WI:Mr- , IIITUP) I :12 )404 933 141 I 26 Do2j.i - A,.....i.v..., ..,...........n

tnnsinunt Addrunci 1, 0r nsiling Purponoo (:,truot and LhanbuxT7.-A. t., ,VDato .0f1,Blith

8 Apr 13 .' 2322 71. rotkinEll.m tat, Arlington, Arlingtnn Co, Ta CIVILIAN EDUCATION

..1;7hoct Grudollapt ta.,:r or:P./sheet Degr:01Major CouraeiName And Address of Laot Schoc ?,:mplotod Attendance ,Rocolved Iof Study 'Attended Unix of Delaware

'5 , 1935 none En*ioll ' He ,-t, Del Other Training car Schooling

_TIn7lo 1 i '>>u-se :No.Prn. Cource No.Rrs. ' Courco No.Hru.:Course No.lire.

SERVICE EDUCATION 1ervice School, Course : WoekoRating ARMY SPECIALIZED TRAINING PP.alPAM

..0*Th non, gnotitutioni Curriculum IWeekalGraLuated

Enrolled I And Term I -Ye-Tr No ! I

I 1

CIVILIAN OCCUPATIONS - Secondary Occupation

(Title) nom

ain Occupation Title) lailuwa untimm

An FTen Lance Writor, wrote miTzlno art:Wiwi erwoning vin-Morlocua netivItku en1 cartelo. Interrlevol witnconsu, =ran-A governmont and priva r:oarda. Uroto %heat" epccohca. Wae invonticater, aneintant ceorotary, editor or rnerd cf C.C. rsuate Civil Liberties Committee (1936-39)

lc. of Lutit.71. -oi74amo 6-5T-Addrece of No. of Laot Date of Name and Address of Employer .':...

, .eare,lonntha!Grado: Irincipal Duty; Code Noiyeare:Morths.Grade: Principal Duty.Cod*1 l■

i 3 1 RItt_lztail.ATIR; 0 ,P1 . 1 i 1 ! L_9_42:11:_1111,Mri_itilicv-roa 677 -1 I , ! 1 3 . 00-1Yrittr,/kilittm_Thiglrate 07)9 1

;prianury of Military Occupation and Civilian Conve slons (Shown by title)

Tau.rai, ?alum =Il ma. end edltel groabUren.

Cuporwiced phetosraphy and art work.

LITZE.ABY REPOR29Clit

lammary of Military ocloupation and Civilian Conversions (Shown IMULITATUraLIM110. '

Did tcon patrol, cupervicol prIoonsr work Octane. Uho gmard at vnricve military tnntollatiene. Aid with uhotgun, rifle, pub-machine gun or pistol.; „

by title)

Irrourmvoc' 1:=01W-

.* This Information Based On Soldier's Statement ate or Separation Signature of Soldier ;8jIgnature of Separation-.

.1alaecification Officer 17 nov 44

N. V. TO CCELICEMB, AGM O-221.6 03 •

(ears

6

Employment

117̀7 42

Emyg.oyer Ceir

313 II N. 17. , Ranh. DO

Years Employment

MILITARY SPECIALTIES ASSIGNMENTS

Pvt HOPE IT Bn 31

211047 1111,,,INAM. AM, AnnOLT 00104.4. A ',A&

'::eiaburg Harold32 484_933 7. at GIMV11 min ARM 09 SiliVki — B. AGE --

9. PAC, ID st14,411.: I IT- 4. Tr 4,44.173MN Pa 11-3/12 22 March 1944 "- ""-----"Casual, Proper Sta: Baltimore Cargo Fort of Embarkation, Md.

cP.1 tfyl

1. Strain, lumbo-sacral and left sacra-iliac joint, severe, accidetnally incurred wuile lilting an ancnor in a boat in the summer of 1939 near Washing-ton, D. C. EPTLI 2. Fes planus, bilateral, second d e, symptomatic, cause undetermined.

d

3. Astigmatism, mixed, bilateral.

Vision: OD 20/7U, J-8; 03 20/200, J-8. Correctible to OD 20/30, OS 20/50. EPTS 4. Mumps, bilateral.

_ , _ _

1-2-3-110 4-Yea NOT REQUIRED 17. ADVItle..,L14c.,D!1-.. nt

24 Mar 44: Additional diagnosis: Orchitis acute, non-suppurative, right, moderate, secondary to mumps. LOD: Yes. Cured: 1 April 1944. Hospital to convalescent facility e 6 May 1944.

0

x 88

20. DATE.. 411444!,4•, 21. NAME u, tohtrupt, WALTER REED GENERAL HOSPITAL

Washington, D. C. June '1Y44 23.

r_41Mr‘f",..—•vl-kkir—IvrW1r%e—Wriw

L 9 S 17 E I ZE 1, 5 9 L lin PAzia

HOSPITAL Duty 1-2-3-Unimproved

30 June 1944

72:110 4. In <urn. < • 1 140.60,414111-

i ast_Lieut,..MAC______ .w.diro f mpg, U. N. Arnfv. .'cil'Ill 52 11610481 51E1)1CA . :1'.‘ I; '1'51 ENT. U. S. A. d !Itev!Ied i% I 'rt. In 15. 1938)

G. 2ILL33.1. a3dan,

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91 SI 1,1 EI ZI II 01 6 6 CI II ZI II 'PI SI 91 19.3m

11.133.L

10. 141,14,,

19. pisrrr•r

adsng poj itquaa

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r oPollad _uolstqaao

VISE'?

Anualf--teerrqvapi :srqnarRo

rt9113---Ot

(swaculaqv apnptq of rum)) a2riuq paxu Aq paosulaz glaay

(aull pFtwozpoq)' wnwap .&q papviclat way

x Aq !Baal leinru 2upsgri / Sq q4aal snotivo alqriolsamoN

dq tpaal s-nolatm aiquacepaa, -s .n row.a

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Pvt M.P. Unass.

'11V11•1 "'H NI IrI)1A.10( V:11) NI

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IVO HOMO to 1h:urinal lu wan •pz

•

Cd. REGISTER OF DENTAL PATIENTS AT

2,1111a1=GS

(I) SURNAME (2) CHRISTIAN NAME

W-J nher Firtrold_ (I) RANK (4 COMPANY (5) REGIMENT OR STAFF CORPS

(0) JI.GL TEARS

......,)73.

(7) RACE

tii

(s) NATIVITY

Pa. (9) SERVICE. SEARS

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Dental Corp.', U. S. A. Form 79-WRralElT, U. 8- A. 19-20022 I 16.1

REPORT OF PHYSICAL EXAMINATION OF ENLISTED PERSONNEL NOR tO Disctiket, RELEASE FROM ACTIVE DUTY OR RETIREMENT (A 458053

••

J.

441117311x0-

hl

aid l

7

aug kotti netiato St, Arlington *Ye 31

STATEMENT AND MEDICAL HISTORY OF EXAMINEE Ar• yoiAhnri.l44.

sullortai from aszy wound rotor:, or dans. who iar or not inzu-rod rho military manila Li y4.1. lin11.

11. 1.31Corit duborula wounds. and Iowa. Moto circuracuna under whia. tram:6 or tniunor woro llzkr. r *0. .1.0bas 1m 4.

pee piamis; defeotive vision; lumbo-sacral strain; reb. *alter Seed Cfl Jul 44

?Vaal

34. b ttoI Archon.: arrianbility . Mouth ond gum ohnonanlition

la or Na

yea

Ft)

yes

J. Ia4 nonos--Pent name.-Middle 3. Grad. 4. F47imw.6 om or anno•

Ireisliargo Harold 3. Pormonoor mairay addron

RECORD OF PHYSICAL EXAMINATION 1 23, 7o.6-,-Indicoto nintaahl• coma toolh br 0, MulPealanaaLa 0011000 1.00 b 1, M.A140.10 natural WW1 kr 1. had, nolnal by datnum Ilitlisontql 1111. wool I co rin and Ian, ray-load ti fixed 1.4•03.0. ilenal 10 Include abnIatensiv) la Fin - , •

partial lower serviceable 35. Vilna

Uncorrected Carnwriod Right aro lax .1. .1. I Lott .TO 20/ /CO I 26, 200 120,40 I 22: 40

35. Fre..ing 11•Tnt ear Icu oar

12 15 119

28. Pula 38 Ent. spemol ants

it Cpl 9. Color 7. Aqo to 8. Sex

EI 7 X 5 4 3 2 1 1 2 3 4 5 6 2 8 11 FR X 13 12 It 10 4 9 12 IL 12 =XX= IS X

CordIoremulor mean 37. Hache !snot.,! 140.0:110.1 1310012 .1

Sifting / brioadiodslaIlor Ton solouhm

813 inn-rola altar wanain

normal 48 21.1

BIGHT .11A3.1111=1 3

E,TS I AdS di

yes yea I no

tit t 1 1.r '/ Dl 511710101:

Copy 1-7o Ow ortolan{ onavo.I OncIard with .319 Ow 2-Work...tat Qmy 3-COniool .o,.

14-44113-1 LJ

lemation dated stromatirm

12. PoraIuorno Diann:am

batie •. 13 iSouraroion) Daman.

Liebe

Imiterertrexa tier: strabismus dg 193'7 divergent strebiesrue

11,10 .&;anun intaot and Marital pi roeptilre type or

r tcht

rsl 1 271 cusnar nine

kan

. linaorrixadr

ham.rtnary Iond pelota ke waft)

plenty! let degre Ealor reaarLs a mar arab Cooriona ok/

tbrar

none MuoculankaIntol clehrool

a:sopa iliks strain chronic mild

26. Akoloournal Amara

normal

29. triad patron

570000410 6MADGoa

14e 70 30. Unnaly414

I'll° buwnI 5050.0 1 lat.,:40 1.012..g .g 31. Lump

norm 1 32, Chat 2,roir

nega tie 33. Ernicarbso oyaan

ob ea! ty Typod nom 1:0304 orna

32" .b79,3"411.*VFIA "

-311

Ti/ton 0 Pt Dix NI' Icahn 40. In your opinion all +mural, Iniury, &doom za0I1

1_11_ Dioubility7 UM:lowly dart.Y Cond04on I Ya or Ho 7414 cc No

25 I yea no 41. In your Wotan no. atal. Wary or divas Incurred in Imo ol duty? Conoinon

Yee

7 49

Yr or No

no 42. In your opinion dal renlividuol moot Winton) and

onintal mondarcle lot dacha roma oak stab

r Ha

1

2- Army Sortal 140.

32484933

a I'M' .412riV? No Yet or No

320

i v, IL, A, Q,O. form No. 141 _ 4.5 bur 11144 van four aporador all

O tratous

No D., A.G. R No. 38. "Welt will not

a tad oar vacant at 1,144

FWA It 1 to to antral al's porollon mar

Intrurad 0411114 pia/ 10 *nirvana IT toll. tory orrIntr, AggoornInd try

military Inrurrod whila In military aryloo

Whodeir=11.1.c1

- a

Sacrum IL-REPORT OF LOCAL BOARD EXAMININO PHYSICIAN AND LOCAL BOARD CLASSIFICATION 22. II mgistrant's ammo to Rom 8 above to ",yes," when and tor what aliment(e) - •

- • - • .., •••■••••••■■••••••■••

23. Is registrant now or previously an enrollee Jo the Civilian Conservation Corp: Na a Yee 24. &mineral test (ayphIlls)1 Date /1-6-12 _ Result IN.Es!tt•ivi - Second sorelogiaal tat (uphill* Date - Result 26. Esausining physician's remake

• 28. (e) Do you end that the above-namod registrant heramof the defects art forth In Part I of the LIII of Defects !Form 320)? (U Jo doubt, answer "no," and give dolmas.) If answer is "yea," describe the defects, in order of eignificsam

aiserii-rVar pre

-- •

(A) Do you find that the above-mused registrant has any of the defocus eta forth in Fad /1 of the 1440 Defects (Poi' 22t7)I (If to doubt, answer "no," and give detai(a) If answer is "yea," describe the dilute, in order of sledficance

11--ars;si- it;t7r7Q-

• — :. — — -,_... --- _.—,....— ,.... _ , _ , _ ''''''',' ••-"• .." ,

• . — — — ,... ....,-,._—_ —....._ __ .... .. ..- _.„..—__ • ' , .

I - , hel have esandried the shavtenanned registrant In words or with Selective Service Reparations.

. (d) Signature of examining physician .---....---1W.....1. . _______ '

(a) Piave Wilmington ,. etewa a city) lieW Cattle , Del awe to (f) Data (mimor) mato

• 37, ter)

. 'This Local Board has chianti:led the shove.0 mot In tau .-.1.1-A--- (b) Signature of Member of Local lloanl — ..

... . --. - ,Z.....D.....CiLtr______;.., • (e) Plane 11.11.minatovi Nerst..Caritle Itelanr.s._.............. (d) Date12.42.---.:.•:-

Mara or 0117.1 (County) (114441

28, Nearest relative g. haleizber • . .. . WISE Aso TS as stand:4M Nam S faall 23. Relationship _ ., __. .3o. Addecal , ,122...141zoolri. W1 o ..ataM.114.14igt.PO4.1)01.,_.._...

moths, OW /MI6 :Wull; I/ .000., iv (04, los% wa pma aas) (Nur soma) 31. Person to be notified in caw of emergency --..L•',-.--___,?...Krit 32. Relationship _-......ari_o.ii.c.i.i.z.i.4---.....- 33. Address

ANualbar and sad at nil suet; If 0,600. 60 JUNO (OM 60•0060/0 060 POW linf&O Of .3140071 - .-•- ". . .. - . *

ft Designation of benefichwy: ..

•

34. The persona eligible to be my beneficiary an dadgnatod below: ,.„, .. ..

. . , (I) ----XX= ' (Pall ass al w1.4.; It is ilia, a Vela Is dasamst at 4Sorceel, a S11) (Vital 11315714sol ---- - hone • _ (2) crow. emu 6.04 sum due alas sus and:..asab. ;saps calla ens 31 'Sus el so. , 11 lban nem seildria.PIP;16. ' il 60;64001•111 la hula. glie.h. 36. In the event of nly• leaving no widow or child, or their decease before payment la made, I then designate an my isenelletary the

dependent relative whose name, relationship. and addeesa am allow* below: (3) - larah Weisberg. (Mother) 122 Lincoln l u St, , Villminz ton _Delo

ro beades" s dittoed, sap mm sw la win tuadaTtelnr Sells la dalpalo say pros Wilay amaididy5 —

. 38. In the event of the death or disqualification of the host-named dependent relative before payment is mule, I then designate as

• • inz treminclary the dependent reilgire whoae,pante, reletionship, and address are shown below: (4) caor.ia...Vi.a.ta

1. ,11114.3 AAA,

oral Dab. ga me mast fa MI 160011011606, utile* c asepses anicsia esenerwri

cif taaaleary awed la Us 36 b 37, Signature of registrant —...

‘41.„411 1311134.4 aural ..

sus) •

C* H. 'lawre1er orbt.c.borm....w.gbe

a • .4 •

Hic-riom Ill.-NEAREST RELATIVE, PERSON TO BE NOTIFIED IN CANE OF EMERGENCY, AND DESIGNATION OF BENEFICIARY (To be Oiled out at the induction station of the armed forces for only ewe registrants accepted for military servica.)

A. Nearest relative sod person to be notified in cue of emergency ea :

• Was la 101

88. Witnessed at, .......C.Wien.2.41.1_3•

-

11641ii'VT. Secraois -PRYSItAri Fir..A.MINATION RFArLTS: (All limns Must Be Filled fn. Indicate Normal or None tirhare Applicable.

To Ra Pilled OM by the Medical Board at the Induction Station at the Armed Forme.) 39. Eye almIM4Amblyole

ormalittaa......_.Exiitolpiat.._as.4..zy.epit..ez.tistwl. -ExaMvsla 40. Lir, time, threat abnorroalitioi 41. Mouth Mid gum abnormalities -...,, N cae 42. Teeth: (e) indicate restorable carious teeth by circling; tonrestonshic carious

teeth by it missing natural teeth by X. Sight Liatitsma's Lei 8 4 .ite.4.92.1 122485Xs

Vision, 1dt/wet correction: (a) Right eye - 0.1g9 (b) left eye Vision, with correction: (a) Right eye - (I) Left eye Color pereeptloa•--- ...

63. Hearing: (a) Right ear

11

(5) Lett tar _20/20___

(b) Remark, Including other &Nets (c) Pr rtictia &Mai appliances Lere.e.r....partia./....plat

Remetlishie (leant Vests 48. Skin --.Y.32till(l -..1.....--..--............-.--.-.......--.....----.......-- 44, Various veins _-_-11.0ZIE....----.-.i.-----i...-----------

...- ' . 67. Posture:

. ,

. Good 14 Fair 0 Four 0 ■. 66. Frame:

46. nemorrbolds

Rese,y0 153.1.at Lichto : ..,„,,,a--; .,.. ..... ,_ ... : .......... 1 .. ...,...._.,.. . . --7---------- al. Color of hair B.rona___

47. Gisoilit.OrhaMy (noo.vancrnai) .....................--"-"-------e*' 70. Color of eyes -118201.-- 49. ive1.3.1.--.....‘,... ..... ......._,...._„_. .. .. . ._,.....,..._____,_... ...... TV Complexion ____Eatr...,_

' .......Pit as tiatitis Aion.-igeett Lc. i..03-7-.6 -- 72. Pulse, &tins -72-----.

..-..Xt.taig-g NOtRa ..,4 .4.- - - - - - ---- --, ... 7-. 3. Pulse, niter etereise*--..-.--

49, A;c4 ' 1.61.L.P.-14-M11.6 .3/0. CL.0.11ree1 asYmktltilati2 74., Pulse, 2 minutes otter .exer-

aorsioiiisleiitile ., - - - see*

75. Blood pressure: (a) Sydello (b) Diastolic

76. Urinalysis: (a) Speedo (b) Albumin --ILIUM.-- (e) Sugar (d)

61. Relent luck*. 63. Weight 22(i._ pounds.. 66. (a) Girth, at ItirP5re- Seta 44 thched. (I) Girth, at nipples; tapirs Rae 4 .

to Girth, at umbilicus Inches.

6. iternla,

, go. cle .14.4t0V 'kftakt37.1.1_6.151E :or. it- 0 ti.-0,1), 61, A' rp orsKideroir tl eases and o' • 64.1-diavaaalgai ilistedt

,

.... RC} Cheat .............

77. Other data: it. mentA 14.911totic.. ts ND_ ' Norshotie System 0111nti__ 57. Eodeorins ayeteist /Tart Other defects Arafat 4.1r or other remarks '4' a 1W _smiling _at

59. summeal itfta k;.t 4ukaac 0-A 4tfD2atiaga. .XCLUQP.1..00..-tta0

a4 PPa la).

. Pa

-degrAte-1-911Invtanatic....witb-evstrlism ton...or...Art= it Li...hot:Llama

ORtCJNAL (Paas11) • INIAm Indladad.

EXAMINAtION OF ENLISTED PERSONNEL EASE FROM ACTIVE DUTY OR RETIREMENT

fiti 458053

2. Army Seria4 Ho.

52484933 7. Age In

years

STATERENT AND MEDICAL D/STORY OF routonNEE g610 Wad crt mairilmq)mat any amour. totury, or disease whether or not mourned In the rollikny earace. 11 nu bet thaw ccadl-

itiii=v144.Looee emend& and Winne. Teat. olocumatancee widen wouside or lohroin were 3 AMS 1149 a plitus1.1■1;a1141 41114,14 liimbo.eaoral etntin;

1.1.0 tinter Need Cl Jul 44 . sees yea n0

23. Teeth—Indicate ratorabler carioca tooth by 0, nonantoralrle carious Leth /. redeare7 molar& tenth Err 'Xi heath replaced by denture ihcascalcil las comel X an rr-r cod meth orranoad by Bead braa7o he•ol Include cebulmonbl as nn BIGHT 11Z10111411Ezt

I a 4 3 2 I 1 7 3 4 5 El X 8

24, Mouth and gum aboracallIsee I 34. bentcd prothata bernoeularrily

partial. lower serviceable

38. Hoortrior t ear

normal,

77. Cardlaraoculaz /pram

za Enter special awe

12 11.5 t (Inc sal

itntia qa.nasaltier..11.40

39. Blood preosure Simian

era 30. tinnalyit4

Specific i Allnumn

Loa, I neg 31. Lucas

norms 32. Cheat X-ray

negatie

32. %cad for loloheqr hoe been sent to 14-.5. p. n. s.

NEGATIVE Tilton GH Ft Dix NY kahn 40, In your opinion wour4 Injury. 0- &war result Ini •tlity? Untimely death? Coalition I Yes or Ho Yee or No

I 25 1 yea no 41. In your *radon won wound. Anfo17. or drioaeo Incurred In Unto al duty? Condition Yee or Na

DO 42. In your onnion deer individual meet phya tool and mental nda rcla for daoha ran? 11 rah mate why I Tod or Na _

yes

wiLLia W WACKER Copt. W. b., A O. Panto Na SI 1 Peer lo antral al repaction center ' D BUTION:

14 Idly 1444 , ' .. II Incurred or slated prior a ontrance In mill. Crcopyth215wo.,11Ladlohant'dp4me toill enema] 'AU harm amenedee, all tory melon preilouestiltlaiii 44 W. D., A.. Ct. 0 ANTavelftl b? rtilbhory retrace .

117t;=ileidre'r■Poin IP e A Incurred while In milnary radon • A Brenta phyetioal defects

cal laboratory ape rerieraer. A Whoa Indronted

1 0. ------6 •J c.

, •

t • .„...,..,„„.„....„..4.a.h..,...,.....6.... _._........._.............._........,.......,.._.._._.._........!.,.+54,1............. • ..,

ty

Arenas vv.—rnysicAL EX A MIN ATION RESULTS—Continued. :8. I calmer that the above-named m110.111-4. lrae ruefully examined, that the /multi of the examination hero bean correctly mai/rd.4 on thta form and that to the host of my knowledge and hollof--

........... .......... ------------------------ 14 PhY4144117 and au)ntallY 94a1461ri iPrat bli114!Y Oelri!'M fiq la physically ancrmentally qualified for rnaril roll osry194. - Maur asm:or rfialarlst it 144,11t01111 •

after the satirfortory nortre0013 of the following remediable dofeets,

. . ThLa roreatrant-woaltuve beta accented for general mlittatT service hed thelometilable detente herelt;Tpee.

114 "10 _ , la phyalcolly..glittlified for prattal. military ioccle0 901 f P - f sus rum. ari,;.4uast aulastsss

mean 01 8t„ aJlo --- ...... .......

"-7 . IS physic:41y qualified for limited mill inrY tinaTIOP name at rateirta it OLP 11111.,10Atin la 1•1;1141.b/4

satisfactory correction of the following remediable Mesta/ ....... •

Ttds registrant would have boon acceptable tor limited military service had the remediable defeat. Wain SpibeLq§4 ioq ram at the time of this etominstlen.

phyf trolly arollsr mentally disqua(tiled for military OtTAiC-.1 by rosiret of mar ma stream..at it this subsrairopapplhable)

... ... ...... " • — ... r

(() .• to dlacmaliged for military setrIca 'Ammo of .- (Law sumo( -nitiasaHat tioaraimpassa OPVII"b1,)

(g) LtigarAum , .. (it) Title

' • . • or stem 1 79 CO WEAS ERG, Mince Dame ntr o.thwe ;;Wrlwrirass

OLD 0 . w. att. date Inducted for *CiCainanAti) „4400.1404,1711 word] military sender/ into the (III in appropriate Service, snob 9.7. Annz. Navy, IStarjrotcoryik. or g4.40 quard) _416.11117 of rho United Staten and ZIXXXE

. -------- thin 441° T°163ti'd for mrvilm In 11.'4 4'. N7471144° (Cain Hansa ur re

stroke, such m Atari, Navy, Maxine Corps, or Guist Ceard) -- ---..-

(e) Mee • ..caund81at.11...LL........ (d) gigluptity

. (a) Data co Nemo typed Or atoll/Pods: - '1 '/

' sorrox V.—LOCAL 80A RD CHANGE IN CLASSIFICATION AFTElt EXAMINATION BY 'WE INDU OF TfIE ARMED FORCES. 8.0. (a) Blued on the entries In (a), (e), (ii), (a), or (f of Item 78, above. tine Local Board bee changed the aboverntimnd kit traot'aRlamill- cation to Class • (L) Based an tho entries In (b) of Item 78, above, the Local Board has retained the Obovsronmed rogittrantin pass (c) Phice (d) Date

• (a) Signature of mancher of local hoard

FINGERPRINTS—MG= HAND

of the United Sums,

ee er ift7A

1. TI11011111 I INDEX IttNt7 siT7t.e. • r" ,--rr-7;

-; .

c.

Couoly

0 CI t Phial laductal

ight/Relt-ikailir..-111-0-. ........... ..."' eiiiinil MeV i It. line 2) so ., -7-------

. (Yes or no) .. 4,41,, , . . y„, High •• . . Vocatiornsi school,

- . DAT fimucren 1.11.0:14tbe i.....41.7."..-.... School k..__Ii—... college, or university .--./1- II y

"Itj.firti 2 0).0 'pi Sarin+) V, line 1) ._. - — --------- AMiblit anti Antoirti40447 ,.. • :: ■ , i

Wir4 'ij 4,f..,1.....L • :, . • , , :L.14-,- ; 11:,.::::: r .., . _

1.4rien IV; fine 8)—,.-::—.. ........ ________________„_____ 0.04. ...... 6. ' .

0 MI Ct !! (4 , , or Series V, line 2) ....... fil44tie . .:Itiokit '1_ -,._ earnings il..W.itO____

,...%! • , „ -. Nsilkir,kncruhiiomi;:tal . • Independent -;;,..- 4 ^ iit - -.; ,,,,F"'.: Vermenent . - Temporary • ,

' IV" Bier 2 (4))•': . croployeq 0; , employee CI; - APerentloo a; worker IN;

_.i;.,i. .1-giiis4yer tic . Student (Series lif, lino 4 41)) a

alticdMi 401/ V. Brio 2 OA :- , 41,1 ',;Ylii., -,,,i .. 4 1, .•:

•

.1 ti - : i )111i'il,kilingfii Ci , Widowel' In Divorced 0; Hassled, not

Married, 0

;...

. , .: litiAet - 1 filth column except W. C.)e phis Roe 4 (is) fifth 'column) /1112/0 ' 11:. r 4 t*, fine i)%:L.

:Local Ipard. %humph-An . • . Gitrn

OCT 30 i42 cos

Oth '& Wollaston Ste. IfibUCTIO14 Wilmington, Delawaie

,• •••• . . (Local Mal) Don atiute.Wren Conn) flat ion , Third examteeitclit ❑ Fourth examination El

board deck Cheek Number of examination made by kcal board) ..T .1. .

the' locel'hoard clerk from the Selective Service aucetionqaire, D. e. El; De 14i raw • "none"..opponita the questions where sae information is given. • Dar not "7"&lim

&WM blank -4

VAC. ) (Lan)

it Itaahingt 4. on rend Wien • lkoern or ally) l:);ZWij

4. Registrant's order lumber (page 1) 4t1, ann 1) - ___Jitterting.T.itocr gape+

nermslscs

lita tinna4011104 * (Chandry) . '.." - (Town cenny) • (elate}

iit,' lie4 2)::, -.2...:._.1..._ . ---1.13.*_. o«u in (Devi- ....... Creel

il i itIIU ) Xklinpro Itl; Other (specify) ).8 Citisitiati', tsd if lei died tgailee IX, lino 4) ,....76S ; Declarant alien (Series IX; line a). . .

4.v.._ ,.14,,,riy ",+;'_' . . : National if; rfla7 I Yes or 10.0) VVV

/0, Pre 311 It.

iatY lialre)iiii title's X_Ii): None mg Army[); Guard 0; Navy 0; 1148.0111; 0; Coact

j lb 1)/1,8 411411fe Meilen Xtti piety ., ...

I. betestalgrietnified affidavit 64 of )?age is) . _MS -Zino.. .. 1941 cosy) (mewl) (Year)

.i .i.r.. , F 40! . 1'...A t, '. -a ? .. 3 , INSTRUCTIONS I , ii.# 6 Elia and three c4101014f form will be prepared for each registrant called up for phyaloal examination. The original

/A designs !lathe Armed Foregis'.0 fiurgeon,Cleterer (Atray).-ullU 'ti.

ediein and Surgery. (Navy)-Commandant Marine Corps (M. C.) Copy; and the third ;AN, first carbon copy, the National licadquartem' Copy; the second carbon copy, the .

carbon. eats', tint. al Beard's go, inrittiot one are contained on each copy. 2. Forms of Inbbe rejeated by 1,1i0 sinned forme will be marked "Rejected by the Armed Porces'i In large letters at the top of page J. a. If thb regirittatik II Pot sant to the induction station of the armed forces, or Is rejected by the' induction station of the armed

forces, this on naiWili be 11,W akin with."Lees1 lloard't Copy" (3d Copy), In the rogistramt's Cover Sheet (Form 88).

it Accepted a induction station of the armed forces: it inducted by tho Arum-, this original accompanied by ., -I F. B, II tart rift% Cl will. be forwarded from induction Mallon to The Adjutant General, 'Washington, rt. a.; of Inducted t IN)rip hr the ),”' or ' 1. Otriterk, t original will he forwarded through the Main Recruiting Station to the 13uremi of Navigation, . .,.

• Warddis D. a, 1 ihdtieted by the MAIttrila COEDS, this original will be sent to the Commandant, Lleadquarters, 11. EL Marine Corps, In tl D. C. 1,.',. , liL 04 aro tequIred'Uly ibtl this 'Original and only for Nonmetal who are Inducted. If Inducted by Amur, prepare ' ' l' . ii. L taty Fingerprint Card, .

___....iiii.c ,ori 13 ... . 633 ,.... ,I •11-10141.-3

•

4,

.• ••;•• ".

I rn r I . II • • • ,1:41/t

• .•

• • . • Ns • • Cbt.N' Affil LOCAL 100AltD CLASSIFICATION, . • •

when and for Wing, allroorgoi • . 466 a.*

qty.. A •■■■0•■•

the eivflini Li', Wri ' • *2: " Rauh ,:10.gfL.Atvel......a- • • -; ;1;r &Null • .

.1.40 4••• MI

ft/it/lint hid stot ti41

14014 *16 tietnlb.)

511"""; is-P1* tor

•

defects set forth in hut I. of the List of Defeats (Form 220)1 If =aver I. 4'jet/ deserii* the dsfecta, in order of allisillassoa • .o •r •

• • t i

Or

1.7 ••••■•■•■ lw.s....41•■•••• ■11....■•••• •■■••••••• TO.. ■•••••........w....•••••*■... • •

in (hi defect. set Li* In hirt II of the timid Defect& (Form 220)1 If imitwar 4yee," descrlhitba defects, in order: at signitleanos

••■••■• oa. mgr. ..1,•• • 14. "'

• "

tositsta“ in rda eo with Selective Service lieiruhttions.

(t) Dm. ._21-J.&:4 - - ,c(°°''''') (we)

too ib

(d) ":1:4 T FE, PlilltliON TO .13E NOTIFIED IN *ASH DP ETWEIke0Y, AND DESIGNATION OF ' N P •

_got (it the Induetion station df the armed forcer for only those registrants accepted for military service.) Mali eh Male nitinotified In tile of emergency: • 1....4..iii e.WEtiSb121.rg...... • • Or 141'1, ." (ail; rimo wok or

411)4ddtes11.-- laUgt.EtitrA41330.t..t._;,. ,

• ial..;*4 (Newrelia

Ma to be lei) dietary to de:1404111gal below t... . - - I:----- ,.. .;

• t '

ri., 1, 4 7,, +b.! . ..... ... i •': ,r '',_ , : , ,i.• ,;•e _:,'.

' r.4' /...4•4 -• MI. kid cm. . , _ ‘- 1,74.„, Ore .,,-- .—

tiiiibmien0 ; , • ..— amo .7.- • ........_............_........

(Nati Lai .t.rwn la { nottson th..) .(011,7, Iowa. et pat off,ext) (Irate or =MITI.

al at tura tauter If woe to Mate) (04, town, of pet as) (glate or eallatiT? nd •

, Lee .11 rie wee, pelf:the rtereesed drretted, etat.0

''''''''''''''''''''''''''''''''''''''''''' ''''''''''''''''''''''' thi - .,•• • : ,-,. .*0.....* I b.dx II, . .. -- - -

.1 .--........._____.........•_. ............. . ..... .... '' ... • .......

. ,..... .....z.-.4..-... !fip.. d.... I . . ...._... i13. Vnis my le 'no *doer of child, or their decease before peyment le midi, t then designate a* my beneficiary the , ti - Mire bmiliii,ItellitiOnship, and addrtss are shown below! ... (ii ...fi ..,,N tx,140,,ther) 122 Lingoln Bt. ltilinirigtortl • Dole oll baWa erasTiiikire' a mug ;tie" i In owl tragtHilast "1 diodilee to doleett: lay wee as to, bootiktasr) ..-'. tit Ii i 'di 4444 'dal-the ditk of cation of the last-named deprosdent relative before payment is made, I then designate ay Wiry be

a LS hose e. relationship, and add are shown below: , (4) ... deht tat , , . , ' fil • ,,:•-' ;i: unts. ' - ig Omura, ourame to own hanelwrittor 'I dadtao IQ dritenatrika — teseemetr)

. • , l' -:-. le/ li'l fltof routrant ;._..._ .. • -711101-------'—ifindeiones* — -- alit :1=i—

on _PICA _i. 11_1942_ 09 '

, .0..e.n.e.-SaiiiCiier Pit-Jilt!, /nf • Ohm at' Idioms Wed) (Grads =I ogpsateetiae) , Meal 2) rotl--11014-i

•

• •,

■ 11.r. .6

ikelstrent hes 101itletathi.) res at /Kr

1,1M, •

•..;:ro„

, ; •

11-

-;;': • _ 0,114.; , El 141 . • . .

(AB lama as tod In. ' Items! of Nona Where Appli.Mitia. Board it the Induction Station of the Artina Iforeat3 •

iii Joyorid

• '- 1011-

ILAiL.:ttri fee' T41d7cf;I:rii; feath ny circling;. tiblabi niiitAirL4iti by X.

. ,

• 1D3t.tamrslea 141 2 a d, 6 io li 12 46-44--* 18)

, ineutaing otildi detects ' A

..ta.r.ti.a.1._ plata ..... .... „

• v . , •

• , ... ..

•

avarg -'eteua Jir

........... .9 irdispe`ioulei

Normal

ta.1 ra 11 atirat.1.0 txaits

1-1s(L;;vot; system Norma). ‘r•

5:t%"findOtriae system. w -1" ormal. •• 6s. Other defects ancihr,arrairoce Cr ?tiler remarks

1.0$11 • Q.: 410t10 .tie: •

60, Vision, without eorreation: (o) Right eye 291Q9

, IDe i, TM.evi Writ*

h coma

(b) Lea eye 61 Vivian, with correction: •

(o) Bight dye (b) Left eye' /91100--.

62. Color perception*

03. Bearing: (a) Right ear —20/20._

. , Left ear 64 Height_... 05. Weight ,90 pounds. 66,, (a) Girth, at nipples; inspire-

Bon Inched. (b) CS:till; at nipples; expire,-

(a) Girths at 11/11t3Wen.

• _39_ was.. 67 Posture:

Chx'd j PfirEI Poor El 63. .Frikaw

neW170 lifidat lught,C1 81. aolpr or hair 70 Color of eyed - Hazel 711- Completion ----FOX–. 72. Puhod, 'Stung̀ 73 Pulse, after eseroiso•–.......—_ 74. Bubo, 2 minutes after nor-

, elms 75. Blood pressure:

(a) Syst.olla (b) Didatcdic • 8

76, tfrfrugysia: (a) Specific gravity-1.8-023– (b) Albumin —ROM-- (c) Sugar (d)

77a Other data: ' 0.• IINFbeAml11.11.1

lbwie

agree, * auPPPDmititi Ext.ile • •

• . ofx cn -dra e as e ana

ark. Me.

=in

O14.; ro••■ a.

a . ...

50. Sluiranto of it:4dd IA 4,11 fAt leanne . dam,. zxottsnatag. anus g ]arses ird-fiecrett-AMP

is

ORIGINAL COPY . (Pram 3) •• ■•.. • '•..is...L.brisd'skiLial,,,digin gsr"i":'—'

• WING INIcits4.

•••••.!'"

lailinitied; that the results of the criterninntion have been correctly recorded , end belief w

. . is phymicitri# aid mentally qualified for general military service.

.... . Is physically ari mentally qualified for general military. service

' thmedlabie defeats: —.— Ira

17r . '.*6 i1'17a1M0 r gen litary service had the remediable defects herein specified Wen remedied !''4i ' ''44,I4ir .e.'i .; , ,,..tei. .r1;11 D lir cli kthbu ..u.aw: ---a-r------- hi Pb.lrodal/Y- cittalffiad for limited Military service only by •- ': P;4/:41; '

Akii-Viiic=„ktd./14.4:rA,340k9_, itrairk.-----------L-- • 1WerA=".7" ':,' ., %•_ • .4144... • illi+ 4........... ;.•,...

it.... .42- i 4:+A:ft 14 . ..... • ra • ..... •

... ppp a...a, a...a . ... • a...a....

_ ..... a physically qualified Ica. limited military serviee after the

r

..s. .. . . .........64........4.* ... ' • 4 , .

itboirpiablifcir milted military service lad the remediable defeats herein specified been remedied Orlif;T, . -. - •

.,......o....,..o...i. to play cell, and/or mentally diequalified for military service by reason of 1 is ssenertoo

J

,,,-,,..„..--._....7-...- . ...L.. ,...-a...... ' • ..

'4 111.-• . •'' . :•IL/...t....a... a...L.:_ is clistinsiiiled for military service because of ..—.....—!...1........_,.... MI WO); .. applicable)

: • -'' ' .

• • Irprao..,

*T-4 Ajeclicat tkinnissr.

.'.• (It) Title _An.at....-atig.r....Mersid.C.4,4i..OffiCer_. .

1. D1 Sea.-Cliab..0_..4.1.111.1..mrn.

■.

• i . .. N,

■

.

e4:•..a. A 11'15 ,,.... ..4...uzi, ei.nintow woo thin date inducted for (XaciamIted) [strike out inapplicable - U1 , • he (01 it appropriate Service such m Army, Neu-, IVkasineCortgb: or „Qoast Cluard) ------ ).. of the 'United States and l'eg/Ri2E .... 3:21.110.. T.O. .6..6 AC -VI ,. .. wan this date rejected for service in the 06 it( appropriate

Oa Mitt/aka Ir applitaig)

..i. . • '• lit/eine Corps, or Coast Guard) -- a _7 of the United States. .

4.4.....,.............................. (d) filgnrAtim

1.44, r .. • :

,.., ,0 r , • _,........1,L.. r i (f) Name typed or stampedv •• ee 431° irLt;rifir.' :

.,,,,rif . ) Ora& Told or ool.rotlIonr7 .., Tr .JATT;osiv . . .. GA: IN' CLASSIrICATION AFTER EXAMINATION 13Y TILE INDUCTION STATION

1 4 11: 44 ,..• It. P. 4 P : , LIAIV ■ . .01'01.„„„,,,.., . 4,41, Ak ilfii1/1:4ir (I) criite item 713, above, the Loral 13osicl Las changed the above-named registrant's aural.

'n i, ,, ibitit (t) 4 . 4.0, 41444, 03 14 tt) off Orli '1.8. Above, the loud Board he ratudromi 'the above-named rcestrant, In Chas

tsi Prii;It.1.-. 2. ,.. .2',..... ".". , . .. -- , (d) Than ... , '— —. —

,n) ,Etignntdrii of Member of lees! heard .. .. — — — — .. .1-..„ .... — . .....

i ' ' FINGEMPIIINTS—TUGHT HAND

I. tilt kir & mime

•••••••••••••••••••• ••••*

•

tts,i4.••••• !'•

• •

• • • .•

P

•,oa tor 4.

; • • L . lit It'r! ,2itrift 11

!-, • ,

ti411TiVat144.

e;rt. cediale,defectsi. :• •

X -.W!.,.;

•

WS NOT 11.

Al L N,m. I 11,-, NAM F. 111w.mHxtrint,

Weisberg, Harold III 2. li rcleTl a r‘t, :1. Alt', 4. PilsAlPF.

32484933 I Pvt 5. i/111:4Dt1/.,1 I PI PP ASS IS Att.. III 11.1•11, If A I V ID.rmitint.1,.111111 helUVdr CI

Casual, 2 525 t h Service Unit

6,A;.r, . A. ■ ,t,i.iT,iiinr ,Ete. I1 '1 1,,1...1 \1 ,14•.i.,

4/8/ 1 1

111

Dec 11 1942 1. itLIV9112 r 59423

SPprtil,S; nF AlMI- 1..71 !"Jir. Z. ski won Z. PIM own MO 911901.9 MOM.

'11 .1 r. who. prompli 1.11 avn. r. 1kt

11. 1 tli _I. 1.1 .{11111-.,11191. 1.911A1:190.11ES. AVFl4AT1lry<, C 191SCE

111 "'Al' S

4, a. t Pa

7ko is berm nar o Id '..7:1.I 32164932 iii. MI

I. CAM • 91. (WW1 7. olItaotal Nu Ate co 'solos

eirt, I A I 1229 RC 29

1

10. Dirpos, 11. IIIT%I 5 12. Dstt DP 515151511.1 . I

Jf~nuflrX 11, 7-24-44 Pea Planus, ' metataralgie,

bilateral, symptomatic. Rx-To have wedges on outer halve

of heels. Chronic Sinusitis Rx-Sulisth. & ephed. q 4 h.

Chronic prostatitis Rx-massage

U. Dhoti Of s0tOlsgto

C

It

Duty SHB

7-27-44 Heels wedged Rx-massage

ts, Lomat MI

Duty SHB

DUPLICATE

NOT REQUIRED 111. ems, CODS

17. soOMOSPI.Otoloonit. PolaP1Osi

A TRUE COPY:

HENRY OSHRIN, Captain, MC.

12. 1,1no: or hors

111. RADA PO 7.151110n.

13. 1/1.1,”wrion

19. DiSPOSioloi

14. 1.1/ STD: (IT 171D1,19T1011 IS. TH 1.11147.40 QuANTKRA

Duty -. Improved

Jan 14 1943 VI

11411 a ISOISMDMO 21. 111911 s 00401151

C111 110.: .1; 1 Dix. H. J.: 16. Nneig Anis 1.047.s7107.1 or IIIDPC1111 Mos Irort41,,Arifirs

II

S

U

VI

WI 82. 1011•1111 DIPONT Of S. • IP. TIC lOOla OP Jan 1943

17. Su:NATI/Ur

form supersrdos D. Form No. 62, Which will not. 1)0 used Aar receipt of 11117 revlulon.)

W. D.. A.G. O. FORM NO.8-24 1 July 1944

* GPO

J 1 rl Its J1. BRIISSISL, frdinst Corp., ti 3, Armp.

11111-46111 Porn) n .D1CAL 6/1IEN'O.C1.;.P.S. A.

flierlked March 13, 11311)

tA.44.4 641-

Ong

53 e- M bluicnt.1)Ertarturtrr. U.S. A 5

(Revised Mity B1. 1919)

PHYSICAL EXAMINATION

Name _ erf, /k'7 a

Grad Ward _____

e 1 Height:

Normal weight:

Skin:

L/att iCLO kt, toi

Head (including TeCial ti”row:1, nose, mouth, throat, and haryox): (-4.4.-02..(._

I /Ill "9 ALLytiou.4 • (..,

Neck:

4/2-f-5d /a.-5 ; 0,..

it, 4.4._d-e-e-c-c/2.'a-

Thorax:

1,11ngal

C-C.1 4,1.4_tAXX A

Present weight: ,7j ?

Vascular system (arterial and venous):

(C/14.4.4.eti '

Blood pressure: Systolic _ diastolic. Sit)

Heart: h

le-1E1E116 (ovrn)

NOTVOUS Bylifteln:

Date

Name (typed)

PHYSICAL EXAMINATION

----- --- ------- --•

Abdomen:

../

• -'0(„cc.,t

Rcrnia:

( Genito-urinary:

Anus and rectum:

fl

alaudubtr Syst, (Ip111111Stre [11111 ell(10Crine):

Bones and joint:

Muscular system:

r

Grac1e/ft

16-1P.81r1

:7 /4 4 -year' 1714:1 /4/14.

.Porsti 5.1 Is ALED1C31. DEPARTNENT, S. ARMY (Rovizetl Airy 31, 19111)

CHIEF COMPLAINT—CONDITION ON ADMISSION—PREVIOUS PERSONAL HISTORY Nnme aith 4e3C7,_ 2111 Grade ne, Ward

Chief complaint:

(.6„.s, ic (p1/4/4., W-teal 9 ia_r

General appearance and condition on admission:

44.4.4/4_14

)(pupation:

Tropical service:

ivn Ilabits (alcohol, tobacco, drugs):

aldifCCI 0--46U1 Family history:

/fit

f---z,f

iicerlirf,44/ Previous persoAsad t nIstiRrY:

et-caW,;—

( 2.

Venereal disease:

HISTORY OF THE PRESLNT ILLNESS

------ ---- ------ ----

41, 44.44

41-ce. a X

lettAi 4:c

11. oz_t_

15-18415

Porm as 11 MErICAt1J'ARW5NT.'..R. ARKV

(tiovi5od Msy 31, MO)

INITIAL SUMMARY, WORKING DIAGNOSIS, CONTEMPLATED LABORATORY TESTS, AND CONSULTATIONS

Name - Grado_ Ward S:1i 7-- - - - - - - - - - - - - - - - - - - - - - ----- - ---------- - - ------- - -------- - - - - - - - - - - - - - - - --------------------- --------------

Transfer diagnosis:

C '€ Initial summary:

kiliC-c_ti cc / A ee-a..._9 (4-6frz,c

C7 c/ eLf‘44

Working diagnosis or impression:

7./ — Lc/ 1.4_5, /4F.

Colitemplateel laboratory tests and special examinations:

10-15517 (ovzn.)

Line of duty Ved,

Condition on completion of case

a

1Form as A MEDICAL DEPARTMENT. U. S. ARMY

(Itevineti May Si. 1.989) . _ .-k-• •

..,_• CLINICAL RECORD

BRIEF

D-527 .0 • io• eNr

• • • • • ....

•

----- - Register No: Hospital ....Stat.3.011._Etanix,,II.31. Name Weisberg, Serial No. __144932. _ ----- Grade Flit • Co. Reg-t. and Arm or Service Age _29_ Race Whit, Nativity Service Date of admission 1jUJ43

•

1QoO ,19

Previous admission NO Religion Home address _313_11i - -N rkW WashinatQn, _ DC. _ Name and address of nearest relative Wife) raLi1lianVieibig me _address

Lt.Snidar isa_ cr nil ink uI admit i rig Wilt:ell

, Disposition

Date _ . 0.4.44.4ev...4.47/ / Final diagnosis:

•

x't,64-9/ 40 ea/a-a 41i •

Source of admission Command Station ____11.DixAN. J. Ward 50

Additional diagnoses (Complications, special treatment and operations) : to •

Transfer diagnosis confirmed or not confirmed Autopsy

4,;'

a cil/c4_e. (f2

044

113-168ta

FINAL SUMMARY

Aecx-4 d ct-Al C.t...t-Ze C-C 4._..,1-yt-c 9;Z: 4' ea/7A-GLext

et-0LO C4_44 C a_ /4

16-11%17

118 4(3 17/

j-trecie ,

//6( Cce.cii,cteri cic

1,.4 ■11i1 I . Ti i I. 141 %I. cmrILfI. AltBAY

110%1. w I NI 31, 11110

PROGRESS NOTES

Na. Zilt 9-Lo7jei Grade

Ward ..6-O

(Complications and changes in diagnosis, with date in each case, should be entered on this sheet)

, r6t-ccutj e/u_ezece,tx

w. ,14--LVc/-5-Zed et,et/ •

eeicet,

(Use both sides of this sheet)

Form .5!: 11-1 TT Imre Ati)xr /t/tT ItENT, U. R. AR/t1

(It evlsed Tiny 31, ItYtil)

MENT

NEUMP .11/e_td_407- 1 22 J Grade B_LL: Ward .6..61 Data

riv A i a / (.... y .41X a‹._. ' A /cc Y ;- 1 LUI . X-4 -e-e:,a_e_p.c." it .4:4. ,5c,„4. 2. 74.-i_d_

,a . Zzortf 4)./. • ° -

.

. --63,44.44, 4)ty ck A. Q j

,..v...c../i.,... )/ x

T 1/ Xl_en-c-t.d 644' i ,y: 2...' ccee-il

4-1 (ALL( 4 fti

/ , 4 . ectdraz -

10-18819 (OVER)

FArrn ra; It-1 MZDICA.T. DtrA ItTM VIT. 11. S. ARMY

(RCViSed Al ay 31. 1939)

TEMPERATURE--TREATMENT—NURSE'S NOTES

NADIP - ,te,)?(21

Grade

Ward 421

Date n. M. P. M.

St Wt

....._..______.

Medication and Nurse's Notes

f-ll-HY. Z L(IL

--

'f(')

/..‹ 3J- -0

Al ; / -/9/77- ( 7;l of OW 4-a —zeia./.) r jaV

g vo- au? , air4/ps -

tiiIi9 /127-Alf - d .4c-w/fr //7

--il a •°,7 1-- //,'&';. o/

4/D/re° • /4/41 {2G r zi,c/./7-zz

rdck f." 4.i.'" i':'i

DZ/lili 97422-51A 9/ alizzo i r://' z-,-).-//7,._ H-47-fidif \Ile/84

// : /::'

I/ ; p? /417, i rin k---- - a d," / /7 fr, 1.'7. st_r -4.4,-,-, ,it "( j (

I- I 1

,,. 1'1 .,.(

itoiL,„ . e.,....,,,,\.- `A - 6 ri ?

OA. 5.... . 1,,,_ . 'Vt.., l .. t. 1.

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•

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_Form 55 A Dept I Army

! (Revised May 31, 1939) DISEASE

CLINICAL RECORD BRIEF

(0 bbbbb Iwo 11.V7 - I .

Register No, 211047 , Hospital Walter Reed Gene.ra1.40.PPital.. ..... . . .. Name WEISBURG Harold Serial No. 3 2484933_ Grade PY.t. co, BCPE Regt. & Arm or Service ...P Rn , ..

Age , 31 . Race W Nativity Pa (Seen by MOD ..11?.25 oh _ PK. 22 . Mar- 44) Service,1,3/12. Ire Date of admission 11:30 Plit ..,,MWa -'•7°-,... Source of admission...... drnitted...from..paaa...,(FATIENT(S. STATE ;Et . 1,441AAtii. station.Palt1Mere Carco.Pqrt Pr Embaximtion Ma Ward 354ed ITtvious admission. . no/rfc Religion.T..eTilab, Rome address .313. .. e-...li ... $.t.y. 111‘,..Ylash..N................ ... Name & address of nearest relative..,.,.iirs.....Lillia.n..Weisburg, , _Wife. ,. SP... ..

D.. G..1st L, MC (Initials of ktdmiLting officer)

Date,. , 19.

Final diagnosis: 1. Strain, Jumbo-saoral and left sacra-iliac joint, severe, accidentally incurred while lifting; an anchor in u bor:t in t tic slinuncr or 1939 near Washington, D.C.P171-22. Pen planes, bilateral, Lecond 4.1ei%ree, symptomatic, cause undetermined J` 3. As tiginatism, mixed, hi 'Morttl. Vision: 0.D. 20/70, J-8; .0.S. 20/200, J-3. Corractiblo L,a U.!). 20/30, 0.3. 20/50.e411. Mumps, bilateral.

Additional omplioations, epecial treat.aent and operations) ? 5. 3-24-41: rchiti , acute, nonisu purativo, t, moderate, secondary to mumps. 1.-‘10- : / t/2__

6 May 44: Advanced Reconditioning Program.

tx. Line of duty 1,..2, 3: .. Eva,. 1,5; Yqs. Condition on completion of case 1, .2, .3..: Unimproved. 1, Clired

. . Transfer diagnosis confirmed or not can.firKseli .............. Autopsy

I. B. Kemick, Capiltkin, M.G.

W. R,G H

LOANED VET

Form 55 F MEDICAL DEPARTMEliT, U. S. Allaill

{Revised May 31, 1939)

Name ___. Iffeisburig.t _ Harold

•

PROGRESS NOTES

Grade Pvt . Ward

(Complications and changes in diagnosis, with date in each case, should be entered on this sheet)

6 May 44: Patient received at Beltsville this date to partifipate in advanced reconditioning program.

F ;D S. ufLull ZMajor, M. C.

23 June 44: Patient has completed the advanced reconditioning program. To evidence of venereal diseases. Orders Ere requested this data for return to any duty of a nonstrenuous nature in which impaired vision would not prove hazardous to the individual or other members of his unit, excluding marching, drilling, calisthenics and long periods of standings.

- A 10t—L FRLfl S. ACFI-:T, 1lajor, Y. C.

(ljt.t: both sides of this shcet) ld- 1S,14

Vorail 4.4 MEDIc I.1 N C. U. S. Amu.

(1Lorktdl1a5' 31, 11+3'4

PROGRESS NOTES

Nnme HAROLD

Grade Pvt. Ward

(Comp and changes in diagnosis, with date in each case, should be entered on this sheet)

FILIAL SUMMARY 4 May 1911

This 31-year old Private was inducted into the Service on 19 December 1342. Ho was placed on limited service because of impaired vision and sacro-iliac strain. However, he has been doing 1.1-P guard duty for one and three-twelfths years at the Baltimore Cargo Port of Embarkation, which duty has been unsatisfactory to this patient.

At 2300 on 22 March 1911 he was admitted to WRGH by the Medical Officer or the Day becaose of stiffness and soreness in the right jaw. Nt the tima or ndmission there was smelling in the right jaw, and the patient had a. fever of 100°. A diagnosis of mumps was made and the patient riven supportive troatmont for same. On 24 March 1941 he developed a painful swelling or the right testicle which slowly subsided. During his hosaitalization he recounted his story of the lumbosaoral strain which he hall accidentall;r incurred as a civilian in 1939 while lifting an anchor in a boat near %iashington, D. C. lie was seen by an orthopedic consultant wha ''elf: that there VMS evidence of n lumbosaoral end left sacro-iliac strain and also a bilateral second degree pas planus. Ho was given arch sappor,;::, matatarsal bars, and 3/16th of an inch medial heel raises for his ;. Y.--ays of the sacro-iliac and lumbosaoral joints failed to th,L rihnoriolitioa. .aikewise ho had rastr onplaints, and era ra-intaatiaal norieo was negative. A recheck of his vision revealed n. xed ',stigmatism with ftdenuate glasses and duty was recommended.

hue to the fact that this patiint has been doing Military Police duty for approximately a year andiA quarter, and that this duty has been unsatisfactory, the patient was (brought before a Disposition Board on 4 Tly 1941, and it was reoomme - ded that he he returned to duty of a non-strannans un Lure excliyling pa ching, drilling, standing for prolonged periods, ?Ind calisthenies. ‘/For final diagnosis, etc. see Form 55-A.

1. B. Kemick, Captain, U.C.

(Use both sides of this sheet)

111:11kilTERATUFCE—TREATMENT—NURSE'S NOTES

Date A. M, /r. M.

St Wt Medication and Nurse's Notes

•

T P R

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10-103911

og, c;010 Form 52 /1-11,

WD ICA!. DETART111,11.1 r, rt. ARMY (Revised May 31. 110.c.)

TEMPERATURE—TREATMENT—NURSE'S NOTES Name IA) -Q-4-46t'S.'_I- / Grade

Ward )

Date igy v

A. M. P.M. St

I Nt Medication and Nurse's Notes T P R

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/.; .1 . 1' 1. .1 , to–rgaDO (Over)

Date ,

Office, Chief of ..... Service. /9

To Chief of LA Service.

Approved. _Disapproved:-

l. Cc

Form 55 E-1. lifEbtOAL DEPARTMENT. II. S. ARMY (Revised May 31. 193:9

CONSULTATION REQUEST AND REPORT

Name __If QiBlIerg,__ThAraii_ Grade Pvt Ward_ _35 - • _ -• • _•-•• ...... ------------ -- • • -• • ...... • - - • ....... .-. •

ORTHOPEDIC Date .__.___.31_ March , 19. 44 Consultation requested because of pain__ _ back_

Provisional diagnosis _111.11t 0-sacral_ Strain,

Routine. I

ebmann, G9p t

M. C.

Date

Office, Chief of t.C.; __ Service.

To

iCo4-"4"

For consultation.

lef-- .(e., -C4,3

, 19

4-3-44 Date , , 19_ .

Opinion of consultant: Patient injured his back in 1939 when he was liftinig an anchor in a boat. He has had lumbo-sacral and left sacro-iliac pain since than intermittently. This has been much better since he has been resting in the hospital . Examination shows slight tenderness over lumbo-sacral I region. Straight le raising is pos- tive on the left at 90 degrees. i Motion is good in all directions. He also has a Pee Planus 2 degrees Eymptoma.tte.

He has been given an order for arch supports, metatarsal bars, and three sixteenth inch medial heel raises. Advise AP 6u-id lateral x-rays of the lumbo-sacral region. Also advise putting boards under patientel bed.

M. a

Hal Windham Capt. (OVER)

IC 11*420

Relinoseopy

Sunstwonvit Fixnulos:

0. S.

0. D a

O. S.

O. S.

0. 1).

8

.25

-1.75 s

a, X

_ x 0

Correction preacribed

/ 2.00 90 c, x

14.00 100 c,

e, x •

20-30

20-50

Associated parallel movements .......... --

Tangent curtain findings

Vision without rorrection Present correction and vision 20-70 J-8 0. D. 0. 1).

20-200 A J-8 alc,10 0. S. ........ O. S.

O. S. c, x

Muscle balance

a / / / Form 65 E.2 MISTICAL DEPARTmEHT, U.S. A-RUT (Revised MIty 31. ltr1.9)

OPHTHALMOLOGIC EXAMINATION Name

Weif,bgrg, HarQld

„ Grads Pvt Ward

------- ^

1

Complaint: Date

4 April

, 19 WI Ago 31

Says he needs glasses.

- J. Liebisarip,_94pt, M. C.

Color vision

OBJECTIVE FINDINGS:

External examination:

Media and fundus:

Tension: 0. D. ..... mm. 0. S. mm. Left eye fixes straight and then wanders out. Nystagmus in lateral directions.

Negttive.

Diagnosis and recommendations: Astigmatism, mixed, moderate, bilateral.. Present glass es adequate, can do duty ...

\41 1.- -)VrIr' Gn1 .:.D.Irwin, Capt.. ...... • _ - - M. C. (ovzio - 10.3 4

AP*

Ward

THROAT EXAMINATION

Grade hot t

Form es E-a IVIIIIICA.I.DEPIIIISI !NT , 11.8 ARMY

(Revised May 31, 1039)

EAR, NOSE, AND

Name Small ______________

Age Date __13...7:uae__12-44 , 19_

Diagnosis Examination is requested as checked below:

J ill. IVard Officer.

11. Antra I L._

Sinuses, transillumination, frontals L j, '.

II

Ears:

Watch Audiometer Hearing: Low twice •onal voice

/sr—

A_ S.

1-- 4 •

M. C.

DIAGNOSIS:

Treatment and recommendations:

141

C

Symptoms referable to.M. N.

For physical profile serial. ExAmTNATTox:

Nose:

Pharynx:

Larynx:

ICI-17634

0 D 71-S 4°2 •I‘e), x °

0. s x70 0 e 10. D.

o. s. 0. S.

Form 35 E-2 MEDICAL D EPARI'ld ENT, U.S. Ajar? (Ravisad May 31, 1930

OPHTHALMOLOGIC EXAMINATION

Name __Heatold _ ifoisberg_ Grade Pvt • Ward 3r2 118

Complaint:

Date , 19 Age

For physical profile serial.

M. C. BUDJDCTIVE FINDINGS;

Vision without correction Present correction and vision

ftetinoscopy Correction prescribed

O. D. S c, x

O. D._. 0, x 0 0. D. S

z 0. S. t S c, Z J.. — o. s. s ,

Muscle balance

. r

Associated parallel movements

Tangent curtain findings

Color vision

Onroonve FINDINGS: Tension: 0. D. mm. 0. S. mm. , . • •

External examination: ,

Media and funcina:

Diagnosis and recommendations: 1!

tv.-41•/1" t‘

fig. • 44

2.2. C. o vE

Form 5 JE-13 MEDICAL DHPARTMENT. U. B. ARMY

(Rev ised May 31, 1939)

EAR, NOSE, AND THROAT EXAMINATION

Name Weisberg, Harold Grade Pvt. Ward 3 5

5 April 44 Date __, 19_ Age 31

Diagnosis Yumps, recovered. Examination is requested as checked below:

I

J. Liebmonpj Capt. M. C., Ward Officer.

Symptoms referable to,E. N. T.: MlimpS 2 weeks ago'. Occasional attacks of sinusitis for several years. Accompanied with headabbe and pnst nasal discharge.

EXAMINATION:

Nose: No o"struction or dischart/e.

R Poor

Poor L

Poor

Sinuses, transillumination, frontals

Antra Poor

Pharynx:

Larynx:

Post nasal discharge.

1 , ,

Ears:

Canals and tyMpanic membranes normal.

••

Hearing: Low conversational voice Watch Audiometer A. D. 10/15

1 A. S. 15/15

DI-tor/ogle:

Treatment and recommendations:

W.R,G.H. 1st. Lt. J.r. Ylnn7blond (ovEn)

C.

15— 176.34

(Yk r t e

0.C.Tidwell,Captain

0

13

D. C.

Teeth replaced by denture (horizontal lbw)

Teeth replaced by fixed bridge xi (oval to ule abutments)

*Indicate: Restorable teeth, carious by Nonrestorable teeth, carious by Missing natural teeth by

REPORT OF DENTAL SURVEY *

UPPER TEETH RIGHT

LEFT' 0 7 8 5 4

3 2 1 1 2 3 4 5 8 7 El

LOWER TEETH RIGHT

LEFT 16

IS

14 13 12

11

10 9 9 10 11

12 13 14

15 10

BP

fl

CLASS IV

Occlusion _

Fair

Calculus: Slight

X Medium Heavy

Peridontoclasia Oli$ht_to_MediuI0._

Dental foci suspected: Yes No

Other conditions:

Lower partial denture satisfactory

10--1763S

7-1

'arm 55 141-4 letroic.si. DEPARTMENT, U. S. ikakcY (Revised Muy 31, 1U30)

DENTAL EXAMINATION

Name Harold Grade Pvt. Ward 6o

Age 31 Color White_ Date 21ett April , 19_44 Referred for:

1. Dental treatment. Routine

Emergency

2. Elimination of dental foci.

3. If special, examination for focal infection and report only is desired, check here.

4. In hospital for dental treatment only.

5. Probable period of hospitalization—weeks.

6. Infectious lues?

Medical diagnosis:

Remarks:

Al. C.

( 1 Findings:

Date __ .._21st . 1944-

No treatment indicated at this time

O ) • ie_ e

16--1711115 (ova) U. C. 0 . C dwell 1, Captain

Form U E-1 Mizacm. DEP AMISH? ,U.S. AMY (ReviBed May El, 1959)

CONSULTATION REQUEST AND REPORT Name _Maim beEctr id

SURGICAL

Grade Pft • Ward __az__

Date 22 _Hay-4944i Consultation requested because of _RW1104111 _At _ imbaddtcl_a ft _zing finger.

Provisional diagnosis

Date , 19

Office, Chief of Service.

To Chief of Service.

Approved. Disapproved.

M. C.

Date ,i V Alal . 19 IN

Office, Chief of . .___,....i,c-Lliter.„___ Service.

To ______ ___. .._. _________________

For consultation.

- Al. C.

*If Date 111`.4

Opinion of consultant: ■;.U. Jlinter in finger.

• Several months no tilts pt.ran a .spliiiturin titi utii. of hii A- 1 t rinA-. finger. on two [MC80'011;3 Lo it haNe been Made.

ri There JO e palpable 111C.118 in tl _- tE3 !".T1t0).'i 01' 1.;:rt rin7„er tip

itx. Under local L- nesthesia, .• medial Ppd of the iiinas.The., was 1ei.

:..0• (i' I • . (OY ER)

Nair'

Routine. kocoomnix ofLAAL .

- F1M- -S.-WHET, Major , M. C.

Form 55A-1 larancAL DEPARTMENT'. U. S. ARMY

(Authorized Dec. 81, 1942) ABBREVIATED CLINICAL RECORD

•

•

Name Weisburg, B4rold Pvt Grade Ward 35____

(This sheet to be used in conjunction with 55A, M.D. in cases where the data hereon will suffice to conform with existing regulations.)

Pertinent history, chief complaint, and condition on admission. Past and family historties not relevant to the present illnes. He was well until 3 dnys ago when he first noted som stiffness and sorenesd in the ridat jaw, He paid no attention to thid and on the folowing day noted that the jaw vies somewhat swollen and the soreness had increased. Yesterday the swelling had increased and he reported to sick call and vas sent to the hospital last night. Slight nausea yesterday and felt frver-lash and chilly. No pain in lower abdomen or galitalia.

Complete physical examination is negative except for the following: Well developed and well nourished rattier large wkite male. Age 3]. years. Not acutely ill. The exauination is essentially normal eleel3t, for some bilateral parotid swellng - over both parotids there is uni from, non-tender swelling. External genialia normal. Abdomen rorwl. BP 130/72mw. Impression Mumps, bilateral.

tt-r-L—ife 374 azd- 3/14/Niv Progress :

(Use both sides of this sheet)

minirmiummus

/0-32790-1

TEMPERATURE—TREATMENT—NURSE'S N6TES •

• -Dim A.M. P.M.

Br WT

. _.

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LABORATORY REPORTS

'0

, ..) . Name_ 114..ak Pvt • Ward -ENT Ago L Harold

Part to be examined (or treated) raQf J itWiUk

t. on Wd. 35

Clinical diagnosis (include operations) 3end fi lms to ENT Clinic

a-r-t onngT1I66-6 -1.-

•

Date _WI 1q44 , 19

Hospital

Film No.

Sinuses appear normal.

, 4/1044 A. O. g/1/ Cliton,

M. Form 515 IK-42 MsoUtremen ti.U1 ARIA

Y I FLU HI

wv,1101,:hg 0,

RADIOLOGIC REPORT Date

11.1:14,1i

a .11

a a l• —1,Z114

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Examination • nested b

Serial N --------- - Rah.,

DIDICATE EXAMINATION REQUESTED BY CHECK Ili) UELOW 6-0,r et /182/ S.J3aracter __ C. _______ r____ ‘iteaction . n___ 4.1bnmen _ _____ nAg ,Kugar _ _____ . .• • / , ".11.: . . Acetone . __________ _ _____ _ _____ Diacetio acid _ _____ . __________ Bile

Alieroacopic_.___ _________ —_ _____ __-____ ____________ _____— ___ . _____ _•_. __ _, ___ i__ __ :. __ ______ ____

-_-..;•-•..__„..,__ __ •i_i: ______ ___ ._ --- ——--------- ________ ____ __ _ ___

Remarks

MEDICAL ilini.,r E.E4.11 trt-

M. C. URINALYSIS Date -- 2

(ROI .J:uffeAlyi2 . , - GPO

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TEMPEIZATUTIE—TRE ArtiviEl■IT—P1 JE:3iUi i5

L. M. P. M.

ET 141't M cr.sr ...: to s .1. .i.ii :•.; I; uni...'.1::, e' i DATE

T r n T P . R

.

_ • ■

•

•

11. GO •

kr

r - 1 -., Name ..... .-,,,

ey,14444 serial No. hang. Station Examination rogues ted by. ... M. c • Indicate Examinat i on Req,uesteu by chick f■/) ht.]. bl,Nr , ift:-.B-. C. . 5,350,000 . el.-B. c... 8,800 41,b. 85 . 4311TERENTIAL3 Neutrophiles .... . ....... ..44 .... Lymphocytes 26 Monooytes 8 Eosinophiles Basophiles Reticulocytes Platelets Color index• 'R. B. C. morphology.,. Parasites Clotting time .. L i . .. ,

Bleudino'tirt: Sedimentation rate Hematocrit Remarks ..

•

).f Lab.

Form 55 1,-1 11-1 BLOOD Medical 1)e t. U$.Amv (Revised 23, .1942)WRGH

URINALYSIS Date a- Met 104,..TwiloAltpn •

16--16149-2

Form 55 1C-2

7

TEMPEIZATURE—TREATMENT—NURSE'S NOTES

DATE A.M. P. M.

ST SFr Mnrnc,tvw A z•It. UOI:..arl ni.ella T r n T P R

Part to • ..gae_e:e_.:44:410:7:-././Yall4fdliank Part to'be examined Of treate-.1)

Clinieal diagnosis (include operations)

----------- 10____

Hospital

• Ward go

Film No. _

Upper G. I. tract appeared narr1.

4/6/44 1/- G. M. nratt, Copt.

RADIOLOGIC REPORT Date

T P

M. C.

1,,ya , C4-1; t 416/44

TEMPERATURE--TREATIVIENT-NIMSE'S MRS'S

11•11:11, " • • S 1 : • 1

L . •

J

• •

.„ 4;e4,, 4 Y.- Name kl ..i tt.34140?&Ttank Ward I Ago ;.1

Part to be rmi,Ji , ned (or t 1) ..... .....

Clinical diagnosis (include operations) -

Dat 19 _cc

Hospital

Lumbo—sacral spine is partially obscured by barium in the terminal ileum and colon. It appears nori,q-11 in so car :is it cn he seen,

;-

C. _

Film No.

Form 55 515LITCAL DISYAUTIIANT, U.S. ARMY

VI:FIL la; ha } 193: 11 V 111 11.03t I It

RADIOLOGIC REPORT

Date.

' • 6 L.1 -1••!,,1.4

P 0 A4, -1 ■ .11,11

DI.SE A. M. P. M.

St't

I