Place:

From (date):

to (date):

Country:

Place:

From (date):

to (date):

Last edit over 1 year ago by Virginia Kress
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WAR RECORD

First went into action (place): [Too light to read]

(date):

Participated in the following engagements:

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: [Too light to read]

Location: [?] 21 1919

From (date):

to (date):

Name of hospital: [Too light to read]

Location: [Too light to read]

From (date): [Too light to read]

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):

on (ship):

Date:

(from):

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

(date): [Too light to read], 1919

as a (rank): [Too light to read]

RETURN TO CIVIL LIFE

Occupation after the war: [Ea??] [Construction?]

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::

Last edit over 1 year ago by Virginia Kress
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ADDITIONAL INFORMATION

What was your attitude toward military service in general and toward your call in particular?: [Too light to read]

What were the effects of camp experiences in the United States upon yourself -- mental and physical?: [Too light to read]

What were the effects upon yourself of your overseas experience?: [Too light to read]

What effects, if any, did your experience have on your religious belief?: None

If you took part in the fighting, what impressions were made upon you by this experience?: [Too light to read]

What has been the effect of all these experiences as contrasted with your state of mind before the war?: [Too light to read]

Photographs-- If possible enclose one taken before entering the service and one taken afterwards in uniform, both signed and dated.

Additional data:

Signed at (place): [Too light to read]

on (date): [Too light to read]

year: 1919

(full name):

(rank):

(branch of service):

The information contained in this record, unless otherwise indicated, was obtained from the following persons or sources::

Last edit over 1 year ago by Virginia Kress
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