Report of Physical Examination of Enlisted Man on Induction (W.D. A.G.O. Form 155), Alvin C. Hartley

To be prepared in QUADRUPLICATE NATIONAL GUARD OF THE UNITED STATES REPORT OF PHYSICAL EXAMINATION OF ENLISTED MAN ON INDUCTION

Under the call* order* of the President, dated January 14, 1941

Hartley, Alvin Curtis 20,713,004 Race White (Last name) (First name) (Middle name) (Army serial No.)

Private, Hqrs Btry, 125th F.A., Duluth, Minnesota Occupation ___ (Grade) (Unit) (Home station of unit)

Permanent address: Duluth, St. Louis, Minnesota Urban ☒ Rural ☐ (Town) (County) (State)

Birthplace: Brule, Wisconsin Birth date: July 27, 1920 (City, town, or county) (State or country) (Month) (Day) (Year)

EXAMINATION

1. Eye abnormalities: none 2. Ear, nose, throat abnormalities: none 3. Mouth and gum abnormalities: none 4. Teeth: Right 8 7 6 5 4 3 2 1 Left 1 2 3 4 5 6 7 8 16 15 14 13 12 11 10 9 9 10 11 12 13 14 15 16 (Strike out those that are missing; circle those that may be restored) 5. Skin: normal 6. Varicose veins: none 7. Hernia: none 8. Hemorrhoids: none 9. Genitalia: normal 10. Feet: normal 11. Musculo-skeletal defects: none 12. Abdominal viscera: normal 13. Cardiovascular system: normal 14. Lungs, including X-ray, if made: normal 15. Nervous system: reflexes, pupillary good, patellar good 16. Endocrine disturbances: ___ 17. Results of laboratory examinations, when made: none made

Vision: Right eye 20/20 Left eye 20/40 Hearing: Right ear 20/20 Left ear 20/20 Height: 71[guess: ½] in. Weight: 147 lb. Girth (at nipples): Inspiration: 37 in. Expiration: 34[guess: ½] in. Girth (at umbilicus): 31 in. Posture: round shoulders Frame: medium Color of hair: lt. brown Color of eyes: blue Complexion: fair Pulse: Sitting: 78 After exercise: [illegible] 2 min. after exercise: [illegible] Blood pressure: Systolic: not taken Diastolic: [illegible] Urinalysis: Albumin: [illegible] Microscopic: [illegible]

18. Remarks on defects not sufficiently described above: none

19. Summary of defects in order of importance, impression of physical fitness: good

CAUTION - SPECIAL HANDLING REQUIRED 1014 This material copied from records of National Personnel Records Center, St. Louis, Missouri; to be used for reference only. Do not [guess: recopy] or disseminate in its original [guess: form] to/or outside the Bureau.

637903

W. D., A. G. O. Form No. 155 October 1, 1940

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We certify that this examination was conducted by the physical examination board appointed by SO # 2[illegible] Hqrs. 1st Mil Area (Order No. Headquarters) January 30, 1941 February 3, 1941 ........................ to examine ...Hqrs. Btry., 125th F.A. (Designation of unit) upon induction; and that to the best of our judgment and belief the above-named enlisted member of the unit—

is mentally and physically qualified for the active military service of the United States;

[illegible redacted line]

637904

[illegible redacted lines — appear to be physical examination findings, heavily obscured]

[illegible redacted lines]

[illegible block of text — two lines, appears to describe examination findings or conditions]

Strike out findings not applicable. CAUTION: "SPECIAL HANDLING REQUIRED"

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This material copied from records of National Personnel Records Center, St. Louis, Missouri, to be used for reference only. Do not recopy or disseminate in its original form outside the Bureau.

February 13, 1941 (Date)

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President of board: (Signature) [handwritten: S.J. Hathway] S.J. Hathway, Capt. ............... Medical Corps. (Name and grade typed)

(Signature) [handwritten: Alvin Sach-Rowitz] Alvin Sach-Rowitz .................. Medical Corps. (Name and grade typed)

I acknowledge receipt of copy of this report this date. Feb. 13, 1941 (Date) (Signature of enlisted man) [handwritten: illegible cursive]

Recorder of board: (Signature) [handwritten: John J. Grabow] John J. Grabow, 1st. Lt. ........... Medical Corps. (Name and grade typed)

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FINGERPRINTS—RIGHT HAND (Required on original only) 1. THUMB 2. INDEX 3. MIDDLE 4. RING 5. LITTLE

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INSTRUCTIONS An original and three copies of this form will be prepared for each man inducted with the National Guard of the United States, whether found qualified or dis- qualified for the active military service of the United States. All copies other than the original will be clearly marked "Copy" in large red overprint letters diagonally across the face of the form. The original and one unsigned copy will be forwarded to The Adjutant General, Washington, D. C., one signed copy will be given to the enlisted man, and one signed copy sent to the State adjutant general. c16—10229 U. S. GOVERNMENT PRINTING OFFICE

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