10- 9.,-1? to -I, I · Declassified Per E.O. 13526 dtd 5 Jan 2010 lebo , . CARL R. H. MARK Cemetery...

Declassified Per E.O. 13526 dtd 5 Jan 20

293 tmK. P. I . (MANlLAI2) X- 812

10-11 / 9.,-1? - to -I, I

/ (}cj~()


REC.JSSIFICATIO~ SHEET '

-

. ~ L--'","~~

NEW CLASSIFICATION ___ ~f:..~__ ----------------~----~!:..~~ ~~ ,)( -'~/r

BE~LASSIFI~ATION SHEET QMC Fonn 857 (Revised 6-27-42)


lebo , .

CARL R. H. MARK Cemetery Superin"C£iIUCl

P DISINTERMENT DIRECTIVE

//

SECTION A-NAME AND BURIAL LOCATION OF DECEASED "1'147 80687

NUMBER GRADE

PLOT GRAVE

P. I. 2

AND ADDRESS OF CONSIGNEE NAME AND ADDRESS OF NEXT OF KIN

lBIfBD 8!A.!IS m.I!Allt CIII'i'Klt! l ft. We azIlLBt, P. I.

X-812

BY PHtLCOM

02 DAY MONTH YEAR

ARM RACE RELIGION

CODE DIST. CTR.

DATE DISTINTERRED

18 Feb 1950 TAG ON ORGANIZATION RELIGION IDENTIFICATION VERIFIED BY

Shelter Half MEANS OF IDENTIFICATION

PAUL R NICHOLS Embalmer NAME AND nTLE

Skeletal

x-4855 Maus

REMAINS PREPARED AND PLACED IN CASKET

18 Feb 19 CASKET SEALED BY

CASKET BOXED AND MARKED

PAUL R NICHOLS

BAJ,MOND H TANGUAY Sgt Ie RA

SHIPPING ADDRESS VERIFIED BY

L. W. RICHARDSON RA I hereby certify that all the foregoing operations were conducted and accomplished under my immediate supervision

and that the report above is correct.

-0w.~ i?: vw•

REMARKS AND SPECIAL INSTRUCTIONS

RECORD OF CUSTODIAL TRANSFER

TO

AGRS MAUSOLEUM U S MILIT ARY CEMETE-:n. NAME OF CONVOYER

DATE SIGNATU~E OF RECEIVER

NAME OF CONVOYER

DATE SIGNATURE OF RECEIVER DATE

NAME OF CONVOYER


NAME OF CONVOYER


NAME OF CONVOYER


NAME OF CONVOYER

J.. SIGNATURE OF RECEIVER • r DATE

NAME OF CONVOYER

DATE SIGNATURE OF RECEIVER

('

\ C

~ Declassified Per E.O. 13526 dtd 5 Jan 2010

.... 'ARED BY PHILCOM . -.

~CIo1V1~2H'bb DI~IN tHMENT DIRECTltE I "

~ IS DY.1E 21(>~'Vlntsr m ISECEIAEIS IOV1E

\!d.I f~.~~!!ON A-

DIRECTIVE NUMBER DATE

KII-ID O~ COI-1AEAVIo1( Io1VW 01 rr.. ,("Ul:ll.. .~. ... a!I ... .. ",n ~ " .. _ IHHttAt-t8CAff9 ::r . ' ..... ~.

DAY MONTH YEAR

1** I""DI .... , •• "D I GRADE ARM I RACE IIIFIIr.lnN

• ...... 1 12HlbbEO - -~""'''.~" PLOT ROW I GRAVE ",., .. ",~, ,"" O~ ~I'U.UN"

. ?ICIo1V H' ".., r~

_lin..&. m _ L P .. !.t.!E ~IC".1nlS ~AJ:" a.Il. 'I'Jm. I !. .~. ---.... CODE I DIST._~

1011 J 0, r~"Ih\EA"L1CE SECTION B . CONSIGI ,._" • ,I:r' "" NAME AND ADDRESS OF CONSIGNEE ~AME AND ADDRESS OF NEXT OF KIN

tl!0W 10

. _!!IlIA.'" .... -..x e' 2. IbbEO" ~ ~ ~

~ .... ,r 11:". ,.I.. .-.. ,.a ,~"'''' .. .,. 'I r

?IC~1V1nISE 01: 2Hlbl.Et. ~£CTIDN t It.KM t.llt-." " ' IB'EN'ft1 NAME SERIAL NUMBER IGI ADE IDATE OF DEATH DATE DISTINTERRED

1<'1.10 O~ ~OI-lAEAV"'CE I-tYWE 101: COIo1.·,OAEIS -'~TION TAG ON nllr. '"V~ 10 ID"'It:.It'\N I ,,,,,,,,,"fICA TION VERifiED IY

n lII'u.a.INl;. 2' 2Hlbb£D

o MARKER NAME AN

SECTION 0-I PREPARATION OF REMAINS FOR SHIPMENT

"1UU'IIl' ." IDYlE 1-KJo1 01: COI'I"r. YHCE I'IYWE 01: COI'IAOAEII

OTHER MEANS OF IDENTIFICATION

l;ISOW .10

f 2HlbbED

MINOR ,Nr,I''' (Prepare Discrepancy Report Q He Form 1l~ ~4a for major d.; ~. ,n"i ... Q.)

2ICHV, m 2l-ilbbEIS DYlE 21CI-tV.1nISE 0" ISECEIO\EIS

Kli'1D 01: COI'IAEAYHCE I-tYWE 01: COIo1AOAEIS

REMAINS PREPARED AND PLACED IN CASKET

l~OW .10

DATE IY r (;"'DD~U CASKET SEALED BY t::>"nature)

21.:I-tYJ.nISE Of, 2HlbbEil DYJ.E 21CI'IV.lnISE 01: ISECElAEil

CASKET BOXED AND MARKED '" iIP"ING ADDRESS VERIFIED BY ;'"

KII'ID 01: COI-tAEA YIo1CE Io1YW!= 01: CO ..... AOAEIS

DATE IY

~.oW I h.erebY_.1:erfjfy that all the ~. .:. were LLO.". and . I!. under my'" .. II

and that the report above is correct. l' 2HlbbED

c'l,;ntJ.nISE 01: 2HlbbEJI DYiE 21CI'IV1nlSE 01: ISECEIAEIS

SIGNATURE OF AGRS 1~;)I"~'VII

...,....,..,. ."~INSTRUCTIONS Io1VWE 01: N"IIAAt'\ l""

~OW J.O F ~ ". r - ,. " , :,~,

'-' \. " ~,.,~

EC D O~ Cn210DIVr 11$ 2~EH

I QMC FORM 1194 REV1t FEB ..

.n

DY.lI:

P nm

IDYU

DYlE

DVlE

.: .

DV.1E

I

,

~

1'1

!

II

!.!

Ii

I ~

I ~

,

.

Ij Ii II

II


RECORD OF CUSTODIAL TRANSFER

1. SHIPPED FROM TO

NAME OF CONVOYER

2lC~YlnlSf 01: VCIS21H2bEClOIS

SIGNATURE OF SHIPPER DATE SlGNATUJIf OF RECEIVER DATE

c~ q auq accow

CY2KE!. 1l0X(i) \1110 W\lISII"EO

SIGNATURE OF SHIPPER DATE SIGNATURE OF RECEIVER DATE

3. SHIPPED FROM TO

EWVI~? blSEbVISEO Vl-lu br CEO 111 CV2KEl

ND OF CONVEYANCE NAME OF CON VOYER


4. SHIPPED FROM TO

IjlHE~ ,

ICIND OF CONVEYANCE NAME OF CONVOYER

DATE ~"~~~PP~E~R __________ ~ __ ~~~~r.D~A~TE~~C ~a. ... v~ 2ECI1011 0 bdEbYIlVlIOM OlllEWYIH2 lOIS 2HlbWEHl

HYWE Y lI.1fE

KIND OF CONVEYANCE H'1¥"E

SIGNATURE OF SHIPPER

FROM

OISCYI1IIV 110101

tiE Yl-10 \l001S1:22 01: COH2ICI1EE

SHIPP R

5. SHIPPED TO ISEnCIOH 10EHlI ICYllOH AEISII:IEO fA

NAMEIOF CONVOYER C YOE OVJ.E 01: OE"'lH O\lU DI21IH.1EISISED

DATE

YWE· VHD \lDOISE22 O~ I1EXl m KJI.1

2ECI10M B - COM21C ~O v ....

nw

D'MECIIAE l!10W ,,~ OV.1E


-Unk. p. I. anile) (X-4849 , !-2G06y 28cY/-1l tlu'u I-2S~, X-Z795, 279frA, Z79?

Tbru X-Z'/99, x 4101 and 1-4102) 26 J, ml 1950

Tdan 1f1cation of World W r II Doc sod

0 10

~

de to find nz of nld.nt1fiabll1 W d.

-4B49~ AGRS U8. l!12Jl1la, formerly X-816 II USAF Cam. :lfm.. 412 050. tf It " X-Q20 " n " n

" ~l# " " .. X-821 " " -tt-.. " ;It

x-4852. tt " " X-822 • n .. " .P

" X 85l: " " " X-B2; I' If If n " II

x-ha; .. " • " x-824 • It If " " ~

" X~55. " " " If X-812 • " " It •

" x-4656. " It " n 1-814 • If (1 " 7 " " X-615 .. " " tt

• 58. • " " x-C16 • " It " ~ • -2006. " tt X"2936, " p If • X-2007-A, If " " r. • -2937. n " .. " II

~a06. If " n " X-2930. " " " , .''-' .l1l--tt

~ • X-260C). " n n X-:/I . tt ft , X-2810. " n " .. O~ It If " ,

~ -2611, n " " tt X-2941. tt n It n • .. X-2012. n " " " X"'2942. " " " " • n X-219', If " x-2943. " " " n • 1--2'794 " n If " x-2944 .. It " " It ,.

" X-2'/95. " " " n X-2945 " n " " r. .. -Tl .. X-2796-A,. " " :'/ X~. " ft .

• " 1..-2797. " It " " X-29!.7. If n If ,. It X-2798. ft " tt " .l-~, n ft • n

• " X-2199. " " It " X-2949. tt n " • • X-4101. Uani1 if2.. P. I. n X-2796-B, AGRS Uaus. llan11a , • X-4102. " If n X-2607-B, It n •

2. Reo ndat10na for Unidentif b1lity haft been approv d by thi. Ottiuo. n quest your r.co~ be am nded aooordingly.

'llm '-LUARTERUASTER Gz...1lER..~,

~~Z REB A.. c. King. 1'YIS Lt. Colonel. 1.. ~. nute Meaorial Divis! n TEe J r.1Ddaor

AllUlAIL

Co .~ ••


• • HEADQUARTLRS PHILCOi~! Zm~E

A~ :jERICAH GRAVES REGISTr-0~TI01~ SERVICE

SUBJECT: UnidenUfiable Remains

TO The Quarterme.ster Washington 25 ;1 D. C. Attn: Memorial Division

__ 12 __ . Dec +949 Date

The records pertaining to Unknown X - 812 , Plot 2-, Row -.3Q. , Grave 2481 ,USMC USAF Cem. mnila it2 have

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

evidence is available to establish the identity of this deceased,

and that thos0 r emains should be classified as unidentifiable.

FOR THE CeMMANDING OFFICER:

Attch: Form 1044

. -~lAR

Captain, QMC Chief, Records Branch

IDENTIFICATION DATA REMAINS OF UNKNOWN 2. 01. TE

'L T"( C" X-4855 NA~E OF CEMETERY

uGR L1ausoleurn,

8. ESTIMATED WEIGHT

lTD .GIVE DESCRIPTION OF ANY OFFICIAL IDENTIFICAT ION

tor E

I).GIVE DESCRIPTION OF TATTOOS OR SCARS ON BOOY ANDIOR SUCH INFORMATION OBTAINED FROM OTHER SOURCES

1; T D

WAS BODY BURNED TO WHAT EXTENT

CJ YES Q9 NO WAS BODY MANGLED ? 10 WHAT EXTENT?

CJ YES [LJ NO DESCRIBE EVIDENCE OF HEALED FRACTURES AND BONE MALFORMATIONS

TOT E

17. LIST EVERY ITEM OF CLOTHING, EQUIPMENT AND PERSONAL EFFECTS FOUND, SHOWING THE TYPE, COLOR, SIZE, MARKINGS, SERV ICE, ETC. (11 laundry _rlr •• re JndJ.tinct such not.tion ahould be •• de .nd .".ei", .. n for".rded throu,h eh.nnel. lor ...... in.tion "hen I.elljti •• • re not .... JI.bl .. in th .. • re.)

TO:

"U NIL> E NT ~ f' sAB L E" "BY REASON OF LACK OF SUFFICIENT IfJENTIFYING DATA"

OMC FORM 10'IU REV 18 MAR '11 ....

PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE

29E-21-12-47 PAGE 1 OF 3


, MISSI •• TEETH: ALL TEETH MISSING THROUGH EXTRACTION (NOT THOSE FRACTURED OR DISPLACED BY RECENT WOUNDS) SHOULD BE ·X· '0 OUT AND LABELED THUS:

CRc.lNEO TEETH: BLOCK IN SOLID AND CR()t/N OF TOOTH (LABEL GOLD, PORCELAIN, SILVER OR GOLD AND PORCELA IN). THUS:

BRIDGE WORK: BLOCK IN SOLID AND CROWN 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 ... UJee): OUTLINE LOCATION AND SIZE OF CAVITY. SHADE IN THUS:

.f Toofh Mlssil1g" :\-

eY~G9®

Bridge

e Gold F11linq ~Si/Yerfi'//;l1g

cr~~<8 ~Covity Oecoyed

6)~e3B

eJ~®@

[j

WQ~()

wi3QO Ow~l)

id. Vi •••

l5JQJcrJoe~ \) @OOO(39G3(t) @@lffi~(2)0~~ &&6~G2@JPfliJ Lo.n

DUTURES (PI.t .. ): DRAW DIAGRAM OF RELATIVE SIZE AND ING CLASPS ON NATURAL TEETH WITH THE WORD. ·CLASP,·

...& '.C.K : M xillt:. is fractured 0., media .... ':i"e .

RETAIN

p ur ':. TJCTTCIS Chief, Ide.,tificatio~ Sec

29[·21-12·47 PAGE 2 OF 3

20.

X-4655 MA CK OUT PARTS OF BODY NOT o

timate height - l~D

MASS BURl AL CUT!'I CATE (1' APPL1CABL~) (Whereln se~re,atlon In whole or part. 1. l_posslble)

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

SI8MATURE OF MEDICAL OFFICER 21. REMARKS ANO ADDITIONAL INFORMATION

o .CI, ide~tificatio~ taes or perso~al effects ou~d with remai~s .

timated eight of remai~s - 71 bs .

Circumfere~ce of skull - 2lt i~ches .

" E SO 0 Le i 0, IJ FFIC}ENT ft'J£NTlFVI G 0

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

TYPEO NAME, GRADE, ARM OR SERVICE, AND ORGANIZATION

1i.UL I . 'lCHOIS Chief Ide ...

ote FORM I Oll14 b 18 MAR ~1 29E-21-12-47

IDENTIFICATION DATA REMAINS OF UNKNOWN 2. DA TE OF REPORT

~-4g55 (For X-812 Ce • Mnnila #2) NAME OF CEMETERY

Dec J, 7 12 13

8. RACS (J:':) mr.r( • .

2.GIVE DESCRIPTION REMAINS

N 0 J E

1).GIVE DESCRIPTION OF TATTOOS OR SCARS ON BODY AND/OR SUCH INFORMATION OBTAINED FROM OTHER SOURCES

UTD

14. WAS BODY BURNED ? TO WHAT EX TENT?

D YES CD NO WAS BODY MANGLED? fO WHAT EXTENT?

D YES co NO 16. DESCRIBE EVIDENCE OF HEALED FRACTURES AND BONE MALFORMATIONS

NON E

11. LIST £VERY ITEM OF CLOTHING, EQUIPMENT AND PERSONAL EFFECTS FOUND, SHOWING THE TYPE, COLOR, SllE, MARKINGS, SERV ICE, ETC. (If I.u"drr _ria .r. ;"dlstJnet such not.tlo" ."ovld b. _d • • net .,..e •• on 'orw.rdod tltr<_,1t elt.n"e/. for ." •• i".t.o" .. lton f.ei ·IHi •• • r. IIot ••• il.blo 'n tlto .r •• )

QMC FORM 10'1\1 REV 18 MAR "1 ....

rOE

PREVIOUS EDITIONS OF THIS FORM ARE OBSOLETE 29E-21-12-47 PAGE 1 OF .3

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

CRGlNEO TEETH: BLOCK IN SOLID AND CRClIIN OF TOOTH (LABEL GOLD, PORCELAIN, SILVER OR GOLD AND PORCELAIN). THUS:

BRIDGE WORK: BLOCK IN SOLID AND CROWN 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, C EI4E NT) , THUS:

CAR IES (en If lee ): OUTL I NE LOCAT ION A NO SIZE OF CAVITY, SHADE IN THUS:

DEIITURES (PI.t .. ): DRAW DIAGRAM OF RELATIVE SIZE AND ING CLASPS ON NATURAL TEETH WITH THE WORD, ·CLASP,·

.f. Toofh Missil1fJ. ::\-

e~G9®

Bridge

e fJo/d hl/lnq ~Si/Yerfi'//iI11

e:r~~<8 ~CoYl'tY Decoyed

~e3B

,~ill~ is !r ctureJ o. 3GJi~n lin~. 12 is und velopod.

L(J~®@

Q00 wQ~D

tJi3QO

OQC30

id. Vi ....

UPPER

/ I Cpl. Joseph D. .1urphy

o.c FORM I Oij~ a 18 MAR ~1

29E.21-12·47 PAGE 2 OF 3

20·


5 12 1I.ur . 'L.8 PARTS OF BODY NOT RED

Lst . Ht . - UTD MASS BURl Al CUTI FI CATE (IT APPLICABL

(Wherein s8,re,ation in whole or part. i. i_possible)

I CERTIFY THAT THE GROUP REMAINS CONSIST OF PARTS OF_---:::-::-:-:-=-=-::--_DECEDENTS BASED ON THE PRESENCE OF ONE OR MORE OF THE FOLLOWING ANATOMICAL PARTS: .UMBER

SIGNATURE OF MEDICAL OFFICER

21. REMARKS AND ADDITIONAL INFORMATION

These remains were one of the group disinterred from Grave 717, Row 0, Plot 7, at PO Camp Cabanatuan, Luzon, P. I .

No identi ication tags, personal ef~ects, hurial.bottle or other means of id~ntin4cution found wit rema~ns .

Circum e~enc~ a the skul 21, in0 es . stirnated{ei~ht of remains 7~ lbs .

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

SIGNATURE TYPED NAME. GRADE. ARM OR SERVICE. AND ORGANI ZATION Ipl .... ::>, l.D F . 'O'lI {TY Emb . Sup

CIP L·b . Mani a, P. I . lsi Ed'lard F . t.oriarty

01«: FORM 10"" b 1B MAR ~1 .... 29E-21-12-47

FORM 1042 1 Apr. 1945)

(Supersedes GRS Form 1)

Imprint Identification Ta, II P05lible . DO NOT TYPE

PLACE OF DEATH

• .'0 •. Cam, Cabanatuan, P I

RESTRICTED

REPORT 'OF INTERMENT (AR 30-1810 and AR 30-1815)

ORGANIZATION

Civilian RACE RELIGION

CAUSE OF DEATH

EMERGENCY ADDRESSEE (N"""" ,el4liomAip, "lid udd,_)

DATE OF

SERIAL No.

BRANCH OF SERVICE

IF OTHER THAN U. S. DEAn. GIVE NAME OF COUNTRY

DATE OF DEATH

IDENTIFICATION TAGS FOUND ON BODY (1, t, or 110M)

None

IF NO TAGS FOUND ON BODY. DESCRIBE MEANS OF IDENTIFICATION (II .. "ideotlified, flU '" • ..,,"'" 8 "" ,,,,,,,, .. )

"corls in ~icete f'ourteen (U, ) bo 11,,5 rOlUl:1 in CO'll.mon ""''''c.ve, lirteen (13) of which were uniuentified : -

WERE SUBSTITUTE TAGS PROVIDED7(Y ... or .... )

Ye"" ,e Sec 3 r everse side)-UST PERSONAL EFFECTS FOUND ON BODY AND DISPOSITION OF SAME

None

NAME. NUMBER. COORDINATES. AND LOCATION OF CEMETERY

DATE OF BURIAL HOUR BURIED IN (Sh,ovd, bla"ket, or """'" olotMr) TYPE OF GRAVE MARKER

PLOT No. ROW No. GRAVE No.

12 Jnn 46 WAS THIS A REBURIAL?

(Y .. or no)

Yes

09')0 S l-J.e 1 ter H:J ro Cross IF A REBURIAL. INDICATE NAME. NUMBER. COORDINATES OF PREVIOUS CEMETERY. AND

;V. 01" nps I ... II r,;'lb~l"I~tu'" t; llet<"r.,r, TJuzon, .tT 45 .7-70.9 1/50 000

TYPE OF REUGIOUS CEREMONY

PERSON CONDUCTING BURIAL RITES IF IDENTIFICATION TAGS NOT USED. DESCRIBE IDENTIFICATION DATA AND CONTAINERS BURIED WITH BODY

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

IDENTIFICATION TAG ATTACHED TO MARKER (Y .. or ..0)

Yes [~s

BODY BURIED ON DECEASED LEFT. NAME (Leul, !i,ll, middle ,,,Uial)

-131' (~I' HL"'''::;''''', John, mf!~' "'l" G-?71 Cab~ - _ t"an C .,oter J

BODY BURIED ON DECEASED RIGHT, NAME (Lan, !i,ll, middle ,,,Uial)

mTV' r - T '{ B13 (u co,., - " ~ ' ) '-' j .~ • - LUh .J.} ,....:;t'VI't;;l1C'e.h.

(;>Qrmerly UNKF ~i C-27j vabanatuan Cemet'3r SIGNATURE OF PERSON PREPARING REPORT

G':S.

RANK SERIAL No. ORGANIZATION GRAVE No.

C:,1 1Q ,040097 21 .:'UP. 248~ RANK SERIAL No. ORGANIZATION GRAVE No.

Sgt 61372$0 31st Inf 2482 SIGNATURE OF GRS OFFICER VERIFYING REPORT

Isltl L . ' . J,K}"'RE, 1st :'t ., ~dC .

DISTRIBUTION OF REPORT: Si,ned ori,inal for U. S. and alljed dead, ai,ned original and one copy for enemy dead, to the Quartermaater Oeneral through Headquarter. GRS Officer. Copie. for retention in theater aa prescribed by theater coaunander.

RESTRICTED

Declassified Per E.O. 135:20 dtd 5 Jan 201

RESTRICTED

INSTRUCTIONS: (a) Great care will be taken to record the most minute clues for the future identity of un ide ntified rp. .

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 numbe rs of ai rplanes, veh icles, and tanks .

(b) A fingerprint , or prints, are the most valuable of all clues. Imprint all fingers and thum bs in the J..------------I chart at left , or as many as possible. If no fin~erprintor prints can be secured, the condit ion of each a nd

every tooth will be indicated on the tooth chart In accordance with diagram below. Tooth cha rt will flot be accomplished if one or more fingerprints are secured.

HEIGHT WEIGHT COLOR OF EYES COLOR OF HAIR BIRTHMARKS. SCARS. OR TATTO~S

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

;r: c ~r;; :!':!J OTHER IDENTIFICATION CLUES ~ ,., "

FILLINGS

CAVITIES

MISSI,NG TEETH

H

~SILVEA FILLING ~ GOLD mLlNG

~COAVITY I~ECAVED

~OTHMISSIKG

~

~!C£UIHCROWN ~lDCROW"

~OLDBRIDGt

,..)"-' ~ . ..

FURNISH SKETCH AND MAP REFERENCE AND COORDINATES FOR BU RI AL IN OTHER THAN ESTABLISHED CEM ETERY

Yor 1.:: , aAor"'e Sr. Ci vi] !lin S"'t Hanscom, Lawrence K. 6137280 Cpl .uark, John 278681 Cp1 Collins, Fredrick G. 6578~18 Cpl immon~, George G. 19019886 Pfc Gutierrez, Juan E. 2024.3125 Pfc Lobdell, Lloyd J.. 206L~5267 k

ich()l;3 A. 7009171 REMARKS: MD

Kelder, 36016623 HD r Kova.c"!, John 20500764-~:£ irschi, Harold S. 19038407

, ~g . Pvt Overby, :Zvuns E. 13035026 19 Bomb . ~ T is bodies wero b1.lr; e:i in this rtrave l:'Iut i j' 'J 1

f · t" ' hI 6 n lVl ua iden-~c& ~on lS 'O.,Sl. t"

RESTRICTED 29E·21-12-47

·~ -FORM 1042

1 Apr. 19(5) (Su~ GRS Form 1)

Imprint Iden tification Ta, II Possible. DO NOT TYPE

PLACE OF DEATH

~ Camp, Cabanqtuan, T,uzon, P . I .

RESTRICIED

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

NAME (Loat. firat. middle i"itia!) UIJfN'J TN \-4<:355 (Formerly UNK " -812 ITS F CeM "ani la "2, T,uzon, P. I . )

GRADE ORGANIZATION

Unknown Unknom RACE RELIGION

TJnkno1'Tn Un.1(nOi'lll CAUSE OF DEATH

TJnknovrn EMERGENCY ADDRESSEE (Name, re/atiomAip. alld addr ... )

• TJnknovm

SERIAL NO.

Unknown BRANCH OF SERVICE

Unknown

IF OTHER THAN U. S. DEAD, GIVE NAME OF COUNTRY

DATE OF DEATH

Unknown

IDENTIFICATION TAGS FOUND ON BODY (1. !, or n/lM)

IF NO TAGS FOUND ON BODY, DESCRIBE MEANS OF IDENTIFICATION (If ""identiMd. fiU i" .,,'ion 8 em r._)

Fone See Remarks WERE SUBSTITlfTE TAGS PROVIDED7(Y .. or no)

Yes (2) LIST PERSONAL EfFECTS FOUND ON BODY AND DISPOSITION OF SAME

None

NAME, NUMBER, COORDINATES, AND LOCATION OF CEMETERY

DATE OF BURIAL

12 ug 4Q WAS THIS A REBURIAL?

(Y .. or no) ES10K~aJ

TYPE OF GRAVE MARKER

Capt . ,

Yes US F Cemet ery Manila / 2, Tuzon, p. I . TYPE OF RELIGIOUS

CEREMONY PERSON CONDUCTING BURIAL RITES

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

fes

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

Yes BODY BURIED ON DECEASED LEFT, NAME (Laal, firat, mW!. i"itial)

10Y, I.eon BODY BURIED ON DECEASED RIGHT, NAME (Loat, firat, mW!. i"ilial)

SIGNATURE OF PERSON PREPARING REPORT

IF IDENTIFICATION TAGS NOT USED, DESCRIBE IDENTIFICATION DATA AND CONTAINERS BURIED WITH BODY

RANK SERIAL No. ORGANIZATION GRAVE No.

,0 ""-" CkY I

Pfe 34153$07 186 Inf 1957 RANK SERIAL No. ORGANIZATION GRAVE No.

Co "I" enl

Pfe 37130217 127t~ Inf 1953 SIGNATURE OF GRS OFfiCER VERIFYING REPORT

18 It I ~rr; •

DISTRIBUTION OF REPORT: Si,ned ori,inal (or U. S. and allied dead, li,ned ori,ina! and on. copy (or .nemy dead, t.O the Quartermaater General throu,h Headquarter. GRS Officer. Copi •• (or retention in theater a. preactlbed by the_ter commander.

RESTRICTED


t.l ... '""'"" _________ -.;:::;..~~....., J

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

mains. Fill in' an'atomical 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 finaers and thumbs in the 1------------1 chart at left . or as many as possible. If no fin~erprint or prints can be secured. the condition of each and

every tooth will be indicated on the tooth chart In accordance with diaaram below. Tooth chart will not be accomplished if one or more fingerprints are secured .

HEIGHT WEIGHT COLOR OF EYES COLOR OF HAl R BIRTHMARKS. SCARS. OR TATTOOS

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

3: <;

~f;; :!'~ OTHER IDENTIFICATION CLUES ~ !;!

FI LLI NGS

CAVITIES

MISS I NG TEETH

CROWNED TEETH

BRIDGE WORK

if SILVER Flllt"G GOLD FILLING

\

~COAVITY I~£CAV£D

~OTH MISSING

~

~!CEUIHCROWN ~LDCROWN

a Ol:> BRIDGE ,.,)v ,

•

8

DIAGRAM REPRESENTS THE MOUTH WIDE OPEN

FURNISH SKETCH AND MAP REFERENCE AND COORDINATES FOR BURIAL Itl.OTHER THAN ESTABLISHED CEMETERY

~.LC).KS: aIlK '{-1()-55 1}1<:: .Euso1eum, anila, -'.1 ., fo"'ml'lrI.r :11'1. X-812 US F Cern Manila ,'2, Luzon, P . r., could be anyone 0 the f'o11o'ilin", listed buri l.3 'ill the Cabanatuan roster :

YC'U..., '.reor ~e Sr. Civilian

REMARKS:

pI lU .K, John. 278681 CDI coLLI S, Fredrick G 6578818 Cpl SI r 0 IS, 1 QJ19°"6 prc If) T)EIJ ?06L E 7 Pvt Pvt :..J 1, Fvt .. OV C f, John Pvt Klq~CHI, Harold S Pvt OVER Y, Evans

30016623 20500764 1 Qa3~/,.a7 13035026 19 Bomb

Me Form 1044 , 1044- and 1044-:3 accomplished .

RESTRICTED 29E·21-12·47

Declassified Per E.O. 13ST6 dtd 5 Jan 2010

,

'Ito C 1025 . . )/1.-( K£.:!t 1 ~Ir 1 £.U . WD QMCFORM Ui42 REPORT OF INTERMENT

DATE OF REPQRT (Rev. 1 ~r. 1945)

7 Feb 46 (Superaedes RS Form 1) (AR 30-1810 and AR 30-1815)

Imprint Identification Ta, If P o .. ible. Section l.-IDENTIFICATION. DO N O T T Y PE

NAME (L<ul, firsl, middle initial) SERIAL No.

UNKNO,iN X-S12 (YORK, George Sr) (Formerly UNKNO,JN C-272 Cabana tuan Cemetery GRADE ORGANIZATION BRANCH OF SERVICE

0 Civil~an I'

RACE RELIGION IF OTHER THAN U. S. DEAD. GIVE NAME OF COUNTRY

-. PLACE OF DEATH CAUSE OF DEATH DATE OF DEATH

POi; Camp Cabanatuan, Luzon, P I

EMERGENCY ADDRESSEE (Name, rel4tionahip, and addr ... )

- - -

IDENTIFICATION TAGS FOUND ON BODY IF NO TAGS FOUND ON BODY. DESCRIBE MEANS OF IDENTIFICATION (If unidenlijiMl, fiU in section $ on reller ... ) (1, ~, or none) Records indicate Fourteen (14) bodies found in common

None grave , thirteen (13) ,Of whicfL.were unidentified_:;' I

~ : - . ".t _ WERE SUBSTITUTE TAGS PROVIDE07(Y .. or no) u'

Yes (2) -(See Sec 3 side)-reverse

LIST PERSONAL EFFECTS FOUND ON BODY AND DISPOSITION OF SAME

~7V1 None

Section ') DII DOA "" ' map .,,;,

NAME. NU MBER. COORDINATES. AND LOCATION OF CEMETERY

USAF Cem",tery Manila #2, Luzon, P I

DATE OF BURIAL HOUR BURIED IN (Shrt1lUi, blanUl, or na ..... of oIMr) TYPE OF GRAVE PLOT No. ROW No. GRAVE No. MARKER

l2 Jan 46 0900 Shelter Half Cros s 2 201 24S1

WAS THIS A REBURIAL? IF A REBURIAL. INDICATE NAME. NU MBER. COORDINATES OF PREVIOUS CEMETERY. AND LOCATION OF GRAVE (Y .. or no) POd Camps I & II Cabanatuan Cemetery, Luzon, PI Yes PLOT No. ROW No. GRAVE No.

45.7-70. 9 1/50,000 7 0 717 TYPE OF RELIGIOUS PERSON CONDUCTING BURIAL RITES IF IDENTIFICATION TAGS NOT USED, DESCRIBE IDENTIFICATION DATA AND

CEREMONY CONTAINERS BURIED WITH BODY

.. . , . IDENTIFICATION TAG BURIED WITH IDENTIFICATION TA~ ATTACHED TO .,

BODY (Y .. or no) MARKER (Y .. or no

Yes Yes . ,. ' . .. , '. . .,

BODY BURIED ON DECEASED LEFT. NAME (L<ut, fi rat, middle i"~ RANK SERIAL No. ORGANIZATION GRAVE NO.

It "" UNKNO,iN X.:..sll (RICHAHDSON, John , )

Cp1 19049097 21 PUR 24S0 l'1. lUI:: ·l.v TTNKN()"l\T C':'271 Cabanatuan Ce,'""'''' "' ... ,,) BODY BURIED ON DECEASED RIGHT. NAME (Laat, firat, middle .initial) RANK SERIAL No. ORGANIZATION GRAVE No. . .

Ie'" UNKNOdN X-B13 ( HANSCOM, Lawrence . K)

Ilt ·1.v INK N )\JT\T C-27'1 r.::th::tnJ:ltuan Cpm""+~rv) Sgt 61372S0 31st Inf 24S2

"GNATU"O~;'; SIG~:ATUREO! G?:~~ ---- '/:::¥ ____ J' •

;. ' . lAKttl',_T, bjogl. . , GRS . . E. L bmORE-L 1st Lt . , Q,11C . DISTRIBUTION OF REPORT: S iAned ori,in al for U. S . and allied d ead , si,ned ori, inaland one copy for en emy dead, to t h e Q uar t er master General t hrou,h Hea cJqua~te,rs GRS Officer . Copies for retention i n t h eater as prescribed by t h ea t er commander .

~i I RESTRICTED 16-43997- 1

.

" . h "

INSTRUCTIONS: (a) Great car e will be taken to record the most minute clues for the future identity of unidentifiild re

mains. Fill in anatomical characteristics below, and any other clues under "Other," such as shoe size , social security number; pos ition of body found in airplanes, veh icles, and tanks; and serial numbers of airplanes, vehicles , and tanks.

(b) A fingerprint , or prints, are the most valuable of all clues. Imprint all fingers and thumbs in th e chart at left, or as many as possible. If no fingerprint or prints can be secured, the condition of eac;h and every tooth will be indicated on th'e tooth chart in accordance with diagram below. Tooth chart will not be accomplished if on e or more fingerprints a re secured.

HEIGHT WEIGHT COLOR OF EYES COLOR OF HAl R BIRTHMARKS, SCARS, OR TATTOOS

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

" ,

/ : .. .. Z J " ~::!

..,(i) -J: a'i-i !a

3: C "::0 J;;iii

~:!j G>

!a

~ li::! ..,(i)

~:!j !a

, "

' I:

,(' ( ~::! . .. ". ..,(i) . .. z:!j G>

'" ::0

OTHER IDENTIFICATION CLUES

S

CAVITIES

MISSING TEETH

" : ... • • r ~\

"if51l\f(R filLING. r GOLO FlLllNG

• • I ~

~Ct.vITY I~ECAVlC

C»)'1OOTH MISSING

~

. ~!CELAIN CROWN ~LDCROWH

raOLD BRIDGE ,.,)v

. • . t

, '\

8

DIAGRAM

16

FURNISH SKErCH AND MAP REFERENCE AND COORDINATES FOR BURIAL IN OTHER THAN ESTABLISHED CEMETERY

York, C~orge Sr . Civilian /fXrJ, Sgt Hanscom, l.a.-renee K. 6137280 31 Inf

Cpl Ruark, John ', f . 278681 USMC Cpl Collins, Rredrick ~. 6578818 QMC Cpl Simmons, George G. 190198 6 60 C ~C

1 0<' tv' Pfc Gutierrez , Juan E. 20843125 200 CAC Pfc Lobdell, Ll.oyd J. 20645267 192 Tank

I r ,J Pfc N-' c hell:) ij.,pYQY ~ . 7009171 REMARKS: Pvt ,laid, Charles F . 19049058 1ID

Pvt Kelder , Arthur H. 36016623 MD Pvt Kovach, John 20500764 Pvt Kirschi , Harold S . 190384(17 Pvt Overby, .llivans E. 13035026 19 Bomb

This bodies were buried in this ve but individual :tdentif~

• RESTRICTED GOVERNMENT PRINTING O,'ICE

J1

10- 9.,-1? to -I, I · Declassified Per E.O. 13526 dtd 5 Jan 2010 lebo , . CARL R. H. MARK Cemetery...

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Transcript of 10- 9.,-1? to -I, I · Declassified Per E.O. 13526 dtd 5 Jan 2010 lebo , . CARL R. H. MARK Cemetery...