Part 114, page 1

Transcript

The scan is the source; the transcript is machine-generated from it.

Please fill in blank and return 3/ | 2 / 1 8 5 5 8 [guess: RSD SAC-8/L] APPLICATION FOR CERTIFICATE IN LIEU OF LOST OR DESTROYED DISCHARGE CERTIFICATE

[seal] TO: THE ADJUTANT GENERAL'S OFFICE DATE WASHINGTON 25, D. C. Sub-564

DATA ON LOST OR DESTROYED DISCHARGE CERTIFICATE

1. LAST NAME—FIRST NAME—MIDDLE INITIAL 2. ARMY SERIAL NO. 3. RACE 4. DATE LOST OR DESTROYED [guess: Mills] Sch[guess: uyler] W. Jr. C-493710 W UnK-Poss 1962

5. CIRCUMSTANCES SURROUNDING LOSS OR DESTRUCTION OF CERTIFICATE Possibly lost while Moving To present Address.

STATEMENT OF SERVICE

6. ENTERED MILITARY SERVICE AT (City or County, and State) 7. DATE ENTERED SERVICE 8. GRADE AT DISCHARGE [illegible] [guess: Trans] (Cpt) [illegible] ...city [at] Sept. 25, 1942 [guess: Capt] [illegible]

9. COMPANY AND REGIMENT 10. DATE DISCHARGED 11. CAMP AND STATE WHERE DISCHARGED HONORABLE | OTHER See Below (12)

12. IF MORE THAN ONE DISCHARGE CERTIFICATE HAS BEEN LOST OR DESTROYED, GIVE, IN THE FOLLOWING SPACE, GRADE, ORGANIZATION, AND DATE AND PLACE OF ENLISTMENT AND DISCHARGE, FOR THE PERIODS OF SERVICE COVERED BY EACH CERTIFICATE.

(1) 25 Sept, 1942 – 7 June 1946 – 2nd Lt, Ft. Benning GA. 31st Inf. Div. Commissioned from [guess: Ranks]. (2) 26 July 1946 – Feb 1950 – Capt. Long Beach, Calif 2nd Inf.Div Recall to active duty

PERSONAL DATA

13. PLACE OF BIRTH (City, County, and State) 14. DATE OF BIRTH 15. HEIGHT 16. COMPLEXION [guess: Coshocton] [illegible] [illegible] 192[illegible] 5' [illegible] [guess: Fair]

17. COLOR OF EYES 18. COLOR OF HAIR 19. OCCUPATION BEFORE TIME OF ENLISTMENT [71] (48) Brn Brn [illegible] [22]

FINGERPRINTS TO BE PLACED ON REVERSE SIDE—SEE INSTRUCTIONS

THE FOLLOWING CERTIFICATION WILL BE MADE ONLY WHEN APPLICATION IS MADE BY SOLDIER HIMSELF I CERTIFY THAT THE ABOVE STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF

SIGNATURE OF APPLICANT ADDRESS (Number, Street, City, and State) [signature: [guess: Schuyler] [illegible] Jr.] P.O. Box [guess: 314], Truckee, Calif

SIGNATURE OF WITNESS ADDRESS (Number, Street, City, and State) [signature illegible] P.O. Box 6[guess: 36] Truckee C[illegible]

THIS AFFIDAVIT WILL BE FULLY EXECUTED WHEN APPLICATION IS MADE BY THE WIDOW OR WIDOWER OF A FORMER SOLDIER

WAS MARRIED TO (Name of Soldier) PLACE OF MARRIAGE DATE OF MARRIAGE [blank] [blank] [blank]

PLACE OF DEATH OF FORMER SOLDIER DATE OF DEATH [STAMP: REQUESTED] I HAVE SINCE REMARRIED [blank] [blank] I HAVE NOT SINCE REMARRIED

I DO SOLEMNLY SWEAR (or affirm) THAT THE FOREGOING STATEMENTS ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF

SIGNATURE OF WIDOW OR WIDOWER [blank]

SWORN TO AND SUBSCRIBED BEFORE ME A [blank]

ON SEARCHED........... INDEXED........... 4/24/6[illegible] SERIALIZED..[illegible].. FILED..[illegible].. JAN 1 8 1973

WD AGO FORM 214 PREVIOUS EDITIONS MAY BE USED. 1 JUL 1945 b6 per FBI b7C per FBI DB Cooper-10623

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CAUTION: This material copied from Personnel Records to be used for reference in its original [form] or disseminate[d] the Bureau.

SPECIAL ADDRESS: [illegible] from records of [guess: Missouri], St. Louis. Do not recopy outside