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Soldier's Discharge Record

SOLDIER'S FORM

 

#622
Name:  Sam Boots Filed:  March 11, 2 o'clock P.M.   1922
             Elkader, Iowa

      Clara L. Curtis Otis       County Recorder.

 

HONORABLE DISCHARGE FROM THE UNITED STATES ARMY

To All Whom it May Concern:

THIS IS TO CERTIFY, That     Sam Boots

a private of Company "I" of the 63rd Regiment of Infantry,

          

 

THE UNITED STATES ARMY, as a Testimonial of Honest and Faithful Service, is herby HONORABLY DISCHARGED from the military service of the UNITED STATES by reason of    Surgeon's Certificate of Disability 2d Inct Hg. West. (Dept. Sept. 28th 1917.)

 

Said    Sam Boots was born in    Elkader
in the State of    Iowa When enlisted he was    18 11/12     years of age

and by occupation a   Teamster

He had  Blue #11  eyes,  L. Brown  hair,  Fair  complexion, and was   -5-   feet  -4- inches in height.

      Given under my hand at    Presidio of San Francisco, California

This    second   day of     October,    one thousand nine hundred and     seventeen.

       
    R. C. Croxton  
    Colonal 63rd U. S. Infantry  
      Commanding.

 

~~~~~~~~

ENLISTMENT RECORD

 

Name    Sam Boots Grade   Private
Enlisted, or Inducted,   April 26     1917, at  Jeff. Bks. Mo. for seven years
Serving in     First     enlistment period at date of discharge.
Prior service  none

 

~~~~~~~~

 

Noncommissioned officer   never

Marksmanship, gunner qualification or rating     none

Horsemanship     Not mounted

Battles, engagements, skirmishes, expeditions        None.

Decorations, Medals, Citations:    None

Knowledge of any vocation    None

Wounds received in service     None

Physical condition when discharged    Poor

Typhoid prophylaxis completed     August 4th, 1917

 

Paratyphoid prophylaxis completed  --------------------  

Married or Single    Single

Character   Very Good

Remarks: Discharged on Surgeon's Certificate of Disability, unstable nervous state and poor response of heart to exercise not in line of duty.

No A. W. O. L. or  G. O. 45, W. D.  1915.

               

 

 

~ source: Clayton County, Iowa Discharges. LDS microfilm #1516914 Item #6

~transcribed by Constance Diamond