Part 36, page 68

Transcript

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

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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DB Cooper-10527