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WAR RECORD

First went into action (place):

(date):

Participated in the following engagements: On duty at the Casual Officers Mess.

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): New York

on (ship): U.S.S. St. Louis

Date: July 12, 1919

(from): Brest

Discharged from service at (place): Mitchel Field L.T. N.Y.

(date): July 19, 1919

as a (rank): Private

RETURN TO CIVIL LIFE

Occupation after the war: Still remain a 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::

Notes and Questions

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Jtown3

Under medical care: Not under medical care while gone