3

WAR RECORD

First went into action (place): Verdun

(date): Oct 14 - 1918

Participated in the following engagements: Do not remember names of places but was in four engagements on Verdun Front.

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: Gassed

(place): Verdun

(date): Oct. 14 - 1918

Nature of casualty:

(place):

(date):

Nature of casualty:

(place):

(date):

Under medical care:-

Name of hospital: no 6

Location: Bordeaux

From (date): Oct 1918

to (date):

Name of hospital:

Location:

From (date): Feb 1st 1919

to (date): Apr 1st 1919

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 York city

on (ship): [Isobbe?]

Date: April 27 - 1919

(from): Bordeaux, France

Discharged from service at (place): Camp Meade Md.

(date): May 13 - 1919

as a (rank): Private

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::