3

WAR RECORD

First went into action (place): None

(date):

Participated in the following engagements: None

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 casuality: None

(place):

(date):

Nature of casuality:

(place):

(date):

Nature of casuality:

(place):

(date):

Under medical care:-

Name of hospital: None

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): Hoboken

on (ship): Infanta Isabelle

Date: 30 June 1919

(from): Bordeaux

Discharged from service at (place): Camp Dix

(date): 8 July 1919

as a (rank): 1st Lt

RETURN TO CIVIL LIFE

Occupation after the war: Minister of the Gospel. Rector of same church

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::