(MANILA W2) '50 ejc P.I.bataanmissing.com/EakinVABMC/ex15F.pdfwQwD g()QO OQGO ld. Vl ••• U~....

P . I. X g20 (MANILA W2) ' 50 ejc

0

QHC FORM 1 121 1 Aug ~5

~e FILE IDENTIFICATION TOPPER -

Declassified Per E.O. 13526 dtd 5 Jan 2010

I

J . ) .

SIFICATION SHEET · / ,

,

PAPERS ORIGINALLY FILED .. 2.9.'~_£.~~ -;p!:>/. t?4 X-yIP ,f-Re:2o y- yeA I "r-?d1-;L %~fcJt--3 - -X _ t? d> f X - ,f' / c1J SYNOPSIS AND DATES. X - ,? / ;£ -1'- tf' / h

•

/~afr JT-"Y

RECLASSIFICATION SHEET QMC Fonn 857 (Revised 8-27-42)

1~1 U. , c;oynNMII:NT ""NTU.a. onrlce


n DISINTERMENT DIRECTIVE r - 1,,::;7 DIRECTIVE NUMBER _ • SECTION A-NAME AND BURIAL LOCATION OF DECEASED "'47 80692

AND ADDRESS OF CONSIGNEE

ms STA!E mLI!UY CIIIE1'.IIlI Pr. w. JIZIILIY, p. I.

TAG ON ORGANIZATION

Shelter Half

MEANS OF IDENTIFICATION

NUMBER GRADE ARM

PLOT ROW

2 20 CODE DIST. eTR.

(BY AIllIlISmA'1'IVI DBCISIClf)

18 Feb 50 RELIGION IDENTIFICATION VERIFIED BY

PAUL R NICHOLS Embalmer NAME AND nTLE

Skeletal

X-4850 Maus

DISCREPANCIES r n " LJi1Jre Discrepancy Report for m ajor

PREPARED AND PLACED IN CASKET

18 Feb 50 BY

PAUL R NICHOLS BOXED AND MARKE~AYMOND H T A.NGU AY SHIPPING ADDRESS VERIFIED BY

18 Feb Sgt Ie , RA L. W. RICHARDSON , M/Sgt . , RA

I hereby certify that all the foregoing operations were cond{:;cte nd accomplished under my immediate supervision and that the report above is correct. _ . .-J!!

1 l/1/,~_~~ • N. RICHARDSON, M/Sgt ., RA

REMARKS AND SPECIAL INSTRUCTIONS

REV 1W~: 48 1194 /'

RECORD OF CUSTODIAL TRANSFER

US MILITARY CEMETBRY NAME OF CONVOYER

DATE SIGNATU~E OF RECEIVER

NAME OF CONVOYER

"

DATE SIGNATURE OF RECEIVER DATE

l ' l< ~

TO

NAME OF CONVOYER


OF CONVEYANCE NAME OF CONVOYER


OF CONVEYANCE NAME OF CON VOYER


NAME OF CONVOYER

CATE " SIGNATURE 9F RECEIVER

OF CONVEYANCE NAME OF CONVOYER . (J.)

SIGNATURE OF SHIPPER SIGNATURE OF RECEIVER

CEMETERY

ClC\o1VlnlSE

""f'WE 01: COI-1AOAEIS

ECO D 01; C 210DIVr 1 ~12 E

DV1E

DV1E

DVJ.E

RECORD OF CUSTODIAL TRANSFER

OF SHIPPER DATE DATE

NAME OF CON VOYER

VDD Ecc AEISI~IED 8A


NAME OF CON VOYER


OlHE WE""~c 01: IOE"'J.I~IC"'J.IOH

KIND OF CONVEYANCE


-Unko Po I o

,.

SUBJECT; Identifioation of World Viar II Dooeaoed

TO I- C~nd1ng Offioer Amerioan Graves Registration Servic Phi 10 om Zone !PO 900" % Postmaster San Franoieoo" California

1. Reference 10 made to tlnrlinga of Unidentifiab11ity for the following Unknovm Deoeased.

Unlalown x-4849" AGRS 141us. ~~ila. formerly X-8l6 • USAF Cem. Uan. 1/2 . tt x-405o~ It It

,. " X-020 ., II " " " ,. ,.

x-48Sl_ " " " " X-52l ,. " " a " ~ It x-4852. " It " n 1:-822 " " • .. ft 1I " x-405l# tf " It n X-B23 ,. It " It " • II 1:-465 It It " " " x-024 " " It ,. " :> n x-Wl55. " It " ,. X-812 • n " " ,. It " x-4856" n " "

,. x-814 ,. " " Ct It JJ ,. X-4651. " tt " " X-815 ~ " " n It /I " X-4858~ n " " " X-816 • " " :t " ,. " X-2806. .. It " " X-2936. tt " " n ., " X-2607-A. " " It f! X-2931. " It " n " .. 1.-2806. " ,. " n X-2938.t It 11 n n ., ft,.,·ht ·.ft It X-2Ba)" " n ,. n X-293911 ,. " " ,. X-281O. ,. " " " X-29..0, " It " " ~ ft X-281l., ,. " " " X-2941. ,. " " n • It X-2612. " ,. " ,. X-2942. ,. " I't " , " X-2793. " " 11 It X-2943. " it " " • .. x-2794~ " " tt n x-2


• HEADQUARTlillS PHILCQvl Zm~"E

A.'lERICAN GRAV1.;s REGISTR....~TIm~ SERVICE

12 Dec 1949 Date

SUBJECT: Unidentifiable Remains

TO The Quartermaster Washington 25, D. C. Attn: Memorial Division

The r ecords pertaining to Unknown X- 820 , Plot L-,

Row --.6.Q.. , Grave 2474 , USMC .....;;;.U..;...;.;;~;..;.;;; ___ ~a_n_i_;1:;;;~~~_2 ___ _ have

been r evi ewed and it is tho opinion of this Office that insufficient

evidence i s available to establish the identity of this deceased,

and that thes0 r emains should be classified as unidentifiable .

FOR THE COl1lHANDING OFFICER:

Attch: Form 1044

~ "~

Captain, QlVlC Chief, Records Branch

~


,: .. I DENT·I.F I CA·T I ON DATA --. . 1. REMAINS Of UNKNOWN 2. DA TE OF RE pon U'TK JO .. '1 X""4850 (Formerly U K X-g20 Y"a.,ila IJ2) 21. Dec 1949 3. NAME OF CEMETERY ". PLOT ~ ROW 6. GRAV~ ~. ~~OF

DIS INlERNENT RE INTERMENT

AGRS Hausoleum, Ha.,ila, P. I . 810 F 1904

PHYS ICAl ~SCR I PT ION 8. ESTIMATED WEIGHT 9. ESTIMATED HEIGHT 10. COLOR OF HAIR 11. RACE

U T D t.. T D U T D U"k", ow., 12.GIVE OESCRIPTION OF ANY OFFICIAL IDENTIFICATION FOUND WITH REMAINS

0 r E

I).GIVE DESCRIPTION OF TATTOOS OR SCARS ON BODY ANDIOR SUCH INFORMH ION OBTA INEO FROM OTHER SOURCES

. U T D

11" . WAS BODY BURNED ? TO WHAT EXTENT? D YES (XJ NO

11~ • WAS BODY MANGLED ? 10 'HAT EXTENT?

D YES CXJ NO 116. DESCRIBE EVIDENCE OF HEALED FRACTURES AND BONE MALFORMAT IONS

1 0 ,f E

117. LIST EVERY ITEM OF CLOTHING, EQUIPMENT AND PERSONAL EFFECTS FOUND, SHOWING THE TYPE, COLOR, SIZE, MARKINGS , SERVICE, ETC. (11 laundry .. rk • • re lndl.tinct such not.tion .~ou'd b • •• de .nd .peci~en 'or.erd~d throu,h ch.nnel. lor e .... in.tion .hen I.clfiti •• • r. not .".ll.bl. in the .re.)

tit 0 T E

~ . . -.

"UN D E ~'1! aD I F JAB l E " " BY REASON. OF LACK OF SUFFICIENT IDENTIFYING DATA"

1~ f? If-OMC FORM 10'IU REY 18 MAR '17 ....

PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE

29E·21-12·47 PAGE 1 OF .3


MISSI •• TEETH: ALL TEETH MISSING HROUGH EX-TRACTION (NOT THOSE FRACTURED OR DISPLACED BY RECENT WOUNDS) SHOULD BE 'X" '0 OUT AND LABELED THUS:

CROIIIED TEETH: BLOCK IN SOLID AND CRa-'N OF TOOTH (LABEL GOLD, PORCELAIN, SILVER OR GOLD AND PORCE-LAIN), THUS:

BRIDGE WORK: BLOCK IN SOLID AND CR~N OF TOOTH (LABEL GOLD BRIDGE, GOLD AND PORCELAIN BRIDGE), THUS:

FILLINGS: DRAW FILLING ON TOOTH AS ACCURATELY AS POSSIBLE (BLOCK IN AND LABEL GOLD. SILVER, CEMENT), THUS:

CARIES (c ... ltle.): OUTLINE LOCATION AND SIZE OF CAVITY, SHADE IN THUS:

(Pl.' .. ): DRAW DIAGRAM OF RELATIVE SIZE AND SHAPE OF PLATL ING CLASPS ON NATURAL TEETH WITH THE WORD, ·CLASP."

REI.~JillKS : R6, L6 a.,d L7 are fou.,d loose teeth .

S lei. Vi •••

LlWD

H ATTACHED AND INDICATE R

P UL R. 'TJ:CHOLS Chief, Ide.,tificatio., Sec

29E.21-12 ·47 PAGE 2 OF )

20.


X-4850 8LACK OUT PARtS OF 80~Y NOT ~E'RED •

Est . height - UTD AI] lo~g bo"es fractured

MASS eURI AL CUTI'I CAT[ (I' APPLICABU) (.h~reln se,re,atlon In whole or part. I. l.posslbl.)

I CERTIFY THAT THE GROUP REMAINS CONSIST OF PARTS OF_----::==-=-=-__ DECEDENTS BASED ON THE PRESENCE OF ONE OR t4>RE OF THE FOLLOWING ANATOMICAL PARTS: IUMIE.

SlaWATURf OF MEDICAL OFFICER 21. REMARKS AND ADDITIONAL INFORMATION

~o ROI, ide~tificatio~ tags or perso~al effects fou~d with remai~s .

Estimated weight of remai~s - 5 Ibs .

Circumfere~ce of skull - 21t i~ches .

u S ! F ICfP'T HlENTIFY ~

I CERTIFY THAT I HAVE PERSONALLY VIEWED THE REMAINS OF DECEASED AND THAT ALL RESULTING INFORMATION HAS BEEN RECORDED TO THE BEST OF MY KNOWLEDGE

TYPED NAME, GRADE, ARM OR SERVICE, AND ORGANIZATION

I PAUL R. 'lTICHOLS Chief, Ide~tificatio~ Sec

OM: FORM I 0"" b 18 MAR "7 .... 29E·21-12-47


DATA 2. DA Tf

3.

~ . 1 . 1904 Dec 47 12

8. ESTIMATED WEIGHT 9. ESTIMATED HEIGH ll. RACE

U.T. :> . U.T. ") . U.T. J . UNK. 2.GIVE DESCRIPTION OF ANY OFFICIAL IDENTIFICATION REMAINS

NonE

1;.GIVE DESCRIPTION OF TATTOOS OR SCARS ON BODY ANDIOR SUCH INFORMATION OBTAINED FROM OTHER SOURCES

WAS BODY BURNED?

CJ YES [£J NO WAS BODY MANGLED ?

CJ YES rx=:J NO

U. T .D. TO WHAT EXTENT?

fO WHA T EXTENT(

DESCRIBE EVIDENCE OF HEALED FRACTURES AND BONE MALFORMATIONS

NONE

48

17. LIST EVERY ITEM OF CLOTHING, EQUIPMENT AND PERSONAL EFFECT FOUND, HOWING THE TYPE, COLOR, SIZE, MARKINGS, S ERV ICE, ETC. (1' I. undr), _r Ir •• re lnd l. f incf .uc!'10 nof. f lon • hou Id be •• d • • nd • pec i",en forw.rded f lor ou,Io ch.nn.I. for ..... in.fion .,Io .. n '.cjljti ••• r. not .... ll.bl. in tlo • • r •• )

OMC FORM 10'1'1 REV 18 MAR ~7 ....

NONE

PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE

29E·21-12·47 PAGE 1 OF :3


MISSING TEETH: ALL TEETH MISSING THROUGH EX-TRACTION (NOT THOSE FRACTURED · OR DISPLACED BY RECENT WOUNDS) SHOULD BE ·X· '0 OUT AND LABELED THUS:

CRGlNED TEETH: BLOCK IN SOLID AND CR~N OF TOOTH (LABEL GOLD, PORCELAIN, SILVER OR GOLD AND PORCE-LAIN), THUS:

BRIDGE WORK: BLOCK IN SOLID AND CR~N OF TOOTH (LABH GOLD BRIDGE, GOLD AND PORCELAIN BRIDGE). THUS:

FILLINGS: DRAW FILLING ON TOOTH AS ACCURATELY AS POSSIBLE (BLOCK IN AND LABEl GOLD, SILVER, CEt04ENT). THUS:

CARIES (C..,lthe): OUTliNE LOCATION AND SIZE OF CAVITY, SHADE IN THUS:

URES (PI.t •• ): DRAW 01 AM ING CLASPS ON NATURAl TEETH WITH THE WORD, -CLASP.-

.f lOofh Missing. :),

e~G9~

Gold h11inq ~Si/Y8rfi1IiI11

B~~

20.

OUT PARTS OF BODY NOT R RED

Est . Height - U. T. D. All long bones frdctured

MASS BURl Al CUTI" CATE (1' APPLICABU) (Wh~rein sesre_ation in whole o~part. i. iMpossible)

I CERTIFY THAT THE GROUP REMAINS CONSIST OF PARTS OF ______ DECEDENTS BASED ON THE PRESENCE OF ONE OR MORE OF THE FOLLOWING ANATOMICAL PARTS: lUMBER

21. REMARKS AND ADDITIONAL INFORMATION

Approx . weight of remains 5 Ibs . _ Circumference of skul 21- 1/2 inches .

SIGHATURE OF MEDICAL OFFICER

No identification tag , personal effects or other means of identification found with-remains.

These remains were a~o~g a group disinterred from Grave 717, qow 0, Plot 7, PO,' Camp Cabanatuan, Luzon, P. I .

I CERTIFY THAT I HAVE PERSONALLY VIEWED THE REMAINS OF DECEASED AND THAT ALL RESULTING INFORMATION HAS BEEN RECORDED TO THE BEST OF MY KNOWLEDGE

TYPED HAilE, GRADE, ARII OR SERV ICE, AHD ORGANIZATION SIGNATURE

C IP LAB . , HANII. , p . I. lsi Fjward F. ,1oriarty

OK: FORII IO""b 18 liAR ~7 .... 29E-21-12-47


WD QMC FORM 1042 (Rn. 1 Apr. 1945)

(Su.,..... GKS Form 1) REPORT OF INTERMENT

(AR :HJ-1810 and AR 30-181

DATE OF REPORT

3 Sept 4S Imprint Identiliolltion T •• If Po .. /h/e .

DO NOT TYPE

PLACE OF DEATH

:-n C8.J:UP , Caba nat uan, ""ucon, • I.

CAUSE OF DEATH

UnknoITn EMERGENCY ADDRESSEE (Ne_, •• 1aIiomAip, elld add .... )

n

ORGANIZATION

TT~nown

RELIGION

ITA.:>Rl1l1301 H.:I

SERIAL NO.

UnknOVTn

BRANCH OF SERVICE

nknown IF OTHER THAN U. S. DEAD. GIVE

NAME OF-COUNTRY ,

DATE OF DEATH

nknown

IDENTIFICATION TAGS FOUND ON BODY (I, .;-or,.."..)

IF NO TAGS FOUND ON BODY. DESCRIBE MEANS OF IDENTIFICATION (11 ""idftUjied, fill i .. • eelion 8 on ....... )

WERE SUBSTITUTE TAGS PROVlOml(Y .. ., 110)

J (l\o!IJJ

ee emarks

WAS THIS A REBURIAL? (Y .. Of" IIO)\.LST" -?E

IF A REBURIAL, INDICATE NAME. NUMBER. COORDINATlSGF J>R£VIOUS CEMETERY. AND LOCATION OF GRAVE

Yes TYPE OF REUGIOUS

CEREMONY

IDENTIFICATION TA BODY (Y .. Of" 110)

v

IDENTIFICATION TAG ATTACHED TO MARKER (Y .. ar 110)

res BODY BURIED ON DECEASED LEFT. NAME (LuI, /I .. , ",wz. iaUW)

c ~O 1)

I

SIGNATURE OF PERSON PREPARING REPORT

r------r------~----~

on, p •• IF lDENTTFICATION TAGS Nar USED, DESCRIBE IDENTIFICATION DATA AND

CONtAINERS BURIED WITH BODY .

RANK SERIAL No. ORGANIZATION GRAVE No. C1.Y'P'r 1906

SERrAL No. ORGANIZATION GRAVE NO.

try C 1,1V?'T' 31')59')71 t.J. ft'rI, c 1902

SIGNATURE OF GRS OFFICER VERIFYING REPORT

It I () SO ~, c ... pt ., Mr:: DISTRIBUTION OF REPORT: Si,ned o,.i,in., (0,. u. S. and .llied de.d, ai,ned-o,.i/liner.nd one copy (0,. enemy d_d, to the QUGI"tum •• te,. aene,.er tht"ou,h H •• dquertfln OM~lfIce,.. CopiN 101" Ntention in th_ter •• ,.,..."iMd by theet.,. oommen.r.

RESTRICIED


~TRICIED t t n ti

410ENTIFIED R£MAUIS. .. INSTRUCTIONS: I

. G.rea:t care will. be taken to r!lc~)rfJ the most minute clues for the future identity of unidentIfied re-mains. Fill In anatomIcal charactertstlcs below, and any other clues under "Other" such as shoe size social security number; position of body found in airplanes, vehicles, and tanks; and ;erial numbers of air~ planes. vehicles, and tanks. I

(b) A fingerprint, or prints, are the most valuable of all clues. Imprint all finlleriO and thumbs in the 1------------1 chart at left, or as many as possible. If no fin~erprintor prints can be secured, the condition of each and

every tooth will be indicated on the tooth chart In accordance with diagram below. Tooth chart will not be accomplished if one or more fingerprints are secured. 1 HEIGHT WEIGHT COLOR OF EYES COLOR OF HAIR

1-'------"""-'-------,1 WEAPON AND SERIAL No. LAUNDRY MARKS

t

:;c

~~ :!'~ OTHER IDENTIFICATION CLUES ~ '" '"

FI LLI NGS

CAVITIES

HI SS I NG TEETH

~ SILVER FilLING ~ GOLD ALLING

~CDJt..vtTY I~ECAV'D

8

BIRTHMARKS. SCARS. OR TATTOOS

) WH~E BODY wr:s BURIED OR FO~

-I;g x-ceil J::l: ar-l

~OTH MISSING

~ 'u DIAGRAM REPRESENTS THE MOUTH WIDE OPEN

CROWNED TEETH

BRIDGE WORK

REMARKS:

~C£UIH CROWN ~lDCROWN

~OLDBRIOG[

,.,)v

"

29E-21-12-47_


WDQMCFORM 1042 (Rev. 1 Apr. 1945)

(Supersedes GRS Form 1)

Imprint Identification TaA If Possible. DO NOT TYPE

PLACE OF DEATH

PO I Camp Cabanatuan, p

RACE

RESTRICTED

REPORT OF INTERMENT CAR 30-1810 and AR 30-1815)

ORGANIZATION

Pvt ID RELIGION

CAUSE OF DEATH

HZ' Beri- Beri & Inanition

EMERGENCY ADDRESSEE (Name, ,elationahip, and add, ... )

HWZ r~s . F. . Denamore 561 3rooks Ave . Calif .

DATE OF REPORT

5 Feb 46

SERIAL No.

1904905g BRANCH OF SERVICE

Army IF OTHER THAN U. S. DEAD. GIVE

NAME OF COUNTRY

DATE OF DEATH

q"i/Z

19 Nov 42

IDENTIFICATION TAGS FOUND ON BODY IF NO TAGS FOUND ON BODY, DESCRIBE MEANS OF IDENTIFICATION (If unidentified, fill in Bection 8 on r ... rse)

(1, t, or none) "ourteen (14) bodies found in eo:nmon grave , thirteen None (13) Unknowns of which were unidentified! -

WERE SUBSTITUTE TAGS PROVIDED7(Y .. or no) York, '1eorge


RESTRICTED

Section DENTIFIED REMAINS.

INSTRUCTIONS : (a) Great care will be take n to record t he most minute clues fo r th e future ide nt ity of uni dentified re -

ma ins . Fill in a nato mical characterist ics be low, and a ny oth e r clu es unde r " Othe r," s uch as s hoe size, social security nu m ber: posit io n of body fou nd in ai rpla nes , vehicles, an d tan ks; and seria l numbers of a ir-planes, ve hic les, a nd ta nks.

(b) A fi ngerprint , or prints, are t he most va luabllil of a ll clu es. Im pri nt a ll fi ngers and thumbs in th e 1--- - - -------1 chart at left, o r as many as possi ble . If no fi ngerprint or prints ca n be secured, th e condi t io n of each a nd

every tooth wi ll be indicated on t he tooth chart in accordance wi th d iagra m be low. Tooth cha rt will not be accomplished if one o r more fi ngerp rints a re secu red .

HEIGHT WEIGHT COLOR OF EYES COLOR OF HAI R BI RTH MARKS, SCARS, OR TATTOOS

1----...,....---- --- 1 WEAPON AND SERIAL No. LAUNDRY MARKS WHERE BODY WAS BURIED OR FOUND

;;: o ~ r mfTl

~~ G'l _. __ _ . tTl

'"

z c ~f;; ~~ G'l m

'"

-ir ~ fTl ili~

-i:


QMC FORM 1042 (Rev. 1 Apr. 19(5)

(Superaedea GRS Form 1)

Imprint Identification Ta. If Pouib/e . DO NOT TYPE

(AR 30-1810 and AR 30-1815)

NAME (Laal, first, middle initial)

U - 1779 DATE OF REPORT

5 Feb 46

SERIAL No.

UNKNO. iN X- 820 (V/AID, Charles M) 19049058 UNKNO:m C-280 Cabanatuan C

----------------~T-----------------~

PLACE OF DEATH

POW Camp Cabanatuan, Luzon P I

Pvt

CAUSE OF DEATH

EMERGENCY ADDRESSEE (Name, relatimuhip, and addr ... )

ORGANIZATION

RELIGION

ID

BRANCH OF SERVICE

Army IF OTHER THAN U. S. DEAD. GIVE

NAME OF COUNTRY

DATE OF DEATH #..v :1-

Iq H"V {' l

(1, t , or none)

None

DESCRIBE MEANS

Fourteen l~~J bodies found in common grave . (l!S) . unknowns o f which were unidentl fled : -

WERE SUBSTITUTE TAGS PROVIDED?(Yea or no) York, George Sr . Civilian

Yes (2) Set Hanscom, Lawrence K. 6137280 31 Inf -(See Sec 3 reverse side)-LIST PERSONAL EFFECTS FOUND ON BODY AND DISPOSITION OF SAME

None '

NAME. NUMBER. COORDINATES. AND LOCATION OF CEMETERY

USAF Cemetery Manila #2, Luzon, P I DATE OF BURIAL HOUR BURIED IN (Shroud, bla..ut, or "" .... of oIher) TYPE OF GRAVE

MARKER PLOT No. ROW No. GRAVE NO.

12 Jan 46 0900 Shelter Half Cross 2474 WAS THIS A REBURIAL?

(Yea or no)

Yes TYPE OF RELIGIOUS

CEREMONY

IF A REBURIAL. INDICATE NAME. NUMBER.

PO J Camps I & II Caban 45 . 7-70

PERSON CONDUCTING BURIAL RITES

IDENTIFICATION TAG BURIED WITH BODY (Y .. or no)

IDENTIFICATION TAG ATTACHED TO MARKER (Y .. or no) •

Yes . Yes BODY BURIED ON DECEASED LEFT. NAME (Laat, firat, middle initial)

UNKNO,.N X-819 (NICHOLS, Harvey A) (Formerly UNKNUvvlJ C-279 Cabanatuan' Cemetery BODY BURIED ON DECEASED RIGHT. NAME (Laat, first, middle initial)

UNKNO.m X- 821 (KELDER, ArthUr (Formerly UNK 'O •. N C-281 Cabanat uan' SIGNATURE

OF PREVIOUS CEMETERY. AND

Cemetery, Luzon, PI 000

GRAVE No.

717 IF IDENTIFICATION TAGS NOT USED. DESCRIBE IDENTIFICATION DATA AND

CONTAINERS BURIED WITH BODY

RANK SERIAL No. ORGANIZATION GRAVE No.

Pfc 7009171 2473 RANK SERIAL No. ORGANIZATION GRAVE No.

Pvt 36016623 ~ID 2475

SIGNATUR;O~~~

E. M. MOORE, 1st Lt . , ~C • DISTRIBUTION OF REPORT: Si.ned ori~inallor U. S . and al/ied dead, siAned oriAinal and one copy lor enemy dead, to the Quartermaster General through Headquarters GRS OHicer . Copies f or re t ention in theater as p~escribed by theater commander.

RESTRICTED

I'

RESTRICTED

INSTRUCTIONS: (a) Great care will be taken to record the most minute clues for the future identity of unidentified re -

mains. Fill in anatomical characteristics below, and any other clues under "Other," such as shoe size . social security number; position of body found in airplanes, vehicles, and tanks; and serial numbers of air-planes, vehicles , and tanks.

(b) A fingerprint, or prints, are the most valuable of all clues. Imprint all fingers and thumbs in th e 1-----..-.,,------1 chart at left, or as many as possible. If no fingerprintor prints can be secured, the condition of each and

,~ .

, " ~':

,.

3:

~r;; '

every tooth will be indicated on the tooth chart in accordance with diagram below. Tooth chart will not be accomplished if one o r more fingerprints are secured.

HEIGHT WEIGHT COLOR OF EYES COLOR OF HAIR BIRTHMARKS. SCARS. OR TATTOOS

WEAPON AND SERIAL No. LAUNDRY MARKS WHERE BODY WAS BURIED OR FOUND

~~ OTHER IDENTIFICATION CLUES Gl

'" '"

z o \:ir;; ~~ ...... . F:ILLINGS !:J .

CAV ITI ES

MISSING TEETH

, ___ ~COAVITY . •

. I~EC'V'D

~.--.. ~~CELAIN CROWN ~LDCROWN ' ."

raOLD BRIDGE ,..;..J . . - .. _. . FURNISH SKETCH AND MAP REFERENCE AND COORDINATES FOR BURIAL IN OTHER THAN ESTABLISHED CEMETERY

REMARKS:

Cpl Ruark, John ·W. Cpl Collins, Fredrick G. Cpl Simmons , George G. Pfe Gutierrez, Juan ·E.· Pfe Lobdell, Lloyd J . Pfe Nichols , Ha.cvey A. Pvt 'ra" d, CQiO.:rlQIi M. Fvt Kelder , Arthur H. Pvt Kovach, John Pvt Kirsehi , Harold S. Fvt Overby, Evans ~ .

278681 6578818 19019886 20843125 20645267 7009171

J 1904905S 36016623 20500764 19038407 13035026

USMC QMC 60 CAC 200 C""""'-+--192 Tank

19 BOl1lb

were buried in this grave . Individual identif~.eat:'..on

RESTRICTED GOYERNMENT PRINTING OFFICI[

Manila_#2_RP_X-0820_001Manila_#2_RP_X-0820_002Manila_#2_RP_X-0820_003Manila_#2_RP_X-0820_004Manila_#2_RP_X-0820_005Manila_#2_RP_X-0820_006Manila_#2_RP_X-0820_007Manila_#2_RP_X-0820_008Manila_#2_RP_X-0820_009Manila_#2_RP_X-0820_010Manila_#2_RP_X-0820_011Manila_#2_RP_X-0820_012Manila_#2_RP_X-0820_013Manila_#2_RP_X-0820_014Manila_#2_RP_X-0820_015Manila_#2_RP_X-0820_016Manila_#2_RP_X-0820_017Manila_#2_RP_X-0820_018Manila_#2_RP_X-0820_019Manila_#2_RP_X-0820_020Manila_#2_RP_X-0820_021

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