Your Full Name
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In the spacebelow list the name of Veteran from the Brunswick, Knoxville, Weverton,Sandy Hook, Petersvile, Jefferson Adamstown, Pont of Rocks and Burkittsville area that are in the Brunswick High School districe and burial can be anywhere.
If a BHS Alumni show year graduated if known
Deceased Veterans Last Name First Name Middle Name or Initial Age Branch of Service (Check) Army Navy Marines Air Force Women Army Corp Seabee Coast Guard Nurse Others Name of Company/Regiment/Division etc for Army/Marines Air Force Navy others specify. Rank
Medals/Ribbons (Check) Silver Star Bronze Star Good Conduct Purple Heart WWll Victory Air Medal Army Commendation Meritorious ServiceCombat Action Vietnam Campaign Vietnam GallantryPrisoner of War Korean Presidential Others Awards (Check) Combat Infantry Badge Airborne Glider Rifle Expert Pistol Marksman Other Awards
Date Entered Service Date Discharged
Date Born Date Died
Buried Section Lot Number