| File No. |
Last Name |
Army Serial No. |
First name and Initials |
Cablegram No. |
|
52115
|
VAN GORCUM
|
681762
|
Adrian H.
|
311
|
|
| Rank |
|
Cause of Death |
Date of Death |
|
Cook
|
Company F, 1st Gas Regiment
|
Lobar Pneumonia
|
10/29/1918
|
|
| Date of Burial |
Place of Burial—Unconfirmed |
Cemetery Commune |
|
|
10/31/1918
|
|
|
Authority File No. D |
Place of Burial—Confirmed |
Cemetery Commune |
536
|
|
152
|
Grave #89, American Cemetery of Vichy-les-Bains, Allier
|
|
Authority File No. D |
Disinterred and Reburied: Date
| Cemetery |
|
|
|
In:
|
|
| Emergency Address |
Geo. Butler (Friend), 229 W. 34th St., N.Y.C.
|
Notified Emergency Address
12/21/1918
|
|
R.B. Sketch No.
|
Photograph No.
A-5862
|
|
|
| Grave Marker |
Name Peg
|
Cross
Yes
|
Head Board
|
Bottle
|
Ident. Tag |
Buried with body
Yes
|
On grave marker
Yes
|
|
| Remarks: |
Benef. Mrs. Johanna H. Baljet - mother - Heer Hugostraat 9A, Rotterdam, The Netherlands No record of father or wife, F115 11-5-20 178
|
|
|
| Permanent Burial in Foreign Cemetery |
| Cemetery: |
Aisne-Marne American Cemetery |
| Grave: |
|
| Authority File No. D: |
61485 |
| Reburied (date): |
12/21/1922 |
|