3

WAR RECORD

First went into action (place):

(date): July 25th 1918

Participated in the following engagements: Defence Center Sector Haute Alsace 7/25/18 to 9/23/18 Battle of Malbrouck Hill 10/18 Battle of Molleville Farm 10/Lo, 18 Attack on Bois d'Ormont 10/11/18 Battle of Grand Montagne 10/15/18 Capture of Etraye Ridge 10/23/18 A Attack on Bois Bellue 10/26/18/

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): : Division Citation for bravery Oct. 23rd 1918 at Bois d'Strayes.

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

Nature of casualty:

(place):

(date):

Nature of casualty:

(place):

(date):

Nature of casualty:

(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

on (ship): Matsonia

Date: May 27th 1919

(from):

Discharged from service at (place): Camp Lee Virginia

(date): May 28th 1919

as a (rank): Corporal

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::