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Im.
f^r'' IzJ^i(Last name)
37GS9072 f(Anny serial No.) j'
(First came)
.
i ̂"riri nr snnrir^ J wr uiQuuti"^
race'.7:
(Middle Inidal)
X IN BOX INDICATING COMPONENT)
ilcir Army. u 1 National Guard of theUnited States.
United States: ̂ y /its.For Regular Army units
For National Guard units.
Selective Service and Training,
liar Army Reserve—^Active duty.
n
llil i j^'^sted Reserve Corps—^Active duty. ̂ 4^/1 •j ■ v' . . U.-/7 i
/ N H'
Iervice record
o
. •^124 June iq44^ p , 19
covering period ^
::^Ji
1
:s
A,.c7-sJ 1For Instructions ses AR 34S-12S
t'... e;
lo. O. Form No* 24t12.1941)
f't16—25259-2
©EQS PRESS 20
20
IMMUNltMTION Kl jISTERAND OTHER MEDICAL DATA
HAME (last, hbst. hid. ikitul)
/Ki> A".ASN %.
DATE OF BIRTH RACE BLOOD GROUP MEB. OFF; \
DATE TYPE OF REACTION MED. OFF.
->T!
•^-rcvECTIVE trainingIMMUNIZATION REGISTERS p
TRIPLE TYPHOID VACCINE
DATES EACH DOSE
tJy
TETANUS TOXOID
DATES EACH DOSE
i::!
MED. OFF.
TYPHUS VACCINE
DATES EACH DOSE MED OFF.
/ LAST NAME
iZUMI, NOBUOFIRST NAME
% ■ARMY SERIAL NO.
37 699 072
GRADE . COMPANY REGT. OR STAFF CORPS^ AGE
M-RACE
SMALLPOX VACCINE
CHOLERA VACCINE
DATES EACH DOSE MED. OFF.
YELLOW FEVER VACCINEMED. OFF
lot no
This form supersod^Wp M^^^^^^^WD AGO FORM 8«117 S'slpl^fwbich will15 AUG 1944 O-**' feoeiptof.thisrevision. 16-42494-2
DATE TYPE OF REACTION® MED. OFFICER*
--^7-
TRIPLE TYPHOID VACCINE
DATES OF ADMINISTRATION MED. OFFICER*
SERIES ED DOSE 3D DOSE
lof
1
"t
TETANUS TOXOID
MED. OFF." I
STIMULATING DOSESINITIAL VACCINATION
DATEMED. OFF.DATE
nil
2ssi:p
1st doseifil
2d dose.
3d dose.
YELLOW FEVER VACCINE
DATELOT No. AMOUNT MED. OFF.'
OTHER VACCINES
type OFVACCINE
- ■ ■ y ■ 'T
t!
"it
DATE
ft-
{a*. fS~
MFR'S. LOTNO.
AMOUNT
szz:,cc
e"
MED. OFF.'
c^c.c—
, M. C.,X tF. S. Army.
10—20203-1
©EQS PRESS 20
20
l-tetzt—ox aalJio OMUnma iHawNuaAO® « 'n ̂
SSMHVWaM
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NOU-Ovaa JO axio
wnaas ao anaa
mAaKwas wnaas ao smq
jona 3MX3V OJ. aHaaoao ao oaionoNi Nawft -,.,,i„i^tjajjn aviiavJ
aaiAOTnnj
aaJjn nnj» , f*y»" ' 'i-' -a. v." . •_- .
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■-"•■ V' - i:-:-.'.'c-:-^-:v-t"iv'■ ■—~jr^',^:ajAi
aoinaas ni aavw ji aaxaasNi saivQsaaniaaa
^--•:3!r":; -t-V'- •^:aanssi awa 03^3010 aiVu oanssi awa
-sad ao -ON -adAnvioaawwooU-W ^SVW SVQ SS\nS3A3 iO NOlllSOd
'WW
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:51SVW SVO JO aiis
IHSnH3Z1S aAa
iNawoas "wooaiaaViVHJ
uaaNriAO WSlHd Til "oaa
SaSSYlD HUM "VA sassvno inoH±iM "V*a
□ on □ saAoHiitnoiHS3SSV19
Nouovajsa jo aavid
S31DV103dS
/LECTIVE TRAINXNG AuD SERVICE
immunization registers p UST NAME
RADCOMPANY I regt
army serial no.37 699 072
.oRstS^X^^ AGERACE
SMALLPOX VACC/NEDATE
type of reaction «MED. OFFICER*
tr/ple typhoid vaccinedates of administration
MED. OFFICER' 2D DOSE3D DOSE
AUG 4 '44
WAUG ^» SEP"'^
tetanus toxoidinitial vaccination
STIMULATING DOSESDATE MED. OFF*
MED. OFF.*1st dosaiLQ./h.'^
2Ssrp|'4
2d dose
3d dose
YELLOW FEVER VACCINELOT NOAMOUNT mED. OFF.*
OTHER VACCINESTYPE OFVACCINE I ^ATE
i'l 'Xh Trffe
MFR'S. LOTNoamountMED. OFF.*
/C c
-X-RXv..
rr ■ C-. U. S. Army. 18—20202-1
©EQS PRESS 20
20
[n cdle jP^.(l>^i^^-^:^-—T '" h 12.S. .Ix-U^-'- - - jr- f
ADD.
iGO Fori-i. Ko 24.4
?« I X n' ,V ./- 1/ -T- eDiUA 1(S9 •r.vj
33" ■""OTHEB IMMUNIZATIONS
TYPE DA1H LOT Na AMOUNT HED. OFF.
r 0
SPECTACIES
PLACE OF BEFSACnON
V.A. WITH GLASSES
DATE GUSSESREQUISED
YES □ NO D
V.A. WITHOUT GLASSES
OD OS OU 00 OS OU
SPHERE CYUNDER AXIS PRISM DEC. IN.
oa
OS.
bifocal segment FRAME
height INSET P. a BRIDGE EYE SIZE TEMFU
MM. MM.
POSITION OF EYEGLASS GAS MASK M-l: SIZE OF GAS MASK:
rnMMERCIAL TYPE. NO. OF PRS EYEGLASS. GAS MAS K M-I
DATE ORDERED DATE ISSUED DATE ORDERED DATE Issued
DENTURES
type
full upper
FULL LOWER
partial UPPE
partial lower
DATES INSERTED IF MADE IN SERVICE
7:;^;^;riFtmE5EHT when inducted OR ORDERED TO ACTIVE DUTY
DRUa OR SERUM SENSITIVITY
PATE OF^EACTION
severity1 MED.CFP.
rEMARKSj
u. • oovabnhekt pamilN. office 16-42494-1
©EQS PRESS 20
20
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ddO *a3W •ON 101
3NIOOW a3A3J MOnaA
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HNIOOtfA waiOHO a 0X01 SHNViai
no 'oaw 3soa hovh shivq•no a3W 3500 H0V3 S3iva
HNIOOkTA OlOHdAi aidlUXSNrOOVA SOHdAl
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Iiiruu403 UKlUdtltiU oy a^ioctive BervnnO
lG-O For
-1^-
_ fV,
-i
Local ̂
Date
.110 .a3M
Piic« t« « ,
1
^ ; ■
•«:n.iB..EolK^..Dg5..I.Jfiins5^..lQwa. i ''">, (Board No., <'ifv. nnd StJityO. ! :■^iiindiJctbn station ,
IJ3iva ;
• (Qrado oidl"a^YT 3TAa
.it^ri. '.V-^PubT. uuiLyruf u couterl vy ' '
Pit. <enf ...T^ Jr.-,?^ ft
RECOKDS OF IMMITWIZATIOII'See par. 6, AR 40-215, for details relative to inununizatiOD records)
SMAUPOX VACCINATION
Date Result'
?..sep;44_ .....YAQCinoj.k
—
TYPHOID VACdNATIONS
t SME SOCS------
-~.-^i-S£P.J4A....jj-5„|)S33..C0^1Pi.£XED.„.OTHER VACCINATIONS
BLOOD TtrS''^ Date
1ST DOSE TETAIIUS TOXOID
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^.kAy.k..t^..
.^./.<?..<J.y2.-l.-^.^-^..-.0.Tfmu^nf—- - * ■ —
CAEEIEK EXAIUNATTONS(See AR 40-310)
Date Paraslto ciaminedior
Eind ofppccimen ®
Positive ornegative
' ■ Ii Ift
* Record as vaccinJa, vaccinoid, or Immuno reaction.* Record as positive, positive combioed, negative-psoudo or negative,* Record as icc63> luino, sputum, blood, etc.
u AI'/l
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©EQS PRESS 20
20
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ddO *a3W•ON 101
3NIOOW a3A3J MOnaA
dJO 'osw 3S00 HDV3 s3ivajjo *a3W3S0a HDV3 S3iva
HNIOOtfA waiOHOa 0X01 SHNViai
no 'oaw 3soa hovh shivq •no a3W 3500 H0V3 S3iva
HNIOOkTA OlOHdAi aidlUX SNrOOVA SOHdAl
N0liJV3y ..^J 3
3Mm>JKXo«r- .s
D/7/•ryrt \ wiatttAo^g ino«o QocnQ
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Iiiruu403 UKlUdtltiU oy a^ioctive BervnnO
lG-O For
-1^-
_ fV,
-i
Local ̂
Date
.110 .a3M
Piic« t« « ,
1
^ ;■
•«:n.iB..EolK^..Dg5..I.Jfiins5^..lQwa. i ''" >, (Board No., <'ifv. nnd StJityO. ! :■^iiindiJctbn station ,
IJ3iva ;
• (Qrado oidl"a^YT3TAa
.it^ri. '.V-^PubT. uuiLyrufu couterl vy ' '
Pit. <enf ...T^ Jr.-,?^ ft
RECOKDS OF IMMITWIZATIOII'See par. 6, AR 40-215, for details relative to inununizatiOD records)
SMAUPOX VACCINATION
DateResult'
?..sep;44_.....YAQCinoj.k
—
TYPHOID VACdNATIONS
t SME SOCS------
-~.-^i-S£P.J4A....jj-5„|)S33..C0^1Pi.£XED.„.OTHER VACCINATIONS
BLOOD TtrS''^Date
1ST DOSE TETAIIUS TOXOID
^^Ldo^'teta^^^^
! lit 3.A ;'rv: .t
^.kAy.k..t^..
.^./.<?..<J.y2.-l.-^.^-^..-.0.Tfmu^nf—- - * ■ —
CAEEIEK EXAIUNATTONS(See AR 40-310)
DateParaslto ciaminedior
Eind ofppccimen ®
Positive ornegative
'■Ii Ift
* Record as vaccinJa, vaccinoid, or Immuno reaction.* Record as positive, positive combioed, negative-psoudo or negative,* Record as icc63> luino, sputum, blood, etc.
u AI'/l
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iNruc
RECORD .;
' ..tol3.....i:obuo..„.^:^f3efi^.„..i&' ̂ £r^rfi^..t^a!LS. i r\ (M(»th, day/^d year^ -, iCiiy or town; (S'ate or countiyLgHeigIil„J?_.fL..Q..m. WeightJljX._lb. ByetBXTl^ Hair BlaC^i
CompIexSon D2.2^__
I Muried or ibile —J63d!rg£&. OccupotionEDUCATIOHiX QUALIPICATIONS
Year* in: Grammar school High school A CoUego or iiniTer*!ty_ __0^ ̂ Graduate work Specialiied in
t L, ̂"oCCr^^nOHAX^TIAiaPICATIOHS
4 r JMaln occupation) "(wi^ywaaoi)Years a* *appreDlicey Journeymanp expert*
Just what did he do? '•J«
_ , (Next beat ocoupatioo) (Wodcly was«)'"' ̂ —— a* 'apprentice, joumeyman, expert-^Jotl what did ha do?
HOME ADDRESS AKD'HEAiSsT EELA'
Home address(Nun' "" L ̂
state)
(City, town, or post oflicehriaiQe and address of nearest r^ '-'live __ IpiiiX X
Ilother -i4-i-:r6a""Gr44.CHelationship)
• (State or country)
■^Name)
(City, town, or post oIHcq)Sper..n nSl^re'cUrierpenrvG.TQni TA Llcther ■ 16 .4.3-Oq, V (City, town, or iwat office) ^
rr u, r designation OrBENEnOIAEY(To be entered only from appropriate enlistment or induction record or '
(lllQEi.7:^ 5" A - VAHrV. ..s '
oJ r^^op^ijptm lienSioiary)(Address) ~ij-orn ■J^2iU£ii --.Jiiateit _
^
b« <o / dogroo of relntiomiLip of alternate benefioisry) ,, ̂12— ' HI d 4^4"jjt _ (See "Remarks—Financial"" (par. SoV AR 345-125))
j^Aje ,t.nritftdit —IB— - years .9—— Donthi.fAccepted tor scrrice at,
day el .
In grade of .....
on the
,19by _
for
to s«nre
Completed ....
at
a.
(Company, regiment, arm, or service)years.
a")(Words and fimres)
years ....ju. 4sys for longevity i^af*
a of otficer)Ha* over Q years' serroc.
Physical defecU at enIiS$^
* Strike out words not applicable, «t Np entry required for men secured through Selective Service
Iw
raiOR SERVICE
Firrt show prior service in iho Regular Army, then insert headings to show servicein the UiiUed Statu Artny, Volunteers, Navy, Marine Corps, Natianid Goardor (irganized Militia, in tho order Darned.
--— from _iCo., rcgt., arm, or oorviced
i » jto. : 19_
DuriMrgedM ; ; Byreascact.(Grade) (Character)
(Data reaulrod by par. 8, AU 345-126)
^ from,(Co., reet*, arm. or Bcrvioo)
IKscharged as .
19 i to.
(Grado)i By reason of.
jl9-
(Data rcauirod by par. S, Alt 345-125).from.
(Co.. rest., arm, or aervico)
Discharged as(QxmdS*^
il9 jto.
—... By reason(Character)
(Co., rest., arm. or servi^
DucWyod u
(Data reauirod by par. 8, AR 815-126)fro" , 19 , to
(Grade) I Byreasoacf.
(Data roQuired by par. S, Alt 34^125)
regt., arm, or aerrioe)
XHscharged as .
19 , to.
(Grade) CChamoter)-t By reason*^.
(Data rcauired by par. ^ Alt 345-125}from.
(Co., r«gt., arm, or service)
Discharged a
,19 to- , »-
(Grade).; ... ; By reason of.
(Character)
(Data roQuixcd by par. 8, All 845-125)«——— from _(Co.. tegt., arm. or service)
IKscharged i
il9-« ,19..
(Grade) (Choxactor)..t By rensoo of .
(Data roQuir^ by x>ar. 8, AK 345-125)— ... from .
(Co., regt., arm, or sorvioe)
Discharged a
..,19 to. ,19«
(Grade) (Character)By reason of .
(Data roQuiied by par. 8, AH 345-125)
from 19 to 1(Co.. regt., arm, or service)
Dbcbarged as .(Grad^ (Chsjaotcr)
By reason of .
(Data roQuired by par. 8, AR 345-125)(ram .
tvx>., rogt., arm, or servioe)
Discha^ed a(Qrodo)
, 19 i to 19-
By reason of(Character)
(Co., regt., arm, or eorvioo)
"(Data"r^uirod by par. 8, AR 845-125).1» .«•
; By ruson cf .—p.Discharged aa ..~.3(Grade) (C^haraoccr)
T(Data roauii-^ by par. 8, AR 845-126)
©EQS PRESS 20
20
rIVl
M
ScrreJ is
KtHTAKY QUAIHTCATIOIISiranTARY RECOED
I^ —
S>'
Gradnataaf (Sootioi , Date Authority Initials
AEMY SPEfiTAT.Ty 1 P/w/- ^ gfP - 7s d
c^oEatiiAIpjolLKSpecialty •Rating,with date
•Heratinfff J FCwith date ^/RiaEMAfft ̂«|t 16 DEC M4
—
....
-
1
-
'A -fiiAuellent; VU« Very good; G=Qood; F«Fair.
AsAt
u x/uxx
Prom ToAothorlty
-
„ARTICIES of war-ii^q to aoTdier ag reouired by the 110th Article of War) _
InltlfllsInitials
44
SEX KOJtAIJTJCom., compleiid (sef«5 <0-235) . - jI—Ai i r-t.
(Sp^wc ■^^■^KCCATION m ARMS"JO'IJlciiboM anained mjhe me of tl,e nriom inrn inJ addW""'' ^
-—— per montb. Aggregate or final score ———PuWisMn* f«t ,f TfTa'i"'"
( Qqalified ai (Namber) (Source) ^ 19^-^"
•^"PensaUonS ' '^ P**" month. Aggregate or final score.W poiiuimg tart ot qnalificalion
Qualified as (Number) Source) (pato>. 19—
^mpensation % doaisnation)"per month. Aggregate or final score ———^
"^'■^•^•^^'•ct.f.^ualdKa.ioa^Jnahfied as (Nomtw)"
'"(pateJCSoorce) 19—
—»
^^®°^^aUon $ ^eaiKnatton)' '. per month. Aggregate or final sasre
0 ; " '«« of -P^aMcationVaaUfied as (Numbor) (Sooroa)
Lf^oweoiation jj^'odo SosiinTtTo^ '. per month. Aggregate or final score —"
1®— of qualificaliM(Nnmber) (S^oe) (D»<
SPECIAUST RATmGS
Glass Qnaliflcation From To Authority TniffftTa
. .
INSERT TC SERVICE RECCED< ,_ CRGAIVZATTCNS TO ^^'TOCH ATTACHED
Organisation^ . FromGiVi-ooS ,(r 3 APR'49
Gfoo/P-P.6 a cf-
Z'/ yy
To 4 \k
Assigned to company, regiment, arm, or serVica
J2d£i.m'FM
ty mAiA^ LA-IC^ * ^
Station Bate
/.{g.iii
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Scrred m
Holds comm
Gradaale of
Krade hJd)"Holds commiwioa aa
MlITASr QirAIIFrCATIOIIS
in the United States Army in the World Wf
in the Officers' Reserve Corp*(Grade) (Sootioa)
CNoncommiaaioned offiooro' or special oorvico scho^army SPECIAITY
Specialty
! *U*
•Rating,with data
16 DEC '44
====^,.__S^CI&.1 DUTYAs -===-
•Berating,
with date
From To
OF WABfay .he 110,1. Article of ̂
.__«Oi!rc -i,'
Initials I
44
nitials
"uidlfieda ' * • Peniclion ttior»f,o.-\ 'a aspensolion therefor)
^ffllwnsai:— ','^^do deaien^ti;^^ ' —-->^,19.-'^
Order »>. ii. , nionth. Aggregate or final score ———
d Q«d« , •' -- fT-tiJ-"0 '^"'Mede. CN.;SW)Gooipt'Pe , deaiena'tio^"nsalion $ <'e8i«natioa)Order nnti-, ' ®onth. Aggregate or final score —
,^ (Number) (Source) 19--*'*'
'^""'I'MMlion $ deaica'tionr 'Order w^^Kx' . ^ month. Aggregate or final score
— 5X5"(Number) (Source) Id--*""
Order n„i,>- , ""ft'"- Aggregete or final Kore... '"'""'^^'«'of^aIifie.,l„„
u (NnibOT)
'^'opensaiion doaiaiiu;;^
(P»l(Source) 19.
'i^
par month* Aggregate or final score ——
lusiificalSon „ (p»(Husiber) (Source)
',to?
1
MIIITAEY RECOEDAPPOrRTlIERT, PEOMOTIOH-, on EEDtrCTIOiT, WITH
AUTH DEITY THEKEFOE
Ctrtido Date Authority Initials
Pfte......S.^^£C> ' 7S dc.o5s;eoiAj^|).A
* '
SPECIAUST EATEffGS
Glass Qualification From To Authority TniHftTq
■*
— — -., . . - 1
)u>/i3TC,CgBl8Efes.l'1gi 6Ft BenriiriP. Ga 20 dec '44
'G HAfi '45JfT'2'm
OEIGINAl ASSIGIJIHEUT AND ORGAmATIONS TOWmCH SUBSEQUENTLY ASSIGNED DURING THISENHSTMBNT PERIOD
Assigned to company, regiment, arm, or service
(IIWm P-/1station
0PO.-^424 W
Bate
^ //>2V5~
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20
Insert P-ije 6medals DECORilTIOES AT®-CJ:XA!ILiaiJS
Europe) (Rhij^^iid) Auth: File /iG 200,6Op Hq ETOU^, dtd 12 June 45.
T^i,nt1 nflni TTn-i-f >^26,Thirst Umtod Statoti Aanv, dtd 17-J'-^^-^'-' i
n,.,. T -J- p:Ofilf
^uth;^i^rtybtTrSR. rnnnn Gy jlux, (ailET) Ccuaiattjcgff"Normndylfj itr Ilq ET0U3A, AQ 200t6 Op&^dtd-l^ Hovy^i^Auth: B ronze 3v stars (ArdisCj^^) (Centra
"Lfinf r.1i|«^nin -j-jy iK ot i nrril fc-i- s'hod Unit Dadt^e, G0/f'31 Hq 3ra UiilLod B^jj^td 7 ?r
niith; Cor.ibat Infantry Badge, GO#5u6th Prcht. Inf, dtd 19Auth: Turpie fTeart,--GO# Hq _j——- dtd 19__!Auth: Oak Leaf cluster to Purple heart,GO# ^Flq dtd '!
_-_l9 . i-iiith: Good Conduct ribbon GO# -'■
1Q .
Gv «>ii'uniuuU per Itii"/^^
o^_ _aSN_^^'^itional remarks see pAge 1^
TIME lOST PEIOB TO THE ITOHMAL DATE OP EXPIRATION OF TEEM OF ENUSTMENT TO BE MADEGOOD DNDEE 107th AETICIE OP WAE:(o) Absence vithoot proper authority or in desertion.
From To Days
(A) iime actualiy in confrnement under sentence or while awaiting trial anddisposhton oi case, if trial reaulted in couriction.
From To Days
iMie lo penorm duty tbrougb the mlempcrate use ol crags or afliqtior or tluougfa disease or injury the resat ot his oted mSscondnet.
From To Days
ABSENCE SHBSEaiJENT TO THE NORMAL DATE OF^a||kATION OF TERM OF ENLISTMENTFrom. ^ To a ■ ■. N Days
a •
(4) Time aelnally in confinement under eenleMO or while awaiting trial anddiaposhion of case, if trial resulted in conriction.
From To Days
—
(c) Unable lo perform duty through the intemperate use of drags or alcohcmeDimor or H.ro..ob diseaae or inimy the result of his own imscondoct;
■ From To ' ' Days
©EQS PRESS 20
20
Trem I, ^
Extended ... po®
Rejoined
From
Authority
Extended— per _—
Rcjoiaed
From
Antborit j _- ——
Extended _
Rejoined(Number of daya)
From. ..
Authority ..—-
Extended «.
Rejoined(Number of dAys)
F"»™
Authority
Extended .._
Reimned
From
Authority .
Extended..
Rejoined(Namber of days) —
From —td .
Aothorty
Extended. (Namber of days)
Roooed
. FOSEtGN SEEVICEState for duty fi..
, 19-4.S"oo y y<r
» ?fl ^ ,.¥Lrfl United Sium to, dg(, in •From _
Arrireda.
left
Arrired at..
oo J9
. for tij® United States oo
... on _19
~—^g^S, DECOBATTOTira, dffp CITATTOITSNamo of deooratioa
A
GOOD UNDER 107tli AEWCIE OF WAR^°(gLfeenee without proper aulhorilv J
lYom To Days
(i) Tmeactaally in condnemenl nndei scntenco or whiledmoeition of caae. if trial rwiilted in rnnrir,;.,. awaiting trial and
FromTo Days
ii-
FromTo
ABSEN^^TOSEQUENT to the WOBlvrAT. T^f 1 OF ENUSTMENT.(a) Ahaenee wrihont ptouct awlIuiritT or in dmsria.n
DAT
Days
E OF
utiicrlty and date
VIClOnY Wa BUL. 12,1945__
18—25269-1-
From,_ To . c* ■i t. Days" 'a* - \
rrom To Days
-.
— , , ,
I-® !»l=">P<=--ato 1150 of dniga or alcoholfcIiiynor or Hirough diieaoe or mjnry the result of Ms nim n,:.™diirf■ Froin •■» ■ • - To -"' ■•■
■
- f©EQS P
RESS 2020
»
lo ^ B7 COTTHTS MARTIALl.> M^aley^
W- _ <V 'Py^oti pflongo)
t >, —if-—/ Appwred /tS"AftAr , loi^.. the absre is y ^ / .^r /^ x'^/7
to|/>Jcececalc<I portloo of̂iJ^eJsased from
"PMi£catioQs)
~-._A.V/. -i9_^o«) CDato of olTosse)
•ornarileiiTicmJ • »• -^ •ipiKcdper , , . ,„ —
ijoueLmMt. 19-
fd^a.ongJdtiit't^ T/iT
"'(SynoP^
S«nleaea ta annonncad mad adjadsad .
^•Qlenco j -a *« approved.
' «rtify the ehoTO u 'ccmreet.Approved. .19-
Wneiocuted poctbn of conBnement^SS'f' oiBiSiii.tES^"B , . "■nnnement and forfeiture remitted perRrfteeedfromeourmemenl. —.19-
-am^•"
. (Name, aiade. ond o^er.".tlon)"
of-d?o-3-^^"̂■; - ;19
CDato of offeose) '(SynoP®"
"^-".«ncuueedimd.jj^^=■«•«= woppreeej ^^•"^^VhVrh———- — Amoved.
CM.; A.W.(Date of cllense)
;l?—(Synopsis
of spocificationsr"
Sentence Atmoonccd end adjudged.Sentence as appreved
!9._
I certtfjr Ibe abore Is emrect.Approved. , 19
Uaezeeuted portim. of confimimoJ^^rfS'r^^S™Released from confinement.
(Nnmop amdoe and orsanisation)
— CM,. A. W, J9_^(NoJ (Date of offeas^(Synopaia
of epeoiaoationa)
Sentence annomieed and adjodgod .Sentence as approved _
, 19
I cotSy tbe above u cmrect.Approved - ,19..
Uaox.cu.ed porUon of c=r&muJ^^5LY4'rReleased from confinement.
, 19
G^ame. srsde. and organization
-cm;- —--j~ AW_ ,19(No./ » (Date of oftense)
(Synopaia
of spetdficatioM)
Sentence annotmced and adjodgadSentence as approved _.
, 19...
portion of confinemenl^n^ orffmniaation)'•"«> '«>■» cooCueu.^, —
^ certify tbe above is correcLApproved. , 19
(Namo. grade and organization)
cnoT"^^;CDato of
^^^veTi Approved
lJn«»eee...t j (Name, nrado. and organisation)nexecuted pcrlion of conTmoment and forfeiture remitted perReleased from confinement , 19
Confioeniop*^*??'5^^' organizmtionT''•""'=«fiaenBu, 0"
-. 19-Vt
, fPfeme, gre^j^, end o.g.ni.iiiifin^ iQ—26269-1
0, erndo. and organization)
KttdfJ
|W7 antno
per monlbfor
•®d expiring;fE !34S,-_
, ofIKKonUimBd hT/ 2y.i
A. G, O, Form No. SO, AaSedVi FioQDco OfEccr, U, S, Ari^, Vxxfafi^eii.^ 2IL1SIS4;—. __/ \ and grade <^f|fo^srardIiiff ofiicer)
Acunow1e<fymant nt
©EQS PRESS 20
20
5^f" monlh., commandng ̂
, 2ir"x^^ " »f"or.f^/Si tu. nc^jo ,f ̂ vy<3g^
're&soQ
rj<3c/^
Digconlnmoj ̂
Army, Wa#uui3*o**»W. D, A. G. O. Form ^
"i I D-C,^ ̂ .jg--^.--^j of dioconlinmmco r^oW^l . ̂ / f 19 -
P„ ou>^ { C.nm.«.dn, ./4^.r^...V^'^1 ̂ "«/uia*,
^^i*conlinued _
—/?/""^ ̂ ^aK3ist.\kz!^' of ^t/^jfieri
, ls4/. re«on' reason -^.■- • ■ / '■ <W D A f ■ ^' ■ ' ^^O. Form No. 30, moiled lo Finance'O^a, ti^S. Army, Wao!iinsl«^D.C. - .y ; ^ .
(Name and erade ^fonvardtoa oSiooi)nuance received 19dUcominnmme rocmred'. 19
SERVICE LIFE INSURANCElife INSURAl
>fp«yforGfltijSk,L.authorized as follows: ,
Veterans'i/" ''' A- G- O. F^/^o. 30,, A.^.r,.ien,Wa.,^,,o^p_^^^ . , ■.me and" grade of forwarding offiMr)'
~i - e.-ue oi torwerrfie,.""Jnction of pa, jo, r.Claa, D • '"®™nenl inoorance amhorized as foHows:
~ """^-JedncBonofJ^ "omencinj por month for- '■» Peyment of „o.„.u "*! "UJj premium on $. . ,r* reajon —— Uis continued
" Vetemns'ij . W. D, A. G. O. Form No. 30, w, ̂ '•'"-^WashinytonD.C.on
n
DEPOSITS
' D,, , forwarding iffiJi)^ "«l»ction of pay t„' D ln„,„ ""nrnienl insoronce authoriaed as follows:deduction
'emmcndnji V®'' month for'■" wyment ,f ̂ .,, ' " capiring ....■nonthly p„n,iy^'eason Discontinued
Veterans' An . W. D., A. G. O. Form No. 30,AdmaustratioD W. i.-by. '"'''•liinoton,D.a,
-M260-1
., OQ
" trade of forwardinc offlMrl
m
10-
DateAmount Total
amount Nime and grade of financeomcer ac(»pting deposit Initials
Dole .ct-, Dole Ct.
"N-
. atid. .-/lOO Dollars.
_J■ and - ../lOO Dollara^
_T~"- and /lOO Dollars.
- and AQQ DoIIara.
n-n/T /inm^esii
11 1 • "" 1
1
0o
a5^.._./100 Dollars.
. tmd —-.^-.yiOO Donms,
1- and /lOQ DoHara.
- and /lOO Dollars.
1Pay . and /lOO Dollars.
oo*''''
, 19--—
,19—'
19--
detained by COUETS WARTTAT. enteeed onPAT ECU
Month
.19
AmouatVon.No.
Name and gradeof finance officer
AccountsforDel. Ct.
©EQS PRESS 20
20
12
CIOXHUIG ACCOUHT
CLOTHIEQ DSAW3
DateoflssnoMoneyVElUO
clothingInitials
IS
:::e
Date of issue
ft'£L.KJ'
-•■cr'ci
Moneyvalue
clothing
d~_■jh.
toKials
Ir:
GRATUITOUS ISSUE OF CLOTHDIS
CLOTHrwO SETTLEMENTS
Date Duo soldier Due United8tatos
KoU on whichcoUocted
Initials'
1 1
nojW&-
and .—JM
. and .---JIB
and^,_i^Initiaij ofo^'Kaltationcoaai'aader.
13
EESIAISKS—^FutaitciaIi'"I raiaftr."J maltan not entered elscniiero soeli u
of cartLat rt« aamago to Go7emiccnt property, amounts doe oo acconntw partial paymenU, cTerpaymcnle, ctceEnlistment aDowanco of $_
lor tlie srado ofpaM by ■■
, 19EmlUed to tioTol s>»y (« Y ^ O) D IC^iaoe at which aoccptod fur previous enlistmant)
Ree^d no traTcl pay pppn ,
Date
; 19-.^ to rcenllst.
Description and amonnt due tJ". S. orsoldier
f^Og—
CL-if AyiT-OF-<^^-PER-
Et'PKCt'lW!; -
Eoll onwhich
collected
SOSTH---
GIj liEb "OP"
' AUU'T Ch N aLmT t ER I
rccp-M if __ ■ilZTZTmiEET
ir"TO"l nUL D ¥(T"UW us CSOVT 1-DRY
^"lurrost:OVF us aovT LDpy i O • ^9—bFs.-'/.^.. I'
j"r""d"alagM"WP"e"rtyW
Jue;TJS:-pc
IQue fr--Us Pgr
rt P'ifiT"f:7Zl<£g.7mn-j^^ X-fTels-of—
Prchtigf Status.—
. PM °Q0 - irib. '^■
jfr,-IVtetof., r.-B- SS"P
ON FU« f'f*INCL- DUE FUR R
dmg_
©EQS PRESS 20
20
14
EEMAEKS—PnTANCiAii—Continued
Date
b'--S-e-tB£)iS;-JTaj;-jr]j-
^-^Iac-SLC
Description and amount due D. S. orsoldier ,
^ t ynvx fs'
-lit u-m^
-B®B-£ OI:-Fo3P-SeFV^-Pey-£r-5-^
SifiTA.P£c.'E2'
T^JZu:.
■iaXo-N e ) V g."JRSB.1l.J./V
•^Zly^yA./^ysuir.
Boll onwhich
coUoeted
nr-it5—
jE:,..£>TA.
j^t>r.v£!l
L. —.^.
iS2(siH}^_
~WS_^,SK..■:o incTutte-ui
—71
Last Pr.VJ /.. -■ . ,. :l-ast P;yVJ y.
1
to—assstt-i
15
ilElttAKKS—ADMINISTit-^iTVB
«nd no!h)f""clMr«u?authOThinj Da'T°"'sh"v'"'''%™l!'"l ekewhereand such other entries not set inrdi l ? wounds, battle, engagements, etc.,record complete clccwhere as may bo required to make soldier's
"REuraiou"""ifiu ''^" " -i.>^lification in Arms
"AWi^ofl. Course Ra.ting"ABidI.TF"
"L
cZo;:?/py
:x '
jlialaria control tng coiroletu^c on ^u.ocTm on Y '
—itft^Xac .c' . iv .. • ^—S9Suj'ii$.^._"fc_0_^n_jinst^ct_iv© ^ ^er ^--tftr„£„sa.i52.jaQ_j[a;i7^iZ2iJvSei9Sr"^
"Nil^j-in.gnnL„... ^«sj£ -aLtJieJieqi.Cen,_Et.JLQgaii,.L-4^ V
-Colo.. Tlfir II„ eeu „ . . ~
1-SftlOes._p.er—Hq,.7th-_.aery ■ (^yid, Ur
—Q.3s.rf—ja.fl(Vj'.exs.jj5^..a£fia.r-e3;f
A (pM.e.iLsjc^^ A.A i'-'^UJAaS.aiM.ra-r..—i2a.y!A^— ^
S'Vft—.--—l™L9.4.''OVE:r)i\jGD 8> KV ViCt EXTKNSKjN Ac'ruPTiir \I \
nil
"^hiite dut continued oai-a-
• .a,,
ED" i.tiFEBW
©EQS PRESS 20
20
■/pP"P'^s<*L
JUfJP RSCOPD
2__aii»; ;8ti"4KDJNG P'r.A'
.-,19
ITiu «old!effyaa fcantfgrrejfa—.XOijl-CotnTn. '.' iper
Ho was last paid to include Lby
:-V: jj i:* v. jg
(Nomo and ifrade of disbursing officer or aeoat offioorrifaw)'Due United States; if nothing, so state —
-MO__OF^
t Due eoldier al dale of Tranafw.Aivwau^
ihaa not ® Clasa F deduction vrfaich has been i: '- ' ' hij pay•"•■•'Q?? ■—.19—This soldier a Class B allotment running which has beioft ^tlacted from his
pay to include 19"Hiis soldier a Class E allotment running which has Been deducted from his
pay to include ,19This soldier has authorized a Class deduction for Gor^awif insurance which has
been deducted from his pay to includeHis character Is
19
■ 9 ■*.','u^5^!fv«!i»>srr
Effi,"wncy raling aa joMiorbare personally verified aU entries in thw indorsement-
i. It Mos/evrwra:V I (Grade and oreanisatio^ilk^ "" If
This soldier reported ^19 \ S -t* -»nA . . (Organiaation to which transforrod)_Wdwa.a.s,gncdto („e page 4).
soldier and not paid to date, such as mone-IStrit-A A.?, S,—,J—" 9' Quorters and subsistence; if nothing, so state.IStrike out words not applicable.
*W. D., A. G. O. Form No. 21-319 July 1943
Mod O. Form No. 24-2,1 May 1037. which may bo
L
17
sa ina.Iftrc CAMP BLANDING, RLA.
— 19.
Thii ooUier was tramferred lo YOUR COMMA
jaAr,/^o^^--TKis HO //• atXL V/per.
•od left (his organizatioa.B® WM last |iaid to infTndg .
bj C* lLyiLD„ V^irr r 07 a
(H
ZLT-o- A/^u _;19iy
amo end srade c£ finanoe officer or aeaxxt officer, if anyjUnited States; if nolhiag, so ol:^e—
DUE US GOVT UDRY ». Qx/jc'i/ fy
-"CLSSS""B—
"SIXdTllS'r'? STATUS"
"C""E'"T~TT
/cuOU/TT DaD" "IxiD THRO'cro:^
%
%
soldier al date of « TRF: ACCRO 'D P " V„fr ALWS ;
5^fccladef_!baa authorized a aasa ̂ dcdi^ion f*r CoTeiuOTl insiiipne^ Vhjih hw
running which
'
^ rEaraeter u excellent, ratios ea«adiezJ^LSFACTORY•W..- - y/. / •
«m^nt.'•*® l>ersoDcIIy ^y ■;/y
^^-sr-pfefiHsas-)- tts^Tjp^r,iAsst Por«..Ojff'icexj: ;—
(Grade and orsazuzauon)®ofdio7 reported . , 19
■'^Ty ®°y iroounts due soldier and not paid to date, snob as mono*tsglpwance in lieu of duarters and subsiatenco; if nothing, so state.">•0 out vforus not applicable. i
©EQS PRESS 20
20
" aofjmMjtnMjo .
~ »pnfOtn oj pird i*wf nM Bff
" OJ p0XI9J5U«^ tVM i9rp[0« *11^17
rri f^t.-TTP rs-MTTTrtIst^■i/1 it
ieiSr-
itiusol tnmtmej to
and feffi Ibis
by
mzaGon ^
CNazneumd grado
Doe Uoitod Slaies^ if imjuag. so
*Diie soldier at date of
»3FEIl-CyE?£BT^M..A
lldssftldW E ^otment ninnms wliich LasBs pay to io^ude
Tliis
dedncted firaa
, 19-has aalhorfzed a Oaas D deJacTS^fw Cosemmcntkunmce whkli
has bei^ deducted from Ks pay to fiSlSfE _ \ 19His chincter is —-jQ8$21^9DE
ratii^ assiddief
I persoooHy verified aQ entries in lib indorsement.
(Name)
(Grade and orsauisatiozOTins soldier reported.
• 19.
'' ^ apy amonnts due soldier and not paid to date, ciicb as moud-+Sf^i quarters and sub^lstoacoi U nothing, so state,tstrike out words not appUcable. jo-^52e^iL- 1'*«'Mw uuw M^^uvauio. -lO-
2d Ind.Ilfmj CAMF. BLANDING. t^XA
.. I^YSIU wiin Ml orcanmiion, ana upon iranslcr !'■ iiucti;e status.ihese indorsements wiii not he used when a soldier is only ̂ tsehsd .o another orcan*
izatzoD for edner rations or quarters or both.Mil/
This soldier yrzs (rscsferxed to ̂ YOUR COMtvlAND
per. THIS HO/y
•nd feft tins ergaanatioa - -
Be«uIast|taij(oine!nda 2Z?——/}/^4LJZ. ■ vf^bj ^c.j; !.yi*iD_ Wiiii LJi.
Qitmo Kid ermdo ci fimaoe officer or Kiant oEcrr. ifDae United States; if notiiiaj, so state.
OUE US GOVT LDRY -U
2iU2.tlS.QOy:p.4,esr^y—
^H0T?,1Ff^* S?.4TUS"Uo'TTlRO'aCIH'
"rj-
clsss A..jOU/jT I'jiCn
•Di!,,eldieraldal«<il TRF: ACCRi. T) P/.Y ^Cc ALWS
ns
J
' ̂3asi/^!jlloiAcnt roni^ which has^ey. ̂ e^ucted
7. 19aulUmed a Oss. / dcd^lon for CoTMiri^i ika^, ̂ ttjj i
^oddsfbtiicdTrom Ills pay to !ncInife'J2L-''. Vo
Eelenti, rating es sold^ ^ ^IIbtc petsonidl, sertfitid H
fcaciiiacteris ...Ji.^^.^LLENT_tede«ivr.t™...„id:„ SATISFACTORY ""
doi^mt,6U ■}
'Ass.t.Por8 Offxcerl." Boldlor reported
(Grade and organiaation)
, 19
fere soldier and not paid to date, euch as mono-• SffiS«%ords SofappS 8" ®tate.
©EQS PRESS 20
20
rInd Added 23 M"r/A5
1 f <
A I ,/ •
HQ PBr.HT .qnn
FT BEHNIMQ , G/. 23 M'TchTO: CG. AGF RAFL D.AP~^ ~£Z_G£iO. G. u;.RyL/Tro . "This Sol wr'S trfd to; Your Coma^ndper Ltr Sub: "Trrvej nrd,-!-r.=:i' p-;
GNR>:A-E Ho The PT-r>h"t. ^ ptBwnninp;, Gr. dtd 10 Mp.r/A5. •^.mend--ments thereto g; left thi e st- 27 JA-^rj-945 & w^p.s l?!st pd to ind ?A F^h/;.^^ G H-iRRISS. JR,. FI). Aa a yDue US: If nothine;, so st-te:
Due Sol -'■t drt.,^ nf "trf; "ccrued p'^v A-/Iwso . .Prcht^Pj^r fr 1 MqrA5 tu 2& Ifiv1945 incl-.
j
I® Form No. 79, Dentil Identificat:Record, is a part of this record.Amendments to National Service UfeInsurance>Act read and explainedInsuranc ^ ^
" <5ol-tlnf ̂ vclr-'^bly-'cPrtsid'e fhif: GP'®.d
I' (D.te)__liJhiA:u -r—fq-zf F'oH^JO& ST
Home addressP-; +.vWgf^L'.Pn<f0les Stnte_CAi.(,r
Neenrest Relative_££jii3j—LJJlhLL
Relq.tionship___AimUli^lL
Street Addre5S_City___
as « ^ov*-e
•LT-rf—V—" Str.te_
in!..J.
>J.LOTiiSNT STATUS
:tL..'.SS [.JiOUMT DKDnnT^^nP i / «-•-«? f- -
DED THROUGH!—P i 3
lAi-F
N
lisnT .Q r»i
-f-U. ■ .s ® ? "0 9-€> <vr
T . XV oxng vs oox; (JMNOANi have personally verified all the~n ries in this indorsement«
PERSON TO BE NOTIFIED IN C,SE OFvirmOKNGY dffWe
Relationship
Street Address_
I (
3I
.c
ii
St-te
^ ^—designation"of BENEFIGIiiRYlst___rieu_l£mL mULkR-
> '5^
-
''^miiOrf Si KNOISii:i—"C-ptain, InfantryAsst Pers 0., TPS
^r-d M/Pc
^ns soldier resorted
to!!®®?? ®°ter any amounts due soldier and not paid to date, such as mnne.substeteacejttnotHtog. so state.
u. A "i 7 YjLh V j
©EQS PRESS 20
20
HQ.FT
T
'^ed 23 Mfr/45 ''-■iri" •- . ...
• ■ • ■• ' ■ ' t"
1 ■ ■ ■., ». •
I I ^S ■■ \ ■ ■ - /< ■■■ ■r
■7 ■
TI'ii • I ; -V, \\
■ , ■ ■ ■ ■,
'j
i
-A
■ ■ ■' ' ■ ■ V.> jf,v"-i, ■» ■/• ;•I.'. ..-1
' • ' It
/
>.rkd /iuinixiJ..'e ." ' Insert
>■1.
tA
•TRATr-K0-. ■#..
• lic-iijiil' ITobaoL* * ' r^- ' ■ '
37699072
T V
REMARKS ABMIHlSimArlV?) - ContdIHSERT 110. '
.Soldier is » not favorably considered for Good Conduct Kedal.
14DEC 1944 i-Hi
..J.
DEHTjU. lEFSCTS - j^EZTTUPJESRate of insertion of dcnture_PrescriT)tlon, for denture;
Hemarks
X(
.s
jLecture on venereal disease and.prophylaxis coiroloted.'tF 8-1238 shown - Date.?? /9e/<s yy
H'-
i mone-te.2S9-1 ■ I
^'o' '■'^-■vofabiy <J0!!ji0ero»For Good Condoot iV.edal atTimtj ot T ra.isfer.
N.
Insert No J- _Added
^7.Insert Pn ' >^... Added-.3.XB^ "r
©EQS PRESS 20
20
r23 MfrA5
HQ ■■ T.'-n.-..
4Qa_
■■•4 -^a"Ga;_
04-3(3
;9 4na''04 "JQ94 on;
9 4 G(t"G4-a;f
• OK1/°H
• o ri
^ OH° Oil
• "Oil:• OK' OH.
• " OH04 OH84 GH^
■'O40CL■'0 4 OQ0 4Gcr_0 4o(t04 og"
■e4-3cf
• OH_*0H
• OH"• OH'•OH
•OH
84qg_04 og"c
• OH'•OH•OH'OH
"•OH.•OH" r-T
*
•/ V < 4
■■ 'Y
' V"'i: ''i N
K-
i
'T;'k6 KuiaiiiJ.' 'T^-e ' ' Insert
rKA.Tr-i
ITotiao 27699072Maine ASK
1 2Qualification viith
individual weapon , r 4Qualification in
transition firin/?Qualification with crew-
servcd vreapoh for menrequired to fire /J
Qualification in^enade course 1/
CoAipIetion of familiari-• zs.tioh firing XCompletion of prescribed
2')^iie' march 1/Completion of prescribed
o-ni le march ^ r ^Co.mpletion of physicalfitness test
*
S'Comioletion of infiltra-
t.ion course
Participation in closeenmbat Course
participation in combatin cities CoiiTse
1 1
A-i # . -K- , -i •.'
lot Lt. , Inf,
unqualified, failure to complete, orfailure 'to participate in. Indicatein colaan 2 "S" if the answer is ipthe
Gonananding Co.;^ 308 Bn
Insert No." ^—Added—3.XB^
«fcr -v j-^-y
©EQS PRESS 20
20
IReraarko auiaixu -i''- • ^
Page 15 Insert 1 -r" ,
SOL aUTH TO L'iL^R (^SuropeHnrTheatreT^^j )Ganpaign Ribbon) ,WD Cir l,dtd ljan43*Sol presented ii/ith the folloinfing
X^als.Decorations & Citations:^&WeiitcT CaiApaign Ribbon: -
n;i.f.P. 15.Tun45 . Place ZellamSee ,nustri>-•b6»:
nat.R 22Jun45 Place ^ellar.iSee ,Austri
' nate 25Jul45^ Place .Tnignv.France-Combat infantryman Badge;
Date Place —-purple Heai't;
Date Place-Oak LeaFCluster to Purple Heart;
Date- ■ ■ • ■ Place■BPdhY;C> Star -iredal;.
Date PlaceU'L
•Oak Leaf Cluster to Bronze Star Ledal:Date Place
■Bz Sv Stars foiv caf-ipaigns: EuropeQ'ri.lJlrtuj ' ^
yjrPlacQ
^^tggSg^lacel^ecote ,Englanc^^ ■?"' -Lj-i 'i iTSi^ to Unit— *.-Badge;n..5l •t0'Pe&5 ?^--'^">?"nvnelon.France
-Bz^SvFS^^ Campaagn;^> '•' ■'iii'' ^Date Place •
Date . Place
Date Place
rai-auuuuc ----
.Sol 5Sep45 by 50oth Prcht In_ ^ASR Score car><4««3.^cJad-t^/R>'^;^®P ^5. -4
11
©EQS PRESS 20
20
n ■ 'n
. !■' V.
f '■
t'..". /'
I
■ ■Ti'V ♦
.r
'H-v, - '' •'H ' '
J '
• ''v .W
Remarko aijj.iinjL. /i-c. 'Page 15 Insert
E' . 7' r«Di^.l^iui-PARTKIIP^ION iJME
BATTLE
NarnaitdyrJiinol'iiTri-tiCdAB««3Rhin'j-landCentral Europe ^/H«y45Jan 4'^
•n6' Jun 44'
17 Cop 4^r'17 j-'uo
TO
-13—S6—Wovifl-S5 Janlg-
24
Soldior ■ijartici'patod iii Dattlu nfitootogm),
jiuth: over seas bars per WDblr" 263 dtd 30 June 44o
/ X:?/7 F 7<^FOREIG N SERVICE
Arrived_Departed_iiridved
onon SofifPrJ^F
f3Fl ADepafctediirrived fa eRAi/?ryy ^2 onD on /fl
-pyjiJSe]>.-rtod_
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^ \e personally verified all ontri,<i,i ds indorsement.
Thi;
tar 'Sol renor-^ti
©EQS PRESS 20
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SOL RPTD 2 MAY 45ASGD 506 PRCHT INf
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i /n. no, aM ^Rq(a^-A! ('his Sol Trfd to _i '?er Par , 6 SO 91; ̂ nd left this Org _
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ymm cavi?'J\NDThis Hq cs
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i le was last)1 )d to incl )
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SEE RH'l/RRSFINi\NCl;i and/or
PPCTTnn.q imdORSE.IENT.^ — —^
^ We United States-. If nothing, so state^ s SEE FINANCi;X
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JXLOW.ENT STAIUSp?:? i rmt ueancxeQ
v.>rz) DATS
nt""^ LAST■
IS. PAID
" "lol at date trfd: Acer P8y__&JUm.i ——
'haracter isj iiency rating as SolM ■ _ A- TT.,
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e personally verified all ontrxesli
ve personally veids indorsement.
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taJ )Sol reported ____ '< ^'1
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Thtt soldier mu transfezrod to-
and lelt (his organisatioii«
He was last paid to inelcda -
by —
, 19
, 19
(Name and ^do of finaxme offioer or aeont offi^, Tf"any)
Dae (hnled States; il nothing, so stale
* Dae soldier at date of,..,
^lus soldier a Class E allotment runninj which has been dedncted from hispsy lo include — - - —— 19 -
'Hus soldier has authorized a Class D deduction for Goremmcnt iosomnce whkb hasbeen deducted Dom hw pay to include, 19-.—
Ifis character as
Efflcienty rating as soldierI bar© perconally verified all entries in (his indorsement.
(Namo)
(Qrada and orsanbaUon)
soldier reported , ,19-.
Hero cuter any amounts due soldier and not paid to date, such os inon&-allowDUco in lieu of quarters and subsis^ccj^ nothing, eo state.
Totriko out words not oppUcablo.•••**'V»Ul« .yrUikAU UUw j f \,
14. /'cP
> ' ■- * ̂ 0 * T
©EQS PRESS 20
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''io Iftli Ind. _VpicHr
_ CS?s^-i
r.C "0,^:03 ricMr /a//, n'poThis soldier wis Enmsferred to JJE?_ C^aJ:3Mjaisfscp«-^7r /4 /Of*nj left this orgamzztion L '
He was last paid to include '^£?^ —--^ * 13-Z^fcy ^3^—^-s —^77—
(Name and or&de of finanoo officer or acent offiow« if any)
Dne United States; if nolhinu, *0 »l»to
—
4 Air LB-itr....-J- J1..1.5.M
* Ihie soldior at date of
^hasjhas not * ^ ■Ilolmenl mciuag whkh has been deducted fro® ^
•"■y to include ,dier has authorized a Class D deduclMHi for Goremnient insurance whkJjdeducted from his pay to include ^ 19-—""
«i- chancier i.rating aa „Ui„■^'0 iwtaonally TcificJ laantrica ^hijaftdorMmanl.
^Mldier,
A-/. £ ̂ (Name)
f) * Rf; tC'> f-3 (Grade and organiaation)—, 1'-
*H6r0due soldier and not paid Co date, such M Ji°Wfee out Worde not a^Ii^bie subsistenoe; if nothing, so stoW'.-3.
I0—i0!69-i-
»i !■ ^ TO
»//AHQS 508tH PriGHT INF APO 757 U 3 i Hvil
TO(tl.C). 3rel S72-; This soi T'^as i -*-nvw vtrnAi^Y^a v/
i Yer I-'&r y SOlUHq ^o»tnwo/y<lj U^FFT'dtd J »
Ana left this org_ SA^ YC.Last pd to incld
77Viue United StatesDue United State
/
/l/ii4hiu^FD
Due "3ox at date ,WP S; A1ws_^far jcj TT^/V-SCl^ —
xLLOTlSNT STaTUS
h "Glus's anit De due tea pea Tnru
His Gnaracter i BreQ/Ze/jtLDfficiency rating as soi ^cA/^ar>/itfI have personallj^erifiea /ii-N en bxietiin tnis indoi>r!3inen\e ^ . \ ' H
h'^ ivicDAi'1st Lte ^ InfantryPersonnel Officer
©EQS PRESS 20
20
JL
- - ^<^20 -'-1& |fth Ind.
^^72. //5 f).
This soldier irss transferred tg . '-C.V.1.6....C-p-dJHM/S/J^'"---- '^.n cVy v-s
^ . .7per 2=^^x. /Of ^and left this organlxsUon / ' jj//<,
He was last paid Eo include _ 19 <■' V"ist paid to include _ . ,
(Name and trade of finanoe officer or atent offite. if any)J^
by^(Name
Due United Sutes; if Dothmg, so state r.
.-TT^J?-^-. 4AtrJ.M. -.(e^.£0.
' Due siddior at date of
Thi. soldier IJjU » CIsss E .llolDunt nmmn{ wteh ha been dedocted from bispay to include 19
This soldier hss suthorired . CUs. D dedncBon lor GoTemmenI insursace which Sssbeen dedszcted from his pay to inclada j5
Hi> chsrodor is
EfficioDcy rsling is soldier Kc ^ //iSl^T'I hare i«r«ms]lr eerificd riDnlries ((unj^dorsemenl.
H. ^v/ErSr^j. (N.me)50fe T'm
P'.'T CJ (Grade and orgaThis soMier repealed
nisation)
19«
10—2C269-1
M."
^ 19
To
Hiis soldier was transferred to _per
,19_
r W-.
and left this organization .
He Wat last paid to include
(Name and grade of finance officer or agent officer, if anyj
Doe United States; if nothing, so state
ii.
* Due soldier at date of _
This soldier a Qoss E onotmenl mnning which has been deducted {rom hispaytoinelode
This soldier has authorized a Class D deduction lor GoTemment insurance which hasbeen deducted from lib pay to include _ 19
His character isEficiency rating as soldieri hare personally rerified all entries in thu indorsement.
(Grade and organisation)
^Tas soldier reported , _ .*19
to„? r. apy amounts duo soldier ana not paid to date, such as mono-mnr allowance in lieu of quarters and subsistonce; if nothing, so state,totnke out words not applicable.
(x<2Ak^
©EQS PRESS 20
20
INSERT TO SERVICE RECORD
.Ind
.CM...
23
FINAL INDOESEMENT
(Company or detachment)
This soldi^ was transferred lo ^and left this difan^aion^. 19..^
He was last paid to include.
by.
(Place)
7*0 The Adjutant General:'. A -i
CU»tn*me) (PiiatnameJ oTiiddlelnitiai)"'
19
CArmy serial No.)
(Name and grado of disbursing officer or aeent officer, if any)Dae United States; if nothing, so state
t Doe soldier at date of .
ALLOTMENT STATUS
CLASS AMOUNT DEDUCTED DEDUCTED THROUGH
B
D
E X-F
N
His character is
Efficiency rating as soldier .
I bare personally veriiied all entries in tlus indorsemenL
r^^^ame)-'
(Qrade and orcanization)
This soldier reported: rOrganisation to Which transferred)! and was assigned to (see page 4).
tHere enter any amounts due soldier and not paid to date, such as monetary allowance in lieu of quarters and subsistence; if nothing, so state.•w. D., A. G. O. FortaNo. 24-2
1 September 1944 15—36425-2•Thia form BuDorsedoa W. D.. A. G. O. Form No. 24-2, 19 July 1943, which m»y
be used until ezistms etochs ore
(Grade)
wss separated from the service by reason ef ..(Organiaation)
(State BpWdfio cause. See par. 37c,"*
ASS4S-125)
h euthority _(Date)
(Place)
Retained in serrice <!ays to make good tlmo lost (A. W. 107).
Absent from duty days subsequent to nwnuJ jd^e,of expiration of term ofeoUslnieoL V ^
Retained in serrice days for conrenienco of the Goremment on aecoont of
His duracter is
Efficiency ratii^ as soldier —
*rioa! statement fumisbed. *Paid on final pay rotU•Discharge certi^ate furnished, W. D., A. G* O. Form No. 55,56,57.
Due United State#; if nothing, so state —..U. -..tr..... j;
■ ■
'■
fDue soldier at date of.
Address (umished for future references: (Number a^ street or rural route)
(Cityo town, or poet oIBoo)Receipt of CIschargo Certificate is aoknowledgsa.Signature of Soldier:
^tate or country)
1 hare verified the foregoing entries.
Name signed
Name typed or printed -
"(Grodo a^ orgaaUation)
•Strike out words and figures °°'i to date, such as monetary, Mere enter any amounts due ^Idier andallowauee in Ueu of quarters and subsistence, it not
©EQS PRESS 20
20
INSERT TO SERVICE RECORD
.9±il-.Ind.ASFjL_6th _S3^j_ _1612__SCU Det K. Se^ Ctr 32 '.Fort Sheridan, Iliinois' "s'Jtme 46" 'T.. CO. JS.J7..m2\. SCU. r'This soldier vru transfened to COiiUllAXlCi
so fi'} and left tJus orgamxation S..Juae,..., 1946He was last paid to include 30 Aprilbj il®®® s..Lt..Co.i_.Fp' „I~"
(Name and erad© of disbarsiaa; ofiicor or agent officer, if2ny)~Due United States; if nothinjj, 80 state
--.19.46
- Ind.
Hathing.
ALLOTMENT STATUS
CLASS AMOUNT DEDUCTED DEDUCTED THROUGH
B
D
E
F #22.00 Apr 46N. .. ....#6-.S0
tDue soldier at date ot-Xcf.. SCC r.d._p.ay..& alWS..^_lU_5;-ZSE..fr..l..May...4.6_.t.o...3.0..M.ay...4.6..lDci
I soldier XJlJK3jlDj3!^
Hit character is
Efficiency rating i
I have pcrsonaQy veilSed all entries io this icdorsemex;t.
(Grade and organisation)
This soldier reported _ .,19.(Organization to which transferred)
and was assigned to (seo page 4),
tHcre enter any amounts due soldier and not paid to date, such as mono-tary allowance in lieu of quarters and subsistence; if nothing, so state,
04—0 (This form supersedes WD AGO Form« .-1 • ^ ^ 24r-2,1 Septemberl944, which may be usedtmtu eiisttuE stocks are exhausted.) le—30425-3
To ;
This soldier was trsnsf erred to
P®* and left this organization _
Ho was last paid to include
by —
W-,
19-
(Nam© and grade of disbursing officer or agent officer, it toy}Duo United States; if nothing, so state ——
t Dae soldier at date of _
ALLOTMENT STATUS
CLASS AMOUNT DEDUCTED DEDUCTED THROUGH
B
D
E
F
N
His character is
Efficiency rating as soldier _
I hare personally Terified.aU entries in this indorsement
(Name)
This soldier reported
and was assigned to
(Grade and onranisation)
, —
' (Organisation to which transferrod)(see page 4),
fHero enter any amounts due soldier and not paid to date, such m xnonB-tary.allowance in lieu, pf quarters and subsistence; if nothing, so state.
10-36425-2 ✩
©EQS PRESS 20
20
insert to service recordInd.
To
■njmmm mm ,EPuamr depot
Separation Center,'This soldier
un (tS"!? <=»n?niand pera„d,e,,:r:He was Is ! MAY-..I S J94&as l^st paid to includeby
Jnited States:SEE remarks FiNANCIHLrr AqS" .Allotments:
Date last paidDate last paidDate last paidDate last paid
Due sol at date frW. n^ccrpayandalwsIS character is: UNKNOWNciency rating as soldier: UNKNOWN
entries
Assignment Officer
OB bik
9
thhu
19
,19..
I as monO"(tato.-26259-1
Ind.
To.
This soldier was Iranslerred to
per.
He was last paid to include .
by -
. and left this organisation I 19_
(Nouae aad ktoUo of diabursios officer or oacnt officer, if any)Due United States; if nothing, so state ..r, ..
ALLOTMENT STATUS
CLASS AMOUNT DEDUCTED DEDUCTED THROUGH
B
D
E
F ' , r
N
t Due soldier at date of -
His character is .
Efficiency rating as soldier _
I bare personally Tcrified all eotriea ia this indorsement
(Name)
(Qcado and orsaniaation)
This soldier reported 10 —— —(Orcanisation to wbioh traosferrcd)
and was assigned to d).
tHere enter any amounts due soldier and not paid to date, such as mone'tary .allowance in lieu of quarters and puhsistence; if nothing, so state.
16-30425-3 GPO
1
©EQS PRESS 20
20
Dca Unde^ States; if 0
* Doe soldier at d^e of -
TTm* a E an«gwwi) Tmtnmrtg vlucti bas becD deducted frocn In
pay to inclade 19-——
This soldier bas aulbonzcd a D dadncfioD for Gorenmittit insurance which lias
been deducted from his pay to indode 19
His cbaractor is ———— —
Effidency rating as soldier _
1 IttTe p^sooaliy verified aQ entries ia Ibis indorsomsnt.
(Name)
(Qrado and oxsonisatioii)
This soldier reported _
r Ind.
To
ThU soldier was transierred to .
— Icfl this orgQoisation jjHo waa last paid to includo 1
by13
Due United Slates; if nothing^ so slato
,19
•Here enter any amonnts dne soldier and not paid to date, such as mono-tary allowanoe in llou o! quartecrs and subsistcnco; if nothing, so stato.
tStrike out ■woids not appllcal>ls* lo—26259-1
allotment statusCLASS AMOUNT DEDUCTED DEDUCTED THROUGH
B
D
E
F r,'
N
t Due soldier at date of _
His character is .
Efficiency rating as soldier _
I have personaliy verified all eatriea ia this indorsement
■ 1 * (Gsacio and
This soldier reported ,(Orcaniaation to whieh tranaferrcdl
and was assigned to (seo page 4).
fHere enter any nmounts duo soldier and not paid to date, snch as mone*tary.ailowance in lieu of quarters and subsistence; if nothing, so state.
JS—36i26-3 GPO
©EQS PRESS 20
20
24
InitialsJJame, grade, aid organization
(IVpewritten or printod)
7^T.
TI
-7^-
ma^-
;s2£^o::zs45z:z??ze::
:<gj5;
W-
'Ha)Bsn"1tei»rtn"i"'6«ftt«f~
-JlA-MlIB^Wai«,m-AssLl»e«.-Or
M. H. PEDERSON. CAPT., INF.
"""A5ST:-FeR^.--0>-F." -i!53-l??.T£' '^AMP .HLAN.OJNG, FLA<
V. PETERa. 1!ND l.T,. IN'', Af!ST. PERS.h"^ laic, c^ip euiNuiNe, "rLi" *
MART i. NILES
"ii~LtT,~WAC',"P«irD'."'
-V^yKWi-fi- sugjuB
.AS-I-t-X-s-IiYiil*
-yilTfl' '»Y"
jai. ~
{LB:..MpA.
U.S.COVEBHMENT PRINTING OFFICB 10-25259-2
m
" "f puuoejajft mioj oo,
TiOAt
©EQS PRESS 20
20
©EQS PRESS 20
20
