3

WAR RECORD

First went into action (place): North of Verdun

(date): Oct. 8, 1918

Participated in the following engagements: Campaign North of Verdun from Oct. 8, 1918 to Nov. 11, 1918.

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 casualty: none

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Under medical care:-

Name of hospital: none

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to (date):

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to (date):

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to (date):

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Permanently disabled (through loss of limb, eyesight, etc.) (specify disability): none

Arrived at (American port): Hoboken N.J.

on (ship): Agamemnon

Date: Sept. 26 1919

(from): Brest

Discharged from service at (place): Camp Meigs, D.C.

(date): Oct. 16, 1919

as a (rank): Capt

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::