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Latest revision as of 17:03, 6 February 2020

ENLISTED RECORD AND REPORT OF SEPARATION HONORABLE DISCHARGE

1. LAST NAME - FIRST NAME - MIDDLE INITIAL Pedersen Peder B

2. ARMY SERIAL NO. 3. GRADE 4. ARM OR SERVICE 32 180 707 T-4 CE

5. COMPONENT 6. ORGANIZATION 7. DATE OF SEPARATION [] AUS Co C 105th Engr C. Bn 25 Sept 45

8. PLACE OF SEPARATION Septr Ctr Ft Dix NJ

9. PERMANENT ADDRESS FOR MAILING PURPOSES 800 S. Washington St. Alexandria Va.

10. DATE OF BIRTH 11. PLACE OF BIRTH 16 Sept 15 Norway

12. ADDRESS FROM WHICH EMPLOYMENT WILL BE SOUGHT See 9

13. COLOR EYES 14. COLOR HAIR 15. HEIGHT 16. WEIGHT 17. NO. DEPEND [] Blue Brown 5 9 1/2 190lbs 1

18. RACE WHITE NEGRO OTHER (specify) X

19. MARITAL STATUS SINGLE MARRIED OTHER (specify) [] X

20. U.S. CITIZEN YES NO X

21. CIVILIAN OCCUPATION AND NO. Structural Steel Worker 4-84.010

MILITARY HISTORY 22. DATE OF INDUCTION 4 Sept 41

23. DATE OF ENLISTMENT [blank]

24. DATE OF ENTRY INTO ACTIVE SERVICE 4 Sept 41

25. PLACE OF ENTRY INTO SERVICE Ft Dix NJ

SELECTIVE SERVICE DATA 26. REGISTERED YES NO X

27. LOCAL S.S. BOARD NO. 291

28. COUNTY AND STATE NY NY

29. HOME ADDRESS AT TIME OF ENTRY INTO SERVICE 410 Westervelt Ave Statn IS NY

30. MILITARY OCCUPATIONAL SPECIALTY AND NO. Carpenter Bridge 035

31. MILITARY QUALIFICATION AND DATE (i.e., infantry, aviation and marksmanship badges, etc.) Rifle M1 30 Cal EX 189 18 Dec 43

32. BATTLES AND CAMPAIGNS Ardennes; Central Europe; Mormandy; Northern France; Rhineland GO 33 WD 45 as amended

33. DECORATION AND CITATIONS American Defense Service Medal; Bronze Star GO 125 Hq 30th Inf Div; European-African-Middle Eastern Service Medal; Good Conduct Medal

34. WOUNDS RECEIVED IN ACTION None

35. LATEST IMMUNIZATION DATES SMALLPOX TYPHOID TETANUS OTHER (specify) 13 Dec 43 28 Oct 44 30 Mar 45 NONE

36. SERVICE OUTSIDE CONTINENTAL U.S. AND RETURN DATE OF DEPARTURE DESTINATION DATE OF ARRIVAL 12 Feb 44 ETO 22 Feb 44 10 Sept 45 USA 18 Sept 45

37. TOTAL LENGTH OF SERVICE CONTINENTAL SERVICE FOREIGN SERVICE YEARS MONTHS DAYS YEARS MONTHS DAYS 2 5 15 1 7 7

38. HIGHEST GRADE HELD T-4

39. PRIOR SERVICE None

40. REASON AND AUTHORITY FOR SEPARATION Demobilization as amended by TWX Tag 4 Sept 45 Convenience of the Government AR 615-365 15 Dec 44 RR1-1

41. SERVICE SCHOOLS ATTENDED None

42. EDUCATION (Years) Grammar High School College 7 0 0

PAY DATA 43. LONGEVITY FOR PAY PURPOSES YEARS MONTHS DAYS 4 0 22

44. MUSTERING OUT PAY TOTAL THIS PAYMENT $300 $100

45. SOLDIER DEPOSITS NONE

46. TRAVEL PAY $3.95

47. TOTAL AMOUNT, NAME OF DISBURSING OFFICER 152.58 H M FIX MAJ FD

INSURANCE NOTICE IMPORTANT IF PREMIUM IS NOT PAID WHEN DUE OR WITHIN THIRTY-ONE DAYS THEREAFTER, INSURANCE WILL LAPSE. MAKE CHECKS OR MONEY ORDERS PAYABLE TO THE TREASURER OF THE U.S. AND FORWARD TO COLLECTIONS SUBDIVISION, VETERANS ADMINISTRATION, WASHINGTON 25, D.C.

48. KIND OF INSURANCE 49. HOW PAID Nat. Serv. U.S. Govt. None Allotment Direct to X X V.A.

50. Effective Date of Allotment Discontinuance 30 Sep 45

51. Date of Next Premium Due (One month after 50) 31 Oct 45

52. Premium Due Each Month $6.98

53. INTENTION OF VETERAN TO Continue Continue Only Discontinue X

54. Right Thumb Print

55. REMARKS (This space for completion of above items or entry of other items specified in W.D. Directives) Lapel Button Issued ASR Score (2 Sept 45) 108

Application for Readjustment Allowance Public Law #346 Made Through State Virginia Date 10-4-1945

56. Signature of Person Being Separated Peder B Pedersen

57. Personnel Officer (Type name, grade and organization - signature) J E White Jr Captain AC J.E. White Jr.

WD AGO FORM 53-55 1 November 1944 This form supersedes all previous editions of WD AGO Forms 53 and 55 for enlisted persons entitled to an Honorable Discharge, which will not be used after receipt of this revision.