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WAR HISTORY COMMISSION

STATE OF VIRGINIA

MILITARY SERVICE RECORD

Name in full

(family name): Chaney

(first name): John

(middle name): Grammar

Date of birth

(month): Oct.

(day): 15th

(year): 1985

Place of Birth

(town): Staunon

(county): Halifax

(state): Virginia

(country): U.S.A.

Name of father: Robert A Chaney

Birthplace (country): Staunton VA

Maiden name of mother: Mary Ann Hughes

Birthplace (country): Staunton VA

Are you White, Colored, Indian or Mongolian: White

Citizen (Yes or no): Yes

Voter (yes or no): No

Church (denomination):

Married:

year:

at:

To (maiden name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Fraternal Orders:

College Fraternities:

Previous military service or training:

Education

(Preparatory): High School

(College):

Education

(University):

(Degrees):

Occupation before entry into service: Coca Cola [illegible]

employer: Coca Cola [illegible] Co.

Residence before entry into the service

(street number):

(town): South Boston

(county): Halifax

Present home address

(street number): Staunton

(town):

(county): Halifax

(state): Virginia