1

WAR HISTORY COMMISSION

STATE OF VIRGINIA

MILITARY SERVICE RECORD

Name in full

(family name): Mize

(first name): Henry

(middle name): Ellis

Date of birth

(month): March

(day): 30

(year): 1895

Place of Birth

(town): Dodson

(county): Patrick

(state): Va

(country): U.S.A.

Name of father: Henry H. Mize

Birthplace (country): USA

Maiden name of mother: Permelia X Hall

Birthplace (country): USA

Are you White, Colored, Indian or Mongolian: White

Citizen (Yes or no): Yes

Voter (yes or no): Yes

Church (denomination): none

Married: no

year:

at:

To (maiden name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Fraternal Orders:

College Fraternities:

Previous military service or training:

Education

(Preparatory): com+ High School

(College):

Education

(University):

(Degrees):

Occupation before entry into service: student and farmer

employer:

Residence before entry into the service

(street number):

(town): Dodson

(county): Patrick

Present home address

(street number):

(town): Dodson

(county): Patrick

(state): Va