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WAR RECORD

First went into action (place): [Molbrouch?] Hill

(date): 8 October 1918

Participated in the following engagements: Molleville Farm 10th Oct. 1918 Battle Bois d Osomis 11 Oct 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 casuality: Wounded

(place): Bois d. Osomis

(date): 11 October, 1918

Nature of casuality:

(place):

(date):

Nature of casuality:

(place):

(date):

Under medical care:-

Name of hospital: Vacuation No. 19.

Location: Alleeray France

From (date): 12 October 1918

to (date): 1 November 1918

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): New Port News

on (ship): Matsonia

Date: 20 May 1918

(from): St. Nazaire

Discharged from service at (place): Camp Lee, VA

(date):

as a (rank): Private

RETURN TO CIVIL LIFE

Occupation after the war:

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::

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