2

WAR RECORD

Inducted into service or enlisted on (date): June 29, 1918

at (place): Hopewell, VA

as a (rank): Pvt.

in the:

section of the :

Identification number:

Assigned originally to

(company): Bat. C

(regiment): 1st VA

(division): F.A.

(or)

(ship):

at (place):

Trained or stationed before going to Europe:-

School, camp, station, ship:

From (date):

to (date):

School, camp, station, ship:

From (date):

to (date):

School, camp, station, ship:

From (date):

to (date):

Transferred to:-

Company: Bat. C

Regiment: 111th

Division: F/A.

Ship:

Date:

New Location:

Company:

Regiment:

Division:

Ship:

Date:

New Location:

Company:

Regiment:

Division:

Ship:

Date:

New Location:

Promoted:-

From (rank): Pvt.

to (rank): Cpl.

Date: Feb. 1918

From (rank):

to (rank):

Date:

Embarked from (port):

on (ship):

(date):

and arrived at (foreign port):

(date):

Proceeded from :

to:

(date):

From:

to:

(date):

From:

to:

(date):

Trained or stationed abroad:-

Country:

Place:

From (date):

to (date):

Country:

Place:

From (date):

to (date):

Country:

Place:

From (date):

to (date):