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14 if gJW h. Uetscl,*
INDIVIDUAL DECEASED PERSONNEL FILE
FILE COPY
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ffl"TFL REMAIMS LATF SND LI_EmiA2P ^l&TSCMSl~0~SZ5m W L D
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LIKE TO LFWE REMAIMS WIERE MW LOCATED
MRS A!IMA LOFTSCHFR HAIM ST ELLIMGTOM COMM
U43A
2 0-i42^f
3 A J ^ /? ^
RRE Fottd #43 20 Sep 48
Attached hereto correspondence and/or other identifying media of possible archival value, pertaining to:
IiflESTSCHER J S m n ^ Z/JJL 0-82^66 (Last Name) fFirst Hame) (In i t i a l ) (Rank) (ASN)>'
Subject remains have been permanently interred overseas in the United
Statee Military Cemetery ST. ATTOLD
Incl #
UNKNOWN X-3044 ( St .Avoid)
DEC. C/5 5 0608
$ 24.21 W. J . ROOS CAPT E.D.
C.V. 2327 26-11-45
V. PE-l001 sent to K.C. 6 Aug
Ident if ied as : LOETSCHER, Edward A. 2nd.Lt. 0-825^66
IMKNOWN X-2044 UMK. IWK. U11K. 0/550608
X -2044 ST. AVOLD ( V - 9 r'h}
IDEtiTIFIED AS: LOETSCHER, EDWARD A . , 2 / L t . , 0-825466 Per l e t t e r AGRC. 2 Aug. 46
I . R . S . SENT TO REG. DIV. t f ^ LETTER TO K.C . / K A ^ | | ^
BOLDER TO K.C. 1^ yfiS ^
300o8& CLR/VisG/mr
7 October 1 46
Krs. Anna A. Loetscher Box 85
Ellington, Connecticut
Dear ifire. Loetechen
I an. inclosing a check for $24,21, representing funds of your son. Second Lieutenant Edward A. Loetscher.
No other property belonging to him hss beea received at the Army Effects Bureau to date.
These funds are transmitted to you in your capacity as Executrix of the estate of Edward A. Loetscher, for distribution according to the laws of the state of decedent's legal residence.'
li'oney ordinarily is sent froa overseas by mail i n advance of other effects} therefore, i t is probable that additional belongings of decedent w i l l reach this Bureau at a later date. As i t is intended to forward any such property to you promptly upon receipt here. I asi that, you please notify this Bureau i f there is a change in your address v.ithin the next few months. /
Bureau. I am returning the document which you submitted to this
I wish to express my sympathy i n the loss of )our son]
Yours very t r u l y .
2 Inc ls 1 , Check 2. Document
SCREENED i~ / / ' / f
C. L . RULFULD l s t L t , QkC Aest. E f f ec t s Quartemaster
o m m -EPT OF RITY ' ^ K DC L^JLLIQAN X-71672 UH ' L A S S I F I ID
MRS AKU LOETSGHE8 BCK #85 PPJORITT ELLINGTON CONNECTICUT
CHARGE GRAVCS ffi I I
REFERENCE LETTEF, REQUESTING CHANGE DISPOSITIOK REMAINS YOUR SON COML<A THE
LATE SECOND LUTOTTJAFT T|'D" TAF.D /. LOETSCH3EI COm 0-8254^6. TOUR HIEVIOUS
INSTRUCTIONS C^'CEL^D. TL^ASE ADVISE THIS OFFICE IF YOU DESIRE REMAINS
PERMANENTLY INTERRED ar~-.S?*S (XI FURNISH NAME iJJD LCCATIOK OF tJATIONAL OR
PRIVATE CiiMETJr.Y OF TOUR CHOICE. IF TOU SELECT PTOVATE CMLIERY COAL^ FURNISH
NAME AKD ADDRESS OF FUN IUL DIKECTOL Of. COfiiSDuNEL TO •vfia-l IJiLi*li\iS S»ILL D £
DELIVE ED AFTTl iiRRIVAL FBOM 0V~:3EHS. TELSGRAffl REPLY COLLECT END VOGL
VOGL ^ Mejuorial Div i s ion i m
OQMG
f ' rs
UNCLASSIFIED
OMGW 293 151700Z J F VOGL Loetscher, Edward A . , 0-825466 Dec 48 Captain, QMC, Memorial i l v i s i o n
'
mm asp* OT nm i c ISKUGAK T-71672 iWLAsr.irir.r
CC- AGRC PARIS FRANCE PRIORITY
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^ ^ o m s. asar ^ raffl TWO mr roW. SIT sn rr ^ BFC^I ««™ » .
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nisTEirmor wira rao rar on rao ow «r non wo rr oowna-mor Wille, Korbcrt E. 37016088
EEQUFSTEP Octrender, Jole D.3285?!^ Loetscher F^ere 8?^6
Tavlor, Wm., « . 3^924601
QKGWIf 3U.6 231900Z QKC, Keporial DiTlsion
16-579
USPARBW oy tm /Jit
////////////////////
2n4 U Xtoard A. Loetcoter, 0 385 466 Plot qft> Ew 5, ^ « 119, 1 6 Octoomr 19 7 T)hlt»4 3tat«« Uilitary C«B»t«ry St. Avoid, France
Hr. Jacat C. Loetscher Box #05 Ellingtaffi, Connecticut
Dear Mr. Loetscher:
The people of the tbi ted ttatee, throu^a the Coagpees have authari»e4 tiie die interment and final hurlal of the heroic dead of Vorld Iter H. She Quarter-mastor Geneml of tbe Amy hae been entrusted witb tbia eaored reapooalbility to the honored dead. The reoorde of the Iter Bepartaamt indicate that you My te tbe nearest relative of tbe above-naoed deceaaed, wbo bie I i f i in tbe Bervice of bie country.
Tbe encloeed paatpblete, "XJiapoBltlan of World lar H Azwed Forcee and "American Cemeter leg," explain tbe diapoaition, optiona and eervice* aade available to you by your Oovernment. I f you are tbe next of kin aooording to tbe line of kinship aa aet forth in ths encloeed paapblet, THepoeition of World War I I Anaed Forces Bead," you arc Inrlted to expreas your triabe« aa to tbe diapoaition of the reBftlne of the deceaaed by ooaplrtlng Bart I of tbe encloeed form "Beaueat for Biapoaition of Bmalna." Should you deelre to relln-4ulab your ri^ita to tbe next In line of klnabip, pieaee ooaplett Bwrt U of tbe encioaed fora. I f you are not tbe next of kin, plaaaa cooplete lert XS of tbe encloeed form.
I f you ahould elect Option 2, i t la adviaed that no funeral arranganenta or otber pereonal arrangeaenta be aade until you are further notified by tbia offioe.
Will you pleaae coaplete tbe encioaed form, Tte^ueat far Blapoeitian of Semalns" end aail in tbe encloeed Belf-adftreaaad envelope, wbiob re^ulree no pofltage, Tltbln 30 aaya after ite reoeipt by yout Ita proopt retum T i l l avoid unnecessary delays.
•incarely.
lacle, S i mom& B. LABBOr Major Qeneral The Quartexnaster General
£7V
gTf
^5 I-
^ 3 ^
5
I. K
/ s.17 oot^ys 300688 17 September 1946
Ur. Jacob C. Loetscher Bcoc 85 / -Ellington, Connecticut/
Dear itr. Loetscher: ^
Uxe Army Effects Bureau has received certain funds which belonged to your son. Second Lieutenant Edward A* Loetscher/
To make proper disposal of these funds, i t is necessary that we have certain information regarding your son's family. I will appreciate your informing us whether Tie wae married and, if so, the name and address of his widow.
In addition, i f your son left a Will which has been probated, tbe original or a certified copy of the Letters Testamentary should be sent here for inspection* Any papers that you send us will be retumed promptly.
Por your convenience in replying, there is inclosed an addressed return envelope which needs no postage.
lours very t r u l ^
/
C. L. RUMPJF.LT) 2nd Lt, 3iC Asst. Effects Quartermaster
1 I n c l — . Envelop
4 . y
A m i CAN GRAVSS FJCISTRATIOK GO MANS 9 BJBOPS&E TK EATER AREA APO 887 U S ASMX P J ^ U - X / T B
(St 16 August 1946)
ERE (ST.AVOLD, QQ-5-119) 2 August 1946
SUBJECT: Effecte of Idontifiod Unknown.
ID t Chief Personal Effecte Branch, American Greves Regietration Command, APO 887, US Armr*
1. Referanoe ie msde to personal effecte fomerded to your offiee fop Unknown 2-2DU who ie buried et ST.AVOLE U.S. Wil Itaiy Cemetery in Flot QQ Bow 5 Greve 119
2. Unknown 2-2044 hae been Identified as LOETSCHER, Sdeard A., ^ t . , 0-825466 of 55 Ftr Sq., 33 Ftr Gfc.
3. Pereonal effects ae l ie ted on tbe Beport of Burial ere aa folic wei
6 - Oaa pound Biglieh notee v
i . I t is directed that tbe effecte ef Unknown X-2044 be designated as thoee of Bfiward A.Loetecbor and tbe Sffects guartemaeter, Kanaas City, Iiissouri be infomed eo that effecte nentioned in paragraph #3, above, will be forwarded te the next of kin of ^ L t LO ETS CHIR.
5. Requeet acknowledgement of reeeipt and/or action taken.
EC ORDER OF COLO KEL ODELL i
1 I n d i B/B PHILIP J . tf)LF Major .;-:.L
VSR.DIS. 4550 Bxt. 33 Acting Aaalstant Adjutant General
/
12 1946
AKMY EFFKCTS BUKtixiU Smatr.ary Court-idartial
KANSAS CITY (iUAltTEuaASTt^ UEi'OT 601 Hardesty Avenue Case No „ '.^
isansus City 1, d i s s o r r i P U U / ^ / c r / D a t e t (!&W.,M- I j j t f l
SUBJECT: Report of transactions i n disposing of the e f fec t s of
RJ^ard fi. Loetscher ^ , 0-fc2j4oo ^ l a t e a
""(Name of deceased) (Army Serial Kumbor} /
Second l ieutenant A i r Ccrys v/ho died (Crude) ^ (Orgtuiization, Arny or Service)
TO
on the 9 / day of Nov. 1944 , at European ArU
The Adjutant Ccneral, V/ar Department, IVaahinf-ton iS, D.C.
K. Complying with A.1Y. 112, a Summary Court-ifeirtial, convened at Kansas City Mo., pursuant to S.O, 228, Hq., KCQM Depot, dated 25 September 1943. for the purpose of disposing of lhe effects of the above-named soldier, or person subject to m i l i t a r y law, reports t h a t :
ao No legal representative or widow of decedent being present at deoedeats camp or quarters, effects of decedent were forwarded to this Sum-nary C o u r t - i l a r t i a l .
b. Local debtors owed decedent's estate $ none of which the sum of t1 none was collected, ( I f nothing was found due or collected, stats "None"; otherwise attach itemized statement of sums owing and collectedo) ( i n c l .none „)
c. Decedent owed undisputed local creditors the sum of * none whioh has beet: paid by the Summary Court-Martial from funds of decedent TSee-' inclosed receipt none , I n c l none ),
d. Disposition of decedent's effects (less money paid creditors, i f any) has been made by the Sunmary Court-Martial by transmittal ihrough lhe Quartermaster Corps, at Government expense to person found e n t i t l e d (See Summary Court-Martial FINDIilC below) .
FINDING
Before a Summary Court-Martial which convened at Kansas City, Missouri on
2 Cctober IS-46 j , pursuant to Special Orders 228, Healquarters s
_ KCQM Depot, dated 25 September 1943, the application or a f f i d a v i t of Mrs.
EBUXJPARZBS AKJfilGW: GRAVSS RKIEIRA.IIOK GCUimD
aJBDPm IK Sft. TSE A m APO 887 U S AMI P J ^ L L ^ T *
SUBJBCTx Effect* of Identified Unknowi.
SD t Chief Personal Effects Branch, Aaerican Qrevee Beeistration Goanand, APO 887, US An^,
1. Reference is made tc personal effecte fomarded to your offioe fbr Unknoan I-aOU who le buried at ST.AVOLD U.S. Milifcuy Ceaetexy in Plot OC HOT 5 Grave 119
rwft^/AA U ? k S 1 , S * f " f U i 5 ^ 1 1 identified ae LOZESCFJR, Edward A. , ^ L t . , 0-525466 of 55 Ptr Sq., 20 Ftr Gfc.
3. Peraonal effecte aa Usted on the Beport of Burial ar* as fblloa*t
6 • Oaa pound English notee
* ^ ^ * i l i * d i ^ • c t » < , t h B t the effect* of Unknows >2DU be designated aa thoae of Btaard A.Loetecher and tbe Bffecta OiartenBastsr, Sanaa* d ^ , Iiissouri be inforaed so that effect* aentionec in paragraph #3, above, s i l l be formrded to tbe next of kin of S/Lt L0E3SCHIB.
5« Requeet acknoirledgeaent of reeeipt and/or action taken,
HI ORDKR OF C0L0PE1 ODKLLj
1 I n d i VB PHILIf J . sJDLF Major .^C
vBums* so n ^ A " 1 ' t e n t A d j u , m n t
GRSC VSFET Form No.10 9-7-45
REPORT OF IMVESTIGATION - "RE" SEARCHING To be completely f i l l e d out and attached to eoch copy of
GR Form 1, "Report of Bur ia l " when disinterment i s accomplished. 3t .Avoid Odm,
(Fu l l name of deceased) TROT (TSN) (Organization; 2. Stote i f i d e n t i f i c a t i o n tags were attached to c ^ g ^ s , how many, and where
attached. (To be f i l l e d out at disinterment^ 3. Give ^exact loca t ion of isolated gr ,e. f u r n i sh i
map sheet, scale and series used " 0 ' ' i > > '.' " ^ ' - ^ "
NOTE: ATTACK OVHRL'-Y STOWS EX^CT LOfc 'TION OF ISOLATED GH «VB TYING LOC "TION IN r.I Hi PERMMENT LANHC.'.RKS.
4. F u l l name of cemetery (include c l o t , row and grave i f organized cemetery)
5. Approximate or established &B,io qt death (gtate which & give basis fo r date selected —? ^ b ^ t ^ c r j ^ u ^ .
J. ApproHma^ or cstshlishpd d p t c ; — r a ^ ; . (give b^sis fo r aate ostabllsnea;
7. Manner i n which grave was markud and a l l informat ion contained on tho marker ; enc
8. L i s t personal e f f e c t s found i n posse-esion of c i v i l i a n or unauthorized m i l i t a r y personnel, f u rn i sh ing name and address of individuals concerned
9. Names and addresses of a l l persons quesHeada eoaoerning death or b u r i a l end information each furnisH^a" ( c e n t a l loca l Majrer, p r i e s t , oemetery caretaker, those ^ s p o n s i b l e f q f . ^ y r L f i l and any other possessing impwtant informat ion)
10. I f buried i n a' c o f t i " . g^e aesc^igtion rmd markings (TO be I ' I I IC-Q oul H I J i^ in terment) r i b . . ! , ^ r ^ e r . - J^ , _
11, Action taken
Disinterment k $ ^^Wl v airburi-6l_tnflClc by: y ! Date of ^bufcl^yyTeburial; S N O V H ^ - ' \ —c 1 • - f • Place of ^ l l t V A r e b u r l a l , , U . R . M i l ^ t H r y d e f f i e ^ j ^ j _ ^ .n i^y
Plot ^ Row v Gr«vo 1594.bll.wJ4C NOTE: Addit ional par t icu lars regarding / - ^ ^ i ; R c o .
inves t iga t ion w i l l bo placed on reverse side ^ U - ^ ^ - ^ O LNXEnRING ObTICEB
Signature of^Inves t iga t ing Of f i ce r
•Cross out word notapplicable •-' ' . ^ r '7*~~-J^r--— HanE ASK
5045 QXQB C0J5PAKY
27 June 19 9
^TTat'X, Uav 10, Grave 6 fieadstone: Croaa St. Avoid (yrance) U. S. Military Cemetery
Mrs. Anna Loetscher Mala Street Ellington, Comaeetieut
Dear MM. Loetscher:
Ihia la to Infocx 70a that the remains of your loved one have been peraanentlj interred, ae recorded above, side by side vith 00a-radee vho alao gave their Uvea for their country. Custonary military funeral aerriees nere conducted over tbe grave at the time of burial.
After the Department of tbe Amy has completed a l l fiaal intermentE, tbe oemetery v i l l be transferred, ae authorized by tbe Congrese, to tbe care and supervision of the American Battle Monuments CoBSslseian. The Commission elec v i l l have tbe reeponsibility fcr permanent construction and beautification of tbe cemetery, ^w^lne erection of tbe permanent headstone. Ibe beadetcDe v i l l be Inscribed vith the name exactly as recorded above, tbe rank or rating vhere appropriate, orgsnlsatlon. State, aad date of daath. Aay inquiries relative to tbe typeBofifhbad-etone or tbe spelling of the same to be Inscribed thereon, should be addressed to tbe Amerieen Battle Monuments CcDaoission, Washington 25, D. C Tour letter should Include tbe full name, rank, serial number, grave location, and name of the cemetery.
Vhile interments are la progress, the oemeteiy will not be open to visitors. You may rest assured that this final Interment vas conducted vith fitting dignity aad solemnity and that the grave-site v i l l be carefully and oanaeientloualy maintained In perpetuity by the United States Government.
Sincerely youre.
Major General The Quartermaster General
reg
QMGMF 293 Loetscher, Ldwerd h, SN 0 825 66 . j.
. ~- yy;* 5 Jenuerj- 1949
Mrs. nmi Loetscher ^ein street Ellington, Connecticut
Deer Mrs. Loetscher:
Reference is made tc your telegrem pertaining to tiie remains of your son, the late Second Lieutenant Edward A. Loetscher.
I wish to inform you that our records have been amended to show that you desire to have the re-mains of your son permanently interred i n en American iuilitary Cemeterj overseas. Therefore, your previous instructions to have the remains of your son returned to the United Stctes for burial i n a hational Cemetery neve been cancelled.
I em grs t i f i e d to inform you thet the United SUtes Military Cemetery St. Avoid, France loceted twenty-three miles east of lietz, France hae been designated as a permanent Amerieen L i i l i t t r y Cenetery, dedicated i n grateful renembrence of thc Dead of IRorld Bar I I .
As an American Military Cemetery i t w i l l be beautified, maintained, end permanently ctred for by the American hettle monuments Commission es a shrine to the memory of our heroic dead. The remains cf your beloved eon may repose forever in thie hallowed ground.
I am sure you w i l l understand tnst i t may be necessary to move the remains of your eon during the beautification and consolidation of the cemetery.
A l l neceseary arrangemente for burial, a i l i t a r y honors tnd religious services w i l l be completed and provided hy the Government, ilease rest assured Uiat although you have no responsibilities and cannot be present, every detail w i l l oe acoomplisned with a l i the reverence snc dignity traditional for our honored deed.
QMGMF 293 Loetscher, Ldntrd A. til 0 825 *66
5 January 1949
lou w i l l receive notification of the exact location of the grave. The fleg ueed to drape the oaeket of your eon during the ourial ceremony w i l l also be sent to you.
Sincerely yours.
be
JAMES F . SMITH Major, QMC iaemorial Ilvieion
V
m w SPT OF v.PAT ' DC LfULLIGAK X-71672
hor --ej
UK L/.S£IFI5r
Pi JOI .ITT
CHACGH: GR<-.V..T I I
FtEFTJKCS LETXET nE UESTHW CHANGE PIS^CSITia: REL'iJSjS YCUR ciOK COifiA THE
UTE SKCOKT I X m m M "©"ARC A LO?TSCH3t COi 'A 0 - 8 2 ^ 6 . TOUR PRiTIOUS
IlkSTHUCTIOKS C«rCELLKD. PL^^E ..CVlrF: THIC CITICF IF YOU DSSIRS R^^INS
PPPJIAMEKTLT WTERRID W "S ȣ> OT. fU! II13H K.Xu . 1 ^ LOCnois OP ^ H J ^ X OK
PtJV.'.TE CJUEI RI Of YOU'-. CHOICE. IF ToU JLZCT . U V K I I . . ^ i m i Cu*.... FURiilih
UAJC #.*il< /JJARiSSS Or rUi.' I^-L uQ.c^Tvi. u. COiwIUlii IU -hu-. ^ h i - u i i ah
DHUYE ED AFT -R .PJJVAL FRO)/ OV^E^S. TELS3RA-*! REPLY COLLECT WO VQQL
{ t S L ^ liemorial m.vision ^
151700Z J. F. VOGL A8 Captain, aJC, Memaritl . i v i s ion
29 Ootdber 1946
Jcxr-ob C, LoetBchor
ZZHinntcn, CamectlCttt
Desr I lr , LoT.tBShoi-:
She Iter DepBrtsaent le noct deairoue that yoa he ftrmlGhee. Infor-isEtlaL. r t j a r i ina tho "bt Tlcl Ices.tion of your eon, the late Secoiul Lieuten9i:t I^dvart. A. Loetscher, A.S,L. C 325 46o,
The recoric cf this office 5*cclcge tlir* his rerjalno eev- intortwd in thg U. S. I tmta iy Oemetery St, Arold, plot 0%, row 5, jrave 119. Tou msy he acsv:.-ed that the iaeatif ioctlcr. m i in-tenaont heve heen acoocrpllEhed v i th f i t t i n g dignity eaii solemaity,
Shis cecotory I B loo ated tirentj-tlireo mHec oost r f Mrtz, TVanoe, crui ID -isader the cona tart oare and Btgaorrlsian of United "tetes n i l l tary personnel.
The ¥sr I^artaent has now been aixthorlaod to ccarnly. at Govem-acnt espense, with the feaelhle wishes of the nert of kin'rsgcri'lng f ina l interment, here or ebroad, of th© rotar.ia.s of yoir' lovod >r.r . At a later date, this off ioe w i i l , without a:3y acticn on yow,' ?art, Tiro-ricle ths next of kin with f u l l tnfoimation and sol ici t Me detclled doeiros.
Please accept ny sincere syetnathy In your great loss,
Sinoerely yours, r - l
7, B, LASCT7 Jfejcxr General
- c : ' -- Che Quartermaster Gtenenal
.V
Loetscher Edv 'd A 082^66 /Lt 5 Nov 21
x Air Corps 55 Ftr Sq 5 Rov 1*5 s 20 Ftr Gp
Loetscher, Jacob C. Father
iox #85 Ellington, Conn.
Previously Unknown X-20^ (St Avoid)
Positive Identification
• tB Mll Own St ATold, Prmoe «Q 5 119 Loetscher Edward A 0825U66
Itb
ADDITIONAL REMARKS AND INStRUCTlO^ Ml remark, and information entered Here .ill te co^taspar^tH* Sotarial Attestation.
JL
•is - . ElSi 6 g
PAGE 4
CARRIER SHEET. HQ TSFET
dumber e
TO OM HATE
Reg. Div. AGRC THRU: Supply Div. AGEC
ach mem* or reply in le f t border.
Per. Eff, Br, AGRC
28 Aug, 19U6
2. Reg. Div. AGRC
1 ;
Supply Div, AGRC
_Use entire width,of paper. ravei
RSS-SD 232.3 JHL/jm MIC~3875 Ext.61 SUBJECT; Unknown X^O^U, St. Avoid US M i l . Cem.
28 Aug, 19h6
1, This branch has taken note of your letter , 2 August 19hS identifying Unknown I-.20itli, St. Avoid 'us Military Cemetery, as 2nd Lt, Edward A. LOETSCEER, 0-e25U6< and personal effects records have been changed accordingly,
2. The Army Effects Bureau has been informed of thii identification.
3KI l e t L t , , QliC Chief, Per.Eff. Br,
1* Forwarded for your information.
iT SCHNELLENBACH i. Col,, QMC
Chief, Supply Division
Page No Use other side
1 ea Personal f i l e ^ 1 pr Shoe treesf 1 pr Shoes, gym^ 2 ea Wallets O
• — r j xr-
1 pr Shoes, low cuts c . 1 pr Shoes, service ^ 1 ea AAP Form 5
I c e r t i f y tliat tlie fore/cing inventory comprises a l l of subject's effects and thev w^rc shipped to E j e c t s QM. ETOUSA, A.P.O. 507, CW*, U.S. Aray by doliverirc to QL AAF Sta 367, AFO 557 on 25 Nov 19A4
^""(Signature - InkT
MA THE? P. CICERO,
Ma.j, AC, 55th Ftr Sq. ^ Ptank and organisation /• "
J ) (Hock ) let ters) ^
.)
(? co::.ies to. Rff 6c ts ETOUSA, 1 copy in box with effects, 1 copy retained
21 November date
55TH FIGHTER SQUADRON 20TH FIGHTER GROUP, APO 557
(6c.i-xilficti.ca zafi A.l .0. i!i.iii':er) t
:T:BJECT:' Transmittal of Inventor?' of Personal Kffects .
.'0 : Effects .ni rtern-rtei , ViC-SA, Depot G-1A, APO 507, U. S. Army,
•.;•> _ Trar . iiiiitted hsrev.-jth i n accoi f. ance with Adr., Cir fe/X), dat 3d ?'; ; »t.
3S*Of •-. £0S, -jTOliSA, is Inventors' of Effects concerniiig subject narnj^ ^ow,
Loetscher Edward A. 2d Lt 0825466
( l I i£b~i&T~ * (?xrsv iTm ( l T j T^Tfl.T lA.S.»,* , IControi Ho (I'or use of Effects 'jM S'-t'CUSA)
(-animation 5 5 t h F i g h t e r Squadron (UIIIT- —r - Nojt" Bl anch of Sarvico) -
-Status. m t i W M , i : i ^ i - in Action, Z / ^ / / / ^ / / / / / on t ie 9th
o ty of ^SYf?*?? 19 A4 JA.
designated Beneficially ( . / i t l j acdve^s) Mrs ABI^"Loetscher Bo3f%5, Ellington, Conn
Cl. I I Assets; Cash found i n efi'-ncts, lesL cost of raonay crder inclosed herewith
U.S. L.O. / y / t (* Aait % * A UoS .M.C. // None Amt J
U.S. r.O. // ^IOM^ toit %j/0./y U.S. 1..0. i, None '-t %
.3. O f f i c i a l Ghee: u _ f i f l 0 f i Amt, Bank (Kama and rdiich)
(Oank Accounts N o n o
OHECK J^IST FOR DISlNTti^iEKi'S To accompany Report of Reburial
Only Part I shcuH be completed i f i d e n t i f i c a t i o n tags are available BOTH Part I & I I bhould be completely f i l l e d out i f i d e n t i f i c a t i o n tags are
are not available. I f information i s unavailable, so indicate,
PART I (Positive I d e n t i f i c a t i o n )
St.Avoid Gem* imluti. t i f i ^ d 1 - M d i unk unk AAF
( p u l 1 name of deceased) (Rank) ^ASN) (Orgi .ization) 2. State i f i d e n t i f i c a t i o n tags were attachod to remainf, how many,"and vrtteVe
attached iinne 5. Give exact location from which disinterred,, furnishing coordinatee and map
series-used aoeruourg, nenamy >M)oj5 tSieei '£-2 .acslJti.lan ocale l/iorrjacxf US. uw /Up-O "l Ci.'-.i TJ. . r x- - jrxd. NOTE: ATTACH OVERLAY SHO.VING EXACT LOCATION OF ISOLATED QRAVH; TYING LOGA-TION IN ;VITH PERIIANZNT LANDMARKS.
4. F u l l name of cemetery ( i f buried i n an organized cemetery)
5« Approximate or ostabliahed date of buri a l (givo basis for date established) (i'lsti v ..ov. l9iLji Jo-v.jr^eister
6 ' Approximate or established date of death (state which &, give basis for date selected) ( -so) y -.'ov. 19h ', o j iur ^.-riu^ist^r
7. Manner i n which graves were marked and a l l information that was on the marker wone
8. L i s t personal effects found i n possossion of c i v i l i a n s or unauthorizod m i l i tary personnel, furnishing name and addross of individuals concerned
'Jone
9. Names and addresses of a l l persons questioned concerning death or buri a l and information each furnished (contact local Mayor, p r i e s t , cemetery caretaker, those responsible f o r burial and any other possessing important information)
Heff - Bui-;; r i i o i s t .r riigtergaaae 00. Ebernburg • - Jeuex^iy oarv/calcsr _ v o r d e r g a a s e ^ f Ebernburg
MO P r i , t or l o l i c ^ ?xi io.in • - ->•.. *-. erw ^
PART IT
15t Givo minute doac. iption, of a l l offocts, clothing & ahdoe, indicating clothes markings & sizes, as ./oil as shoo sizoi Li:..6 oach itom of clothing, with a description of any unUsual outa> dasl^n maTkings, pookote, colors, patches, etc. Also l i s t , with dotailod descriptions, a l l offoctB without intrinsic valuo,- dueh as gum, food, aoap, paporflrv lottors, tobacco, o t c , giving b^apds whon applicablo; ' .' i l l .t iiy ;-li2L pom-ta •ictes. 1- 0. ^ . J i l i r t , size L.'x 3? r ^ - k i ' i :s. "on olothln^ t ^ (lw9/2/21/13/Uhy 1 - .ooj. TO'ier. l i i r t -.s^'iin^s .•- , . 1- UQXW?, mwr^ir^, ^^•^• [sZ-eo, 1 - C. L . ^ouscrs , s±zi zc c? L» . r . ; . o n clp-Q ^Jig -uag liuO/a/^l/ lOAaa) 1 - Jetton div/.^rs sia-i j2 ^ 1 - jot'eon 3ocl:s» l-'"i - . stdo sise S i Naae Zcti:ex'\ A. Lor" sch^r 0-u234Oo 1- ILovr nggjB icc/^'d ... Lor^schsr G-'625aco
l6i Give doacription of any vohiclo found in the area that could bo connected with tho death of tho deceased ilone ^. -
(Typo)- [ (WD Sorial lioL) ^Organization) (Seria l No. 6o Typo
of oach gun) !?• Give exact location of romaina i n vohiclo before removal i k
18. I f buried i n a coffin; give description and markinga r l j . i n vfoofle:i JO:;.
19.. Liat nam?3 of a l l othor deooaaod. pcrac .a buriod i n the vicinr'ty.- A?.so givo avai"-:':lo information conoorning tho oauso fa pip r.o of do-'-.h cf oach that may assist i n identification of thoao rocai - a "One ,
20 v Othor pertinent information which, would aid i n ostabliahing identity . None
0. agng Jo .eiran ^/ S^t 3 k ^ k h l } 3Zh^ ^ . JT... J6. (Individual in Chargo cf Diainterment) (Rank) (ASN) (Organization)
•"1 -lov. Wig (Dato)
NAME tOtii W ' . . i f i-D.. .RD I T , 5468
BAY PALLET BOX TALLY
37 8 9607 YPE OF PKG. WHSE SPACE INVENTORIED
NAME LOiLTSCHEH, EDWiiRD A , L T .
BAY PALLET BOX TALLY
54 SO 9 '1 r* 9 '1 r*
BOX
Eff. QM Form 4t
WHSE SPACE INVENTORIED
/ RECOROS » DESIREO
2 0 1 FILE ENL K C EFF REP MED SEC LETTER IHO •aia RADIO OTHEI lSt*e{fy) LAST DATE
CAUTION: I H U t RECORDS WILL BE USED FOR OFFICIAL PU8HJSES ONLT. DO MOT REAtOVt PAPERS NOR REVEAL CONTENTS TO PERSON CONCERNED. RETURN THEM PROMPI LIT
TRANSFER SLIP No. A3 831920 DATE OF REQUEST
FILE OR SERIAL
NUMBER AND
SUBJECT
REQUESTED PAPERS
NOT IN FILE
TO NAME ANp EXTENSION OF PERSON REQUESTING FILE DIVISION, BRANCH. SECTION. BUIIDING ANO ROOM NUMBER
RETURN TO
DATE RETURNED TO RETURN FILE. INITIAL HERE
INSTRUCTIONS Wlidir tiausierriDg tile to aootber person, complete Bdf addresaed transler coupon bdow, detach, etitcb
to Uank Icller-siie paper aod place in out-going mail service.
o CM CTi r H H I 00 00 <
TRANSFER COUPON
TO: NOTE THAT FILE OF:
HAS'UFEN TRANSFERRED TO: (Name)
DIVISION. BRANCH. SECTION. BUILDING AND ROOM NO.
DATE SIGNATURE
teD AGO FORM c Replaces WD AGO Form 06-33 wbich may be used until exha I MAT i»4e
o CM cn r H
oo ro <
TRANSFER COUPON
TO: NOTE THAI FU 7 -ie.
HAS BEEN TRANSFERRED TO: (ifamt) AI
DIVISION, BRANCH, SECTION, eWLDING AND ROOM NO.
DATE
5 / SIGNATURE
ed. A U S . GOVERNMENT PRINTIN6 OFFICE l ^ a - o w j a j
WAR DEPARTMENT T H E A D J U T A N T Q E N E R A L ' 8 O F F I C E
W A S H I N G T O N 25. D. C.
-BATTLE CASUALTY REPORT
N A M E
LQSTSCKEE EPWARD
S E R I A L N U M M I W
H t P O R T l h T H I A T f
^ U A C B O F C A B U A L T V
- • p . . T t O f C A I U A .
09 HOV 44
S H I P M E N T N U M W
N A M E A N D A D D R E S S O F E M E R O E N C Y A D D R E S S E E
M R . - M R S . - M 1 MRST N A M E - M I D D L E I N I T I A L - U A » T N A M *
A m A, LOETSCHBa iTATE "
R E L A T I O M ^ H I I -
MOTEER
N O . A N D N A M E O F B T P K E T — C I T Y
BOX 85 ELLIKQ^OK comrscTicuT R E M A R K S ; CORRECTED COPY
D A T E N O T l f l E D
25 NOV 44
2 •
f ^ i o N B V P R O C E S S . N G A N D V E R m O A T . O N S E C T . O N : REPORT V . R . P I - 0
j C A S U A L T Y B R A N C H P I L E A T T A C H E D ^ - ^ ^
P R E V I O U S L Y R E P O R T E D
P O R M U A O 201 R E Q .
D A T E .
F I L E N O . M E S S A G E N O .
T Y P E D A T E A N D A R E A
E. A . N O T I F I E D
F O R W A R D E D T O • » « C . ID1N.
TFT T E L M R A M
LETTER C O R R U R. • °-
1 R E P O R T N O T V E R I F I E P -NO F O R M *S N O C A S . . B R . P I L E
_ ^ t H E C K E D B
CKimr.
^y^EVICWEP BY
M. a M . NON-DO—
A C C T . A R E A
1
C A S U A L T Y S T A T U S
n g l r t l N A L C A S . DATE' ' TTT! 1 M O . 1 v »
I 43 N O O A S . Q " . —t • . _ . _
. . . . . F op u s . o r " ^ . g g g g ^ g ^ ^ D»V
1 34 I 35" 3 6 3 7 3 6 3 9 l 40 41 4 2
M E S S A G E N O .
I I
AMA
1
an . RtoipEltlCE
r ..| 4.1 .sl «| ^ | . » ! g
COMP
3 5 ! 86- 37 j - ^
met
D I S T R I B U T I O N " A | * p v C E P T W O U N D E D . )
! A L L W O U N D E D M I L I T A R Y p ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ j ^ ^ ^ ^ ^ o ^ ^ A ' N ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ ^ T ' ' ^ ^ ' ^ ^ ^ * * ^ ' ^ ' ^ ^ ' ^ ^ ^ ,
w D A.O.O. FO«M NO. 0M8 ie JUNK I M i
1st Ind . November 19Wt.t^*J ;.H
S ^ ^ , STmoH a 67, ^ 557, D.S. ™ , 30 «o , , ^ i. P T I APO 507, U.S. AniSk.-
•pO: Effec ts Q u a r t e r ^ t e r , ETOUS., Depot * ^ f ^ • ,
1. Forwarded. k ; ^ ^ J For the Station Commander:
7<r7 Major, Ai
(US PO Money Order #15048 - «40.-L^
r— A ^ A C H W E N T F E F F E C T S INVENTORY ^ Y £FFECTS BUREAU
DECEASED_
MISSING.
P. OJ!L ABANDONED_
UNKNOWN,
BAGS. CLOTH OR TRAVEL
B E L T . MONEY (NO MONEY
BILLFOLD^O MONEY)
B O O K S ^ BRACELET. IDENT.
C A M E R A S / , CLOTHINS-^
M,SC. ARTICLBi^
RELIGIOUS ARTICLES
RIBBONS. DECORATION
SHORT SNORTER
SOUVENIR MONEY
SOUVENIRS^ TESTAMENTS TOWELS 6 WASHCLOTHS
U.S. MONEY (AMOUNT)
WATCH
WINGS.
OVERCOATS
PAPERS. PERSONAL
PENCIL. MECHANICAL
PEN. FOUNTAIN
PHOTOS
PIPES
RINGS
SCARFS
SHIRTS
SOCKS. PR-
STATIONERY
TIES
TOBACCO
TOILET ARTICLES
TOWELS
TROUSERS. PR-
TRUNKS. PR-
1 UNDERWEAR , INFORMATION
7 December 1944.
t r a c t s Quartermaster, ETOUSA, AT , 0 H Lt Edward 4.
Kissing i n Action.
' AArf;te waior. Corps, ^ e r t l g a U n s CMioer.
ARIS 5ER'/ICS: FORCES ARIS" EFFECTS-BUREAU
saiLTO;
Mre. Anna A. Loetscher
Box 85 Effects of:
Name 2 n d L U E d W 6 r d A . Loetscixer Connecticut /
ASN 0-625*o6
Case l b . 3 0 0 6 f i g A
DAJS 2 ^ ^ t 4 , RTB:FR:mr
TORl Effects ciuartenr^r.ter
REMARKS:
ROUTMJ:
x I n c l o s e Bureau Check Acct. Wo.jL^il4 ^ Amoun b ^ . . C l J
Inclose naluablco" i ten Snip "Valuables" iic-nCs)
lis^yve G. I . "Koto discrepancy la . "Films removed "Diaiy removed ""lAundry removed
135728 j f
1 ^Ancountin^^uch l ' l 321: Ji'vis ion v
3 Files Branch, Adx. Div.
n r . - •. <•..-«•
Franlctd EGt. Ex?, ougs«_ Est. F r t . Chgs-' No. of package 7
A T T A C H M E N T S
INBOUND INVENTORY T G. R. OR SUB GR LABEL
WILL OR POWER OF ATTY
TALLY IN'FORW
7 BAGS. C L ^ H OR TRAVEL.,-
BELT. MJEXTEY (NO/lOf iEY)
BILLFOLD (NO MONEY)
BOOKS
BRACELET. IDENT.
CAMERAS
CLOTHING
MISC. ARTICLES
RELIGIOUS ARTICLES
RIBBONS. DECORATION
SHORT SNORTER
SOUVENIR MONEY
SOUVENIRS
TESTAMENTS
TOWELS ft WASHCLOTHS
U, S. MONEY (AMOUNT)
WATCH
WINGS
EFFECTS INVENTORY ARMY EFFECTS B U R E A U
BELT BOOKS. ADDRESS
BOOKS. PILOT LOG
BRUSHES
CASE
CLOTH. WASH
COATS
FOOTLOCKER
FOOTWEAR. PR.
GLASSES
GLOVES. PR. j-
HANDKERCHIEFS
HEADWEAR
JACKETS
KITS
KNIVES
LETTERS
LIGHTERS
CONTAINERS ADDRESSED TO
/
OVERCOATS
PAPERS. PERSONAL
PENCIL. MECHANICAL
PEN. FOUNTAIN
PHOTOS
PIPES
RINGS
SCARFS y
S H I R T S J - '
SOCKS. PR.
STATIONERY
TIES
TOBACCO
TOILET ARTICLES
TOWELS
TROUSERS, PR.
TRUNKS. PR.
UNDEPWFAP
S T A T U S
DECEASED
MISSING
P. 0 . w.
ABANDONED
UNKNOWN
INFORMATION
r
NAME AND STATUS VARIATIONS
CROSS REFERENCE
CHECK
MONEV ORDER
BOND
TRAV. CHECK
FOREIGN CURRENCY
REC'D BY
I NUMBER
SYMBOL
AMOUNT
BUREAU CHECK
TRANSMIT ORIGINAL
0R IG. REG. MAIL
TO G. A. 0 .
MUTILATED
REMOVALS (<>'»'•'• " ' • n C - ^
/sp < ».v • nnoarnA-roN FOUM No. I (Revued 1 Sept. l r J^)
,..L0ETSGH3H
CORRE CTED 0 0 ^ .
r PORT OF BURIAL . .. .' ... TM lO-WQ AND AK 30«.l,0F5* 5 ;
A. . s .r 2/Lt-E dward j j . ^ T- n-
Sl....Iuly_13-^fi Due
0-825466
5_5__zir„rSji*
tnitnf Serial No.
.2Q B5.r .G-tL . . . . n i ' . ^ l ' . n
Unit
. Idrgitnisuiaa
^9 NoTember..l?44. "Daie of U-alh
K I A . " Cauae o( Deolii
EBERHBJJRQj.^rr^..--^ 0 0 - . 5 . W ^ e x a 9 4 5 . g ^ ^ - ^ ^ ^ i ; ^ ^
Time and Date ol Burial ~"
b J - f e S S r f c . - • N " ^"" '^ached to jZker Ye. • No ^ ^ o n o M ^ o n T a . : Boned w U H ^ ( s t o A Y o l d }
f N o ^ ^ ^ ' ^ n l l i l ^ S ^ in agreement with mCH for f- Est.date and place ol f f t ^ ^ ' l ^ T was the only crew member.
^4-12^15, of whicn 2/Lt Loetscner :c_2044 are similar to ^ ^ y s L ^ - d e s c r i p t i o n and c l o s i n . sizes
^ ^ ^ ^ ^ ^ T S ^ e ^ ^ ^ e " ^ s found in two 3- Clothing mark:-'^dward A Loet^h.^ _
- a r t i c l e s _ o ^ . c l o t l i i n g on. ^ 0 4 4 , . _ ^ _
j V. . • ^pe ol MafUet
T o ^ d c t e n n i n ; ^ - o r Left use D . c ^ W and LcfL
T/ho is buried on;
Deceased's Right: J^l2043.
Deceased's LcfL: iAZLESS-
Name
...LIS
^..7.68414 Serial *s'0* ^
L4 Bb-^SSu^^
- j S m S ^ M ^ ' ^ >
Emcraenty AUarca.ce
V — ' ' ^ ^ i ; ^ o « i copy of S p o r t
List »" - * ^ ^ ^ T ^ . 9-One oound 3 n ? l l 3 h n o t e . O f f i c e ^ ^ ^ f 1 1
R e g i s t r a t i o n Cornmand..
•n f? n IT R I A L
I ^ I i e d a t : EBI^IBUHC Germany •VM 085^ S'n.T-2 7iesbaden oca-e .. __ .'Vi.l U O O w , - •— 7 ^ --. .r^ Moonwe bun»i -
i/XOO ,000 GSGS 4416 - - — ^ ^ ^ _ .
JOSEPH S. MC CLTJSI^T - Snd L t
lionaaL • 29. Respiratory systein — ------30. X-ray of chest1 S a g a l t o - - - ™ -HorasX ... 31. Abdominal viscera — Hemorrhoids ^ o n e . 32. Hernia " Q n f l ; ; W
35. Laboratory procedures: Kahn c " ^ 2 5 ^ ^ '"" A l b u m i n S f l ^ ^ s T g a r " ! ' " ! ^ - Microscopical Heg. Urinalysis: Reaction . . A c i d . . - Sp. gr - i ^ - ^ ^ ' ^ ^ v , . flgtl^rtOTT
37. Rcmarkron conditions not sufficiently described .. ^00.9 Z Z . Z Z Z
38. U the examinee physically qualified for flying duty? . 1 * * . « V* . - - h a t c k s S ^ _
If disqualified, indicate defects by paragraph number ^ ^ Z u •-
39. Kave defects been waived by The Adjutant General? i ^ e q L t for waiver attached? « If no. is waiver recommended? . . . . . . - - - - - - d e f e c t b y p a r a g r a p h number
40. Is the examinee incapacitated for active service^ J ^ a t 5 « n t 3 5 . . I n d i c a t e d . 41. Corrective measures or other action recommended WWffiftA.-SE8«J«W - _
Z'^ ' t e s Do you recommend acceptance with minor 42. I f applicant for appointment: Does he meet physical ^ - .
physical defects? " If rejection is recommended. g pec^ cau^
I l r Corps ReplaeSmer.t T r a i r . ^ Center' (Aircrer) < f x % ^ f ^ t a t o 'JedicaLCorps. Uaxvell ' i e l d , A i R . J ^ a M s J ^ A ^SSiidgradw"
f . 5 ^ ^ ~ l a i l ^ W ~ — -MedicalCorps. (TIM.) ( D n t 0 )
(Name and grade)
REV WED ,AND APPROVED:
_ Corps. M l , 0 ^ t a i n Medical Corps.
(Name and grade) j _ (Senior flight surgeon)
1st Ind.2
Headquarters -To the Commanding Gene;
Remarks and recommendations
(Name)
- - - - - - - - ( O r g a n i i a t i o n and urm or semce)
'v^v Commanding.
2d Ind.2
10 To Tlie Adjutant General.
• ^ ^ ^ ^ " - ^ ^ t e r T ^ t c u m . AttacH ac t iona l plain ^ re,ulr«£.
f C B A V E ; TlEClSTRATIOK *" l:Ok.M K o . 1
(Kevued 1 Sep:. IMS)
f t f J - O Z T Iv C K S I :
TM 10-630 ANO AR 30-18IS
51 Julv 1945
Edward h/'Lt.
Dale
0-B25466
L«.n Name Fin:
55 P t r . Sq." Initial Serial No.
Orcanization
9 lloveraber 1944 Unit
EHEpJ ' iGr, Germany 1 - - - - - P U c e of Death Date of Death Cauae of Death
i 500 - 5 MoTeinber 1945 U. : . n i i t ^ g Oeineterv ^T. ^ 0 1 ^ Fruice w = Time and D « . of Bunal Name of Cemeter Name or Coordinate, of ^ o n
1 1 0 5 ^ Grave Number Row Number
' ^ S i
Plo: Number Type of_Nl»rker
Disposition of Identification T-gs: Buried with body YesD No 43: Attached* to Marker Yes • No Q '
If No Identificatien Tags I ^ e v l o l ^ l y toiaef T!tino.a 1-3044 ( i - t . ^ o l f . ) How were remains identified? I d e n t i f i e d . t n T O U g S . .
i ) S £ t . dete and nlace of death of ^-2344 i n asreemsnt r i t h I'-.C?. f o r ^ 44-1^715, o f which g/Lt . Loetcoher was the only crew memher. * e / T 4 .
2) Physical description and C l o t h i n £ sizes of 21-2044 are s imi la r to those Ox 2 / L t .
^ 3 e ^ ' \ ^ f meaM of'iSentification were buried wi th the body?
3) Clothing mark^Edward A. Loetscher 0-825455" was found i n two a r t i c l e s of c lo th ing
on X-2044.
To determine Right or Left use Deceased's Right and Left.
Who is buried on: Deceased's Right: j:-.2Q45...
Name
l i s
Deceased's Left: Name
Serial No.
0-753414 Serial No.
Rani
l / L t Rank
Organization
4-4 Bb.Cfo.E.
Grove No.
120 Organi zation. Grave N o .
• Stenature or Name. R«J< «.d if powibl. Ortpmoauon o f ^ r ^ n furntaWn, above Data when other than oflicer reponm,, bund.
I f print of identification tag is not affixed fiil is below.
Emergenq. - Addressee
Ers, Aana,A« Loetscher, mother S>
3 o i 85, U l i n g t o n . Connecticut
Relipion
List oaly Personal Effects Found on Body and disposition of same:
n- -f-- n-P •
Registrat^qj?. r
L a B rr Pi I A L
previously hurled i h isolated grave located a t : EBSHRBURG, Germany,_ TO 0835, 3h.T-2 tfiesheideri Scale 1/100,000 GSGS 4415
Sianature of Offieer or other person reportine bunal
M a j . , Verified by G.R.S. Oflicci
H.IJ. SOS. « /5 '44 SOOM/8/.
RECORD OF CUSTODIAL TRANSFER
1. SHIPPED
A TO
OF CONVEYANCE NAME OF CONVOYER
IATURE OF SHIPPER DATE SIGNATURE OF RECEIVER DATE
2. SHIPPED TO
) OF CONVEYANCE NAME OF CONVOYER
•IATURE OF SHIPPER
f
DATE SIGNATURE OF RECEIVER DATE
3. SHIPPED M TO
5 OF CONVEYANCE NAME OF CONVOYER
MATURE OF SHIPPER DATE SIGNATURE OF RECEIVER DATE
4. SHIPPED
)M TO
D OF CONVEYANCE NAME OF CONVOYER
NATURE OF SHIPPER DATE SIGNATURE OF RECEIVER DATE
5. SHIPPED DM * TO
ID OF CONVEYANCE NAME OF CONVOYER
MATURE OF SHIPPER DATE SIGNATURE OF RECEIVER DATE
G. SHIPPED OM TO
JD OF CONVEYANCE NAME OF CONVOYER
3NATURE OF SHIPPER DATE SIGNATURE OF RECEIVER DATE
7. SHIPPED OM TO
MD OF CONVEYANCE NAME OF < ^ i y ^ Y E R
3NATURE OF SHIPPER DATE SIGNATURE OF RECEIVER DATE
Am-SSRVIXJE FORCES UKSAS CITY qpAMEBMASTER DEPOT
JIEMY EFFECTS BUHEAU 601 liar de sty Avonuo
'Kinca.* 8 i t ^ 3., lllss'our'i
RTbiFRjor Jn Reply Refer I o ; 3 C l Q t > 8 & Septembsr 2 , 1$45
Ere. Anna A. Loetscher Box 65
Ellington, Connecticut
Dear kre. Loetccheri
The ArTDjr Effocts Euroau is forwarding to you tho follovdng parsonal propertv, recently received huro, bylonK-i n ^ to your s o n» Steotut Lidutenent Edward A. Loetscher.
2 certonB and contente 1 £ureeu check for 5"i3.07—inclotsed
liy action in transmitting the property does not, of i t s e l f , vest t i t l e in you. The itons aro forwarded i n order that you may act as gratuitous buileo in coring for them pending tho return of tht o-vmer, who has been reported missing in action. In tho evont ho later is ronortod a casualty, and 1 r.incercly hope he nsvor i s , i t w i l l be nnces-sary that the property be turned over to the person.or persons legally entitled to receive, i t .
Whon delivery has been made, I shall appreciate your acknowlodging receipt by signing on^ cofciy of this letter in tho space provided below, and returning i t to t h i ^ Bureau, For your cenvonience, there is inclosod an addressed envelope which needs no postago,
I regret tho circumstances prompting this l e t t e r , aad wish to oxpress my hope for tho safe return of your S o^*
Sincerely yours,
C. hm siUIKK 2nd L t . , J..C Chief , F i les Ercuch
I n c l — L W o p e
Receipt acknowledfod:
REQUEST FOR NEW LETTER OF IKQUIRY
TO LETTBK OF INQVISY SECTION RBFATRIATIOS SBCORDS BRANCH
INAME OF DECEDENT (Firmt, Kiddle. Latt)
iooctx Loetacher, Mward A.
FROM
SERIAL NUMBER
0 825 466
GRAVE LOCATION
CEMETERY
St. Avoid
[ L E T T E R OF INQUIRY TO BE SENT TO:
MR.
MISS Mrs. Anna Loetscher MRS. .
ROW
RELATIONSHIP
Mother
GRAVE
i i 9
ADDRESS
STREET
Main Street
CITY ANO STATE
Ellington, Connecticut
AUTHORITY FOR LETTER OF INQUIRY AND REMARKS
Reference i s made to jrour telegram pertaining to the remains of your son. the
late •
of yo^sor re t^ rned to the U S fo r h ^ i a l i n a national cemetery have heen
cancelled.
56 A 1 St. Avoid
2. omit "the late " end sentence after SUSUSL.
56 B
IDATE CLERK'S 5 I ENQUIRE
V
OQMG 50AM REV \ T MAY i+B 399
LETTER OF INQUIRY SECTION REPATRIATION RECORDS BRANCH
REQUEST FOR NEW LETTER OF INQUIRY FROM
[NAME OF DECEDENT (Firtt, Uiddle, Lett)
/ SERIAL NUMBER
GRAVE LOCATION
[CEMETERY
LETTER OF INQUIRY TO BE SEST TO:
PLOT
<P<P ROW
s RELATIONSHIP
t STREET
r>imt-onm FOR uESi 5 \*uis»*--MHrTrt*****
IDATE
/9
CLERK'S SIGNATURE
OQMG FORM O Q Q REV 12 MAY 46 w
Tms rom is TO BE riLiv in riti
-al.J
4 6 » 7 0 9
REPLY FORU ACCEPTANCE SECTION
FAMILY CORRESPONDENCE BRANCH^
.tQUEST FOR I KFORMAT ION ON DISPOSITION OF REMAINS
F R 0 M : FAMILY LETTERS SECTION FAMILYCORRESPONDENCE BRANCH
f^'ROW ' 1 G R A
Ithe attached correspond
l i s requested that information on
I respondence •
•• ~ 1 - r — r — " „ , „ ; „ . of the above named decedent. I t
• HAS OOMG FORM 3«5 BEEN DISPATCHED?
Q HAS OQMG FORM 345 BEEN RECEIVED AND ACCEPTED?
• WHAT OPTION WAS SELECTED?
BY WHOM WAS OQMG FORM 345 EXECUTED?
DID ROSTER IN[il«fftE AUTHORITY' '
RELINQUISHMENT OF DISPOSITION
fHANGE OF DECISION
FORWARDED FOR YOUR INFORMATION AND ANY ACTION I 1 DEEMED NECESSARY.
. V..
AN ALYST (Sii^turt,)
48 2 0 3 8 4
OQMG FORM | 9 0 I 22 APR HB
\ ^ \ .
/I /
-3
T ^ ; S R M E
^ V'7
I MRS- : ONSHIP ' 0 u t u " — -
j - - ] REUTIONSHIP TO DECEASED
^ 0 p T I ON DESIRED
,AT,ONA L OR PRIVATE CENETERY INTER-ENT DESIRED
^ C 0 U N , R Y f R W Z - . - ) OP DECEASED OR NOK
C P ^ E m - R ^
S.CURE D O C 0 M E ! T S : _ _ a ^ ^
^ SIGNATURE OF NOK
NOTARH^TION
a NAT I ONAL CE«mRV SELECTED IS CLOSED
j — - j R E p L Y TO "REMARKS" ON FORM 3^5
j — - ] SPECIAL INSTRUCTIONS
Q DEATH C D OTHER.
IDATE
"> FORM [ Q I Q IN 48
46 !»»««
TO:
0 ISINTERMENT DIRECTIVE CHANGE ACTION SHEET
• " C I L J I I niSPOSI
3574 - 07167
FINAL DISPOSITION CODE
01 - 2321
• " T T s p l T C r ^ A T r O F P R E V l W o D
26 June UB
TERIAL NUMBER
l ^ e t £ c h e r 2 _ J d m r d j ^
RANK
2d L t .
CEMETERY
St. Avoid, France
0 825 466
CONSIGNEE NAME
AODRESS
DISTRIBUTION CENTER NUMBER
Farmingdale, N.Y. France
01
[NEXT OF KIN NAME
Mrs Anna Loetscher (Mother)
I ADDRESS
Main St. Ellington, Conn.
No change
130 change
fMJTHORUY Tel X-5827 dated 17 Dec 48 from mother.
DD cancelled by AGEC7653 - Mesg. 62625
- S
0QM6 FORM | 9 | 1 29 JUN HB
r H r S FO** IS TO BE EILEV, IN 2,3 PILE
/
/ /
/
/
REMAIMS W ^ f y ^ S S r A N a PLACED IM CASKET:
DATE:
CASKET SEALED BY:
CASKET OXED AND MARKED:
DATEr/zn/^
A L L MARKINGS, PLATESTAGS/V^R fr I ED
DISINTERMENT DIRECTIVE jZ
SETND BURIAL LOCATION OF DECEASED
DIRECTIVE NUMBER
3 ^ 7 4 0 7 1 6"
AME x.ifiTS'OHSH
EMETERY
DATE
i ,5 0 5 4 8 MONTH YEAR
DISPOSITION Of REMAINS
232 1 CODE
0 1 DIST. PT.
CAUSE OF DEATH
4 FRANCE
AME AND ADDRESS OF CONSIGN
LONG ISLAND NATIO^L CEMETERY FARMINGDALE, NEW YOr'
SECTION B - C O N S I G N I L A N M O O L O L ^ — — "NAME ANO ADDBSS^P NEXT OT KIN
MRS. A N N / A . LOETSCHER (MOTHER) MAIN ST/EET ELL I NQiiON, CONNECTICUT
INOR DISCREPANCIES /
11.13 ;0H?., . U T I I . C ^ LTH 18.8.1948 (-...CHC)
MAtHS PREPARED AND PLACED tNfijSISRCCOC ^ I S f o r BO"
3Y vTE i,SKET SEALED BY
vSKET BOXED AND MARKED
BY
SHKPINCL'ACDKESS aeBOBBKKC
elates verified by:/
^ ^ ^ - ^ p l i s h e d unc/er my immedicte superv.s.on I hereby cert i fy that a l l the foregoing operations .w^e concucrea
and that the report above is correct. j ^ " " j s "
' i ^ t . ^ i . 7S!;7 AC- .C. Lone — j j O N A j y i i n f INSPECTOR
Prepare ^ ^ ^ M C F b r r n /i94a ^or m a >ordiscrepance.
IC FORM 1 1 9 4 V 16 MAR 46 1
i i . tfewOSM 8ASV . i f %tcr^ED UNIDENTIFIED t
the following: vi-^v?' • -r.r " — « • w,. c^-^H - •Laundry Mam. •>•$,
• r - J f ' ^ V r - - Number of Rifle:
.... .Rase:— Jb-v----- -— • .f ^ i ^ j
• - ^ S s ^ ^ ^ - f c ^ o ^ . . . etc.
Note bclow .nr .d.otifring c l U « W v d . ^ ^ -probablc organa.uon of deceased, etc..
lettere, photograrihs,
4 - T < K m & ^ ~ ~ ^ ^ - 3
0 S c d l h h p S » a n e n t Landmarks. U mwe space^ed^d_ = , „ _ ^ ... v attach separate sheet. Indicate North.
su+t-f/m000
"•ft
5 ^
AO P BS
V p p u . i f ; i • • * •
Plot S 1 0 / ^ e 6 DISINTERMENT DIRECTIVE
1
USMC ST AVOID, I 'ICE Plot K, Tigvr ^ , ^rfre T)a,te vehvivmM^/^J ^
DIRECTIVE NUMBtK -
357l| OT167
DATE
03 01 ^9 DAY -'W,ONTH_ YEAR_
LOETSCHER EDWARD A
jSERIAL NUMBEH
0-825^66
;EMETERt
ST AVOLD"- FRANCE QQ 119
u w • r " . . . . - . KII-I Annopc.c, f
RELIGION
/ 6 ifcC'OE.REMAlNb
•03 80 i /^C'ODE DIST. CTR.
I^TNoTDDRisToF^ONi^
ST. AVOLD, FRANCE ANNA LOETSCHER (MOTHER) MA.1N STREET sent) iEl£LINGTON, CONNECT I CUT s ^
DATE D1ST1NTEKKCU
)THER MEANS OF IDENIIHCATION » *. «-»
i^oTDisCREPANOErTPrep^ y
( S E E ^ ^ D l S ^ ^ i ^ 1 ^ .
33
EMAINSTREPARED^ND^LA^
'ATE ASKET SEALED BY
Karl K Kasca, aiibalmer
ASKET BOXED AND MARKED
24 Mar 4 9 1 I _ i ^ L i I ^ 3
- — n ^ T ^ ^ ^ ^ operat,r and that the report above is correct.
EMARKS AND SPECIAL INSiKU'-uurHo
MC FOBM . H OA EV 11 FEB 48 11 O**
; 'FINAL LETTER SENT 27 JUN 194(3
^ U ^ ^ S f i M i S S ) r v,vvj - 7
— Hone
Hone
pvercoat. H one
Hone
Color
IHIicatb .:usual inavlsiapt,
Jacket, rx-crO-at Hone
Hone
Hone
Hone
A 266_
15x32 ;OP "OnTas; i n s h i r t
i£*2&L'~jm ^-A
Hone 1
5elt,.J;^ r
gnk te_.
B tag i - -. . J L S ^ I Q / ^ -
_Hone__
Hone
OrT'tag i n Pant: 29x29 ': OD i J i i ^ s i i l Q i M
Hone
Yea Hone 52 Malta Hone
H one
Yea
!?L:I*±£*±
Hone
Hone
Hone Unk I Brown Hone
• Hone : ^ ^ m t ^ ^ r * * Hame, Rank .. .t;.vr i t ^ ) _ . Glove
- X W l . . i_AM u • ptrie, Rank
31
,TJnk_ .Jgblte
SGE3R
EDWARD A. LOSTSCHSR 0-825466.
— has. i l S ' ' ? c t . ; , ^ v^'iy I s r.ude , ®i>ss
-uuisnia. i ' " >*
JkalL.iSliiS3l2
ot of plesh decompoaed
IF DECEASED UNIDENTI r ^D Take Fingerprints of Both Hands. If unable io obtain a complete .set of Fingerprints, Take Those You Can, and fill in the following: -
Height: Laundry Marks: • -Weight- Number of Rifle: Color of Eves: Wear Glasses? Color of Hair: Is Tooth Chart Attached? Race:
(If possible, have medical personnel take a tooth chan, if personnel present, fill m a tooth chan below. In space below, locate. and describe any scars, birthmarks, moles, deformities, etc.
Note below any identifying clues found, such ^ letters, photographs, probable orgaiuzatioc of deceased, etc.:
Kame and a e r i a l number found i n coTeralls end gloves ^'Edward A. Loetscher G-875466» ,.
TOOTH CHART
CO 05 I I i
i i i 1
r- ffi i
ts o d i j
I f i i n
i
I teet
| 1 j
Q CO m
a: j j
a: j
m- 0 c
-
etl
i b
y X
rep
lace
me
" IS". CM
etl
i b
y X
rep
lace
me
I
1 m
? eth
i
f . l
(A i i
Dec
ease
d'
\n 1! |
Data
: _
Dec
ease
d'
to II cter
is
Data
: _
>
dic
at
I
Oth
er
00 CO
Oth
er
Upper Lower
If this is an Isolated Burial, make a Sketch of the Location, oriented with Permanent Landmarks. If more space needed attach separate sheet. Indicate North.
P I .AL EXAMINATION FOR F L l ^ (See A i l 40-100, 40-105. 40-110)
1-B
fe
(Fitst namttr— -naTOTtrlnitial)
Reportlng-far-^n-ty-
.JQHK 22.-.
(Age) (Years servico)
llJ?lfild^..4la». (Address)
.11 (Purpose ol eiommaiion)'
(Date and .Qualified—
It Inst examinatlOD)
observer. (LastO mos.) Flying time as: Pi lot . . . .^ . - - - - ; o b s e r v c r ^ . ^ - . - i p. lot . . . .^.---^--
--•"^ooauticairatings) 1 9 ^ . . , smallpox . 1 . 9 ^ 1 - ; reaction . . ^ C . c i n i a 3. Temperature . . . . 96 ,6 Vaccinations: Typhoid series. No. . . - 1 Last . .xa. ^
4. Medical history
pavor
S S t o i n ^ f o - , S C S T S v ^ iniuries. maior operat.oos
;« h^daches dizziness. verti?o. fainting, stammering, tic. somnambulism, d a t S n T ^ ^^nrhances. amnes.a. spasms, unconsdousnets.
berculosil , or other pertinent history?
disturbances, amnesia, spasms, u . . . repeated colds, mastoiditis, sinusitis, tonsillitis.
^ . . W O '
Nystaanus
5. ^ ' i n s p ^ t i o n r " 0 1 ^ ! " P u p i i S : E i ^ i t y l ~ i ^ - - - " " - R e a
6. Associated parallel movements ^ J S a ^ : : : i 7 : : 9 n / _ _ L. E., 20/..30 co rectible to 2 0 / . — » . mm.
^roiiip£--T[ ectible tojSU-. * \
V/ith correction • rgenCE'/.TII
" mm Hy
7. Visual acuity: R. E.. 20/ .20.. 8. Depth perception (uncorrected) Q „ L . H a . -
9. Heterophoria at 6 ^ l ^ " 3 " - ^ X n g l e Mergence: PcB ...40. mm. Pd 10. Red lens test JfarmaL-^-^ Addition required for 50 cm. R ^ f ^ " - " 11. Accommodation^ L . ...J-u^ - L e f t j « corrlctibk t o j . .
* T x p - L , . T M , correctible to J JK ^ J r i N T = : , . . - J - " (Jaeger type): Right J. - — ; I a h i h a r a _ - - - r J " " ^ ^ - - -
12. Color visjon..- - . - - . - - - - ^ - - - ^ ^ , - - - - - tosel . . . . Ophthalmoscopic^ " ^ ^ t ^ rA'"'" 13. Field of vision (form): R. . . . . B i S M B l - ™ o L > ^ 2 0 / 2 0 ^ — - . a l ^ ^
Denies- i ^ T n » t U q ^
I . mm.
14 Refraction: R. reads 20/20 with
,5 Ear: History oi: ear t - b ^ - - ; ^ M e m b r a n a tympam: J ™ - H ^ C ^ .
16. External ear K. — n , ^ nQ, Audiometer (percent loss): R. - " T " « d
18. Nares » 19. Teeth:
(a) % 7
Right 6 5 4
(Examinee's) Left 332 1 1 2 3 4 5 6 7 8
"TT 12 13 » 6 ^ 6
Indicate: Restorable carious teeth by 0 : 1
missing natural teeth by X .
itorabls ! t « l
Sons J k m Z Z ^ Classification2 EL-
I T i S 14 13 12 11 10 9 9 10 (b) Remarks, including other defects
(c) Prosthetic appliances - -20. History of swing, train, air. or sea sickness
21. Barany chair (whenindicated with " p . ^ - - ^ ^ ^ ... Frame ^ g ^ ^ " -22 . P o s t u r e ^ r ^ r r ^ Y " - ( 8 1 e n der , medium, stoc.y, obese)
Chest: Inspiration . 3 5 * - Expiration . J L ^ e s t .33 .. Abdomen . .26.. '(VioeUent, good, (air, bad)
23. Height. J S i . inches. Weight. .129... pounds
24. Skin and lymphatics B f f l H M *
25. Bones, joints, muscles
Expiration.
Endocrine system
.Normal -Feet...
26. H ^ I Z Z Z Z l ^ k M T ' S r ^ ^ ^ i m m ^ ^ f e l f after exercise 116.. . .
27. Pul'serate.....??. B.P.:S g S - - ^ r ^ ™ " ^ ' l ^ i ^ ^ S & X S X i - f i W 2 " 5 " t 9 4 9 T^o minutes after exercise 9«- Character - B t l J k * } ? ^ Two minutes aft
Soraal 28. Arteries • i Somlannual, appointment as > I , U , I I I , or I V ; see par. i , AK 40- oiu
W D . . A . G . O . F o r m N o . 6 4 (Msy 20, 1941)
Varicose veins. JflZM.
^ ^ ^ ^ ^
4 0 ^
-rr: '•-:'ro'£HZ';':
IF DECEASED^ UIDENTIFIED Take^ Fingerprints of Both Hands. If unaBle to obtain a complete set of Fingerprints, Take TBose'ToiTCah.'ancrfin'in , the following: ., l f .:. tC""-
' -^(.". .'Height: Laundry Marks: Weight £ r .<•;• •:. " O ' ' Numberof Rifle;, • ; ^y - -«y
o Color of Eyes: "T^Wear Glasses? ••*»• . T i a ^ « Color of Hair^ ^ 4 j ; : ; ; Is Tooth Chart Attached?';•
, "msv Race: usr. <> MMK (If possible, have medical personnel take a tooth chart, if no :nedical
- personnel present, fill in a tooth, chart"below.) In space below,;j6cart,, and describe any scars, birthmarks, moles, deformities, etc
3 •/
r f ;•• J ... - r ^
..-Mh.M'JI.I il
.... , .
Note below any identifying clues found,' sucHUa» lettera, pnotographs, probable organizatioa-Df deceased, etc.: : . .'...
Name and serial number'found- in • covers l i s and gloves: "Edward A.Loetscher 0-875466"
rtr.P.iilT.M.';1 ' ^ 'AaO
. . . - L ...
iv . i j bun r'." 'T '.• ';»;•: .BU a.-Jj.
g
TOOTH CHART •
!
Upper
is
^1 ' ^ J3 Sj js a.
t i |
i i , Lower
.2 O 5 • ^ ;
2^ ^
If'this is an lsolated Burial, make a Sketch of the Location, oriented with Permanent Landmark&iJf, more, space needeA*,
' "attkcli separate sheet. IndicaterNorth. ^
:.,../'. •jrt»'-,;',MIia
:••> ••• • I -.1 • -5
AG P BR HQ SOS /22560
S H O R T A G E S
U. S. GOV'T CHECK SHORT
5YH80U
/ cmrtify thmt rhe .ifaove .remi *ere not in ihe conteiners
inventoried by me.
INVENTORY CLERK
SUPERVISOR
G. I. R E M O V E D
S f f i S t . IPO RT OE BURIAL T.i-vaimssrtiTK'P IRnBtHE A. . -
Trans Letter 1857
Dau
• LOSTSCEiiEL, "mUBL i . " x E.-t>ifcgft',f-linftr r
is: No T I C K
' * :*?* i r^^/Lt 083^56 Kjnt Berul No.
Unil
.=••• QlyntTanrn,
I' ', Pmce of Doth Xnu of De*U
. •• -. c. Tyne'Sid i j»t . o.' Bunii iviamc of CemMCT Nam . or CoocdmUM of Locnior
T>n>t <if M*lier - -R O T Numbei
4: '> • If No Idciffication Tags . JTtt -EPvt i \
9/14/46
m m t means of idcmificarion wt r r buried with t b e - b o d ^ r ' t ^ f o ^
To dctenniie Right or Left use Deceased't Pagii: aad Left.
Who is buried on; . S t . A v o l :
Deceased's Rignt: -:i8
N>m«
Deceased's L;ft:
Serial Nc.
Q-768kIi Suis! No.
Rani OrganiMrinn Gnwe No .
L2Q. Hani
30Uo.ak;,g.^r.
Orcwmation. Gravt No .
* •^Enwrgeorr Addressee Krs. Anna A, Loetsoher, mother
N»ine
. r . •- .3Da 85, Ellington, Ponn.
r.. t • ^ t Religion.
L . i . ' , :
List only Person^ Effecu Pound on Body and disposition of same:
( To Fin.=vnce'Departnent _
Signaturs o.r Officer or oUier pereoi. reportinE burial
'Veri^Tby'GaCsT^tbc
RESTRICTED
RECORD OF CUSTODIAL TRANSFER
•- • . , r , i . . — ft.* (
ro
OF CONVEYANCE
f ! » ... .* ^
NAME OF CONVOYER
_ r -
ATURE OF SHIPPER ^ C ATE SIGNATOREjOF'RSeEIVEB J ^.u.<»SO £i I w C ' J i w i t
PED T O / r /•
) OF'CONVEYANCE^ ""' _ NAME OF CONVOYER
MIURb OF bHIWHkK ^ r " - ^ 1 DATE SIGNATURE OF RECEIVER SATE
j . SHIPPFD
M . - TO
D OF CONVEYANCE NAME OF CONVOYER
NATURE OF SHIPPER DATE SIGNATURE OF RECEIVER DATE
4. SHIPPED
)M TO
D OF CONVEYANCE NAME OF CONVOYER 1
NATURE OF SHIPPER DATE SIGNATURE OF RECEIVER DATE
5, SHIPPED
DM TO
ID OF CONVEYANCE NAME OF CONVOYER ,' • ' _ . i ....
'.NATURE OF SHIPPER DATE SIGNATURE-OF RECEIVER DATE
fi SHIPPED
OAA TO
ID OF CONVEYANCE NAME OF CONVOYER
^NATURE OF SHIPPER DATE SIGNATURE OF RECEIVER DATE
7 SHIPPED
DM TO
•ID OF CONVEYANCE NAME OF CONVOYER
jNATURE CF SHIPPER DATE SIGNATURE OF RECEIVER DATE
<»
RECORD OF CUSTODIAL TRANSFER
Height: Mumber ^ height: ^ ^ ^ C b f r t Attached? Color of Eyes: l s Tooth Cban ^ Color of Hair: i f n 0 tncd.cal
Race: , t ! l k e B tooth chan., , locate,
and descnDc
. a cvetchof theLoca^01;'
'licvuui 1 aep;. 11,43,
C i J5 * L M I Name" • " "
r i n t
^EPORTUrgDRtAL TM in.*™ * M « l n
....HA*-
TM 10-630 A N D AR 30-1815
'Aw
Place ofDeith"
InitiaJ Rank
Organization
Datt
Serial No.
K 2 * . ^"ce of Death
L I J ^ J • t HO'WMlfamr t f t t g . ^ Due of Death
I . J 1 g. Name of Cemetery —
n Plot Number ~ - ' • - — l ! ! ? *
dsposilion of Idemificacion T^s r fiuned with bodv Yes D N ^5. . ^ „ ^
Deceased's Right: -
Deceased's Left:
"Nana
Name
Serial No.
Serial No.
Rank n : r • Orgamzanon
ua Rani
Orcanization..
Grave No,
•^^^^^r ^ ^ I f Prmt of identification tag i , not affbced fill tn beiow.
Grave No.
Emergency Addressee
Name
fi>«n:.
Addreai 3C" '
cn ofH
^ ^ f. i- a: r
• Q. BOS. 9/S/44 5O0M/S/. Verifted by G"R.S. Office/
-JTS USFET KO. 11. 0K23K LIGT 7 0 i ^ y ^ ^ N S
: : " " ' i . ^ >-;t. i»Tcie. ,i fe£>fife fcr. r.» 5 C^ -L I IS
arrived &x c«... ^ ^ ' J ^ n r f - ^ -''r j - * * < * - J ® i ^ ' ^ f f ^ ^ ' r ^ n t )
l/loc#oao GSGt 4 4 l i _ E q r £ ^ _ 3 } ^ i e „ , 2 ^
Svasuatca tc ce;.rt.r:. bj 5045t>: ^ 0 ? ^ g -
I £ ICSL l i r : t c t ^cu-c ^ f ^ t ^ i l ^ s : ' ^ . : - ^ i n rree a. t h i .
^ . v n . . . r r . d _ K O ' . i : ^ : d-.v.Bcrib.-- v - i . h ^ indiaa t ( orgar.:.^-
t i c . of the a e c a ^ / l ^ ? Zl ^ part of a body ^ c ^ x v a. Wa3 6 C c r . f u l
urch :.ad'- i o r oth'3 parsa ol rnrrnov. . •
HIT rifrr«TTia.rijB. _ S'.ricl awaio^r. or'vtuli.c
, . x URICROWEL
tioa ryi .boi?)
(uauitoS el' or.h'; r i,- e • r . J i a.-i5 nositi.-.u an ^ i A - - - ^
I f a teak, v/idcu bat6-5 .a tera fr-e- ua av^iAaU... i :or .rea;. nu^ i>oe8 liOX aop iX .
dec E,a.':i i r t nex aa™
, •- . 1^7"^' " , • ;. i . : . - f i r - - v ; l v . r c (Jtirts, of uxu,;-" or s;. " * '
i r . vid." n:' : N
!> t a i u . . dcacriptioa of poraonal e i l . . voa ; i . J ^ - j — - — u " ( iudica tv •.v.uac' y..^):.t or jar c. o. •
lr» ^pper r i t i \ t htni f l y l i ^ cult poetat. •. her ToafiO/
page 1 (of i | pa^ s)
MISSING TEETH .. Ail teeth missing through previous extraction (not those fractured or displaced by recent wounds) should be " X " 'd out and labeled, thus :
CROWNED TEETH.. . Block in solid the crown of tooth (label gold, porcelain, Silver or gold and porcelain), thus ;
BRIDGE WORK.. . Block in solid the crown of tooth (label gold bridge, gold and porcelain bridge), thus ;
Go\a b r - i a ^ e 1 , - 2 - , p ^ r - i r—7
FILLINGS. . Draw filling on tooth as accurately as possible (blockinand label gold,silver, cement), thus :
v. JXIES (CAVITIES) Outline location and size of cavity, shade in thus ;
DENTURES (PLATES). . Draw aiag.am ui isiduvc ^ — attached and mdicate retaining clasps on natural teeth with the word clasp.
ADDITIONAL SPACE FOR FURTHER REMARKS
Sa>.4-+5/50M/WSK!
