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WAR RECORD

First went into action (place):

(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: Camp Hospital

Location: Naucon

From (date): 9/2/18

to (date): 9/12/18

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, Va.

on (ship): U.S.S. Virginia

Date: 5/25/19

(from): St. Nansirre

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

(date): June 2nd, 1919

as a (rank): Corporal

RETURN TO CIVIL LIFE

Occupation after the war: Clerk, Supply Depot, Navy Yard, Norfolk, Va.

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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