3

WAR RECORD

First went into action (place): Haute Alsace

(date): July 25th, 1918

Participated in the following engagements: Defense of Haute Alsace July 25 - Sept. 23, 1918. Battle of Malbrook Hill, Oct. 8, Batle of Molleville Farm, B. of Grand Montagne, Oct. 16, 1918. Etraye Ridge, Oct. 23, 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): :

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 20 1919

(from):

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

(date): May 27, 1919

as a (rank): Mechanic Co. D., 116th INF. 29th Div.

RETURN TO CIVIL LIFE

Occupation after the war: Farming

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::

WAR RECORD

First went into action (place): Haute Alsace

(date): July 25th, 1918

Participated in the following engagements: Defense of Haute Alsace July 25 - Sept. 23, 1918. Battle of Malbrook Hill, Oct. 8, Batle of Molleville Farm, B. of Grand Montagne, Oct. 16, 1918. Etraye Ridge, Oct. 23, 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): :

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 20 1919

(from):

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

(date): May 27, 1919

as a (rank): Mechanic Co. D., 116th INF. 29th Div.

RETURN TO CIVIL LIFE

Occupation after the war: Farming

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::