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M
13. Commissioned service:
GRADES
From
To-
14. I was a commissioned or warrant officer performing home service not with troops and receiv-
ing commutation of quarters or of subsistance from
to
, and during this period I was on duty at the following
stations:
STATION
From-
To-
15. I was granted a farm or industrial furlough from
to
16.
I was (was not) a conscientious objector who performed no military or naval duties what-
ever, and did (did not) refuse to wear the prescribed uniform of the branch of service in
which I was serving.
17. I was (was not) discharged for alienage.
18. Remarks:
Isserved as an American Hospital
at Passy far beron - e hateau de Passy
the French Hoef 34th Street new your Ctitel
in 1916 Run under the auspices of
19. I certify that I am the
Person
named in this application;
(See instructions for this item)
that the statements made herein are made by me of my own free act and deed for the
purpose of applying for Adjusted Compensation under the provisions of the World War
Adjusted Compensation Act; and that the same are true and correct to the best of my
knowledge and belief.
Date hor 2nd's Signature Marie Therese Baker
of applicant
(First)
(Middle)
(Last)
Item 20 will not be filled in when dependent makes application
20. We, the undersigned, certify that we know the person signing the application to be identical
with the veteran whose service is set forth in the above application; that we have known
him (her) for
Ten
years and Twenty years, respectively;
(To be filled in by first witness)
(To be filled in by second witness)
and understands the statements made by him-(her) and the penalty provided
by law for making false statements.
Signature of witnesses: (1) Frederick Melsin Harris.
(First name)
(Middle name)
(Last name)
11013-129 Street Edmonton alta.
Canadar.
(Address)
(2) (First name) (Middle Qsear name) Baker (Last name)
Jermyn
c3-8781
204meLeav Blde (Address) Edmonton
33
W
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Document data
- ID
- 2661070
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "B\nM\n13. Commissioned service:\nGRADES\nFrom\nTo-\n14. I was a commissioned or warrant officer performing home service not with troops and receiv-\ning commutation of quarters or of subsistance from\nto\n, and during this period I was on duty at the following\nstations:\nSTATION\nFrom-\nTo-\n15. I was granted a farm or industrial furlough from\nto\n16.\nI was (was not) a conscientious objector who performed no military or naval duties what-\never, and did (did not) refuse to wear the prescribed uniform of the branch of service in\nwhich I was serving.\n17. I was (was not) discharged for alienage.\n18. Remarks:\nIsserved as an American Hospital\nat Passy far beron - e hateau de Passy\nthe French Hoef 34th Street new your Ctitel\nin 1916 Run under the auspices of\n19. I certify that I am the\nPerson\nnamed in this application;\n(See instructions for this item)\nthat the statements made herein are made by me of my own free act and deed for the\npurpose of applying for Adjusted Compensation under the provisions of the World War\nAdjusted Compensation Act; and that the same are true and correct to the best of my\nknowledge and belief.\nDate hor 2nd's Signature Marie Therese Baker\nof applicant\n(First)\n(Middle)\n(Last)\nItem 20 will not be filled in when dependent makes application\n20. We, the undersigned, certify that we know the person signing the application to be identical\nwith the veteran whose service is set forth in the above application; that we have known\nhim (her) for\nTen\nyears and Twenty years, respectively;\n(To be filled in by first witness)\n(To be filled in by second witness)\nand understands the statements made by him-(her) and the penalty provided\nby law for making false statements.\nSignature of witnesses: (1) Frederick Melsin Harris.\n(First name)\n(Middle name)\n(Last name)\n11013-129 Street Edmonton alta.\nCanadar.\n(Address)\n(2) (First name) (Middle Qsear name) Baker (Last name)\nJermyn\nc3-8781\n204meLeav Blde (Address) Edmonton\n33\nW"
}