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WAR RECORD

First went into action (place):

(date): 28 July 1918

Participated in the following engagements: Meuse Argonne Offensive

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): : none

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

Nature of casuality: Wounded

(place): Agonne

(date): 26 Oct. 1918

Nature of casuality:

(place):

(date):

Nature of casuality:

(place):

(date):

Under medical care:-

Name of hospital: B.H.

Location: Belford

From (date): 28 July 1918

to (date): 30 Aug 1918

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): no

Arrived at (American port): Newport News, VA

on (ship): Matsonia

Date: 20 May, 1919

(from): St Nezaire

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

(date): 2 May, 1919

as a (rank): Private lcl

RETURN TO CIVIL LIFE

Occupation after the war:

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::

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