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004 00513

WAR HISTORY COMMISSION

STATE OF VIRGINIA

MILITARY SERVICE RECORD

Name in full

(family name): O'Keefe

(first name): Charles

(middle name): Matt

Date of birth

(month): June

(day): 25

(year): 1892

Place of Birth

(town): Pamplin

(county): Appomattox

(state): Va.

(country): U.S.A.

Name of father: Michel O'Keefe

Birthplace (country):

Maiden name of mother: Ida J Davis

Birthplace (country): Pamplin, Va.

Are you White, Colored, Indian or Mongolian: white

Citizen (Yes or no): Yes

Voter (yes or no): Yes

Church (denomination): Baptist

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):

(College):

Education

(University):

(Degrees):

Occupation before entry into service: Farming

employer:

Residence before entry into the service

(street number):

(town): Pamplin

(county): Appomattox

Present home address

(street number):

(town): Pamplin

(county): Appomattox

(state): Va.

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Gaylynn

Last name is O'Keefe