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NAA: B884, V16568 Series number: B884 Control symbol: V16568 Barcode: 6073936 Number of pages: 13 HOULT GEORGE SUTTON : Service Number - V16568 : Date of birth - 09 Apr 1904 : Place of birth - WARRAGUL VIC : Place of enlistment - ROYAL PARK VIC : Next of Kin - HOULT J These copies are provided for research or study purposes. Before making use of the material for other purposes (for example publication) you should familiarise yourself with any copyright obligations.

NAA: B884, V16568 · B .MEDICAL EXAMINATION ’ ~I have made full and careful examination of the abovenamed person in accordance with the instructions contained in theStanding Orders

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NAA: B884, V16568

Series number: B884

Control symbol: V16568

Barcode: 6073936

Number of pages: 13

HOULT GEORGE SUTTON : Service Number - V16568 : Date of birth - 09 Apr 1904 : Place of birth -

WARRAGUL VIC : Place of enlistment - ROYAL PARK VIC : Next of Kin - HOULT J

These copies are provided for research or study purposes. Before making use of the material for other purposes (forexample publication) you should familiarise yourself with any copyright obligations.

Referencei A. x,.v ”AL(CARD Form Info Svcs/1)Telephone: 9#9-5377Telex: 33464In reply quote:Information Services/Deputy CommissionerDepartment of Repatriation and C'\AUSTRALIAN ARMYompensationCentralArmy Records OfficeAlbert Park BarracksMELBOURNE VIC 300k1/ ;' /1'/ , ‘k .The following documents are forwarded with this etter: V 5:7 , , ,,,,,1 /M, ,a. Record ob. Attestation Papercjqé Medical Documents(1) Med 1(2)AAF 2,(3) F M d 2.(h) F ed 2A0(5) F ed #.(6) M" ro filmsq(7) X Rays.5 '1 JiDETAILS OF SERVICE DOCUMENTS SUPPLIED!;‘,;_\_/ “// ervice. I) 4” // /I L;; '.f S - "W 1//‘// (‘Z o »‘ ‘S. t '/Tr //1/M/7‘k 7;/ /1 ' i I.'C,/ £LT'_-‘[4:-==—’--*——(KCJJ O'NEILL)ColonelOfficer in Uharge

i P.0. Box 87A Melbourne 3001 ‘Telegrams ‘Repatriation’Telephone 69 0110 Ext.DEPARTME *R EH #i‘1’;%%I H ~ Yr A 'l"IOn llilblzItlfmllllllllllliillllllllll N, VICTORIAN BRANCH169 Kings Way South Melbourne 3205In ReplyQuote /7\< 7 2 8%‘ 1: REQUEST FOR DOCUMENTSQg ..... ................................. bl .............. ....................... ,.Christian Names ........ ......... "Surname ....... Unit ................. .. Period of Service ...... ......... ................4.SERVING )D|SCHARGED ) (Strike out one)Present Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...This Department is consideringan application lodged for Repatriation benefits.Please forward the documents indicated below :25 soon’ as possible: QQ7' -W ‘1).» 1. A 917?-rats D/5:-/5‘ fl- 4% 17w’ l. Statement oi Service. § I’V - .' Z. Med.cu|Documents. / 'ul i ’ 3. Micro F\i’TlS- ‘ Tick items I I0 5 as applicable. 1 i léwimo ma./. 27?; /W651-'7' 5. Attestation Paper. * 4if a previous request has been made for the originals or copies of these documents,please advisethe date and the branch from which the request originated.I’ -|pzeaw,5"/~l /?~ 0 J3;L __] //

CAROms zusrnvs

= A.><)_»(CARO Form Info Svcs/1)-AUSTRALIAN ARMYTelephone: 949-5377Telex: 35#64In reply quote:Info Svcs/Deputy CommissionerDepartment of Repatriatn7¢(!@W¢_Central Army Records OfficeAlbert ParkBarracksMLBOURNE VIC BOO“3 1/ 7:’ion and CompensationDETAILS OF SERVICE DOCUMNTS SUPPLIED\// / 6'5‘The following documentsa. Record ofb. Attestation PaperJL4§7Medical Documents:(1) Me1.(2)<3)(h)(5)(6)(7)Me 2.A F D2.F Med 2A.F Med Q.M cro films.X ys. Lt.»-74‘ '_,v.\é'%\--. )7IU('“(-T./17~ -\//7,4 ¢ are forwarded with this letter: ~/.4 / . .Ic_ [;,..<.,Jh( 6: orS . eI““'<-C ¢~ M 3 7;~ jg -;Z;c,/1,! C},/6 c>~* *c;7Z;¥g2“—,,,, ~~/L,.» (K.J. O'NEILL)/ ColonelOfficer-in-Charge

.(/' ‘Arr " T ’ PAsg”T FOR FYA‘ ‘ \ l -E |~1= ‘T ‘§ 5 - . ENL| ~ ~ - A.A.IForm Mob.l1 “W5 ¢?'Pl% E w¢x1*' _ (Revised my. mo).- 0‘ ' "4: ( 4* 0;‘ AUSTRALIAN Kg ‘f’M11.11'Anv Fongns.‘ .\.'_-.2 gg " ._ IQ47 / _3'»MOBILIZATION ATTESTATION FORMTo be filled in for all Persons at the Place of Assembly when called out under Parts III. or IV.of the Defence Act, or when voluntarily enlisted.Army N Surname Christian ......(BLOCK CAPITALQ) MU". 3 Q» 6 0&4zt ...................... lfnlalsted for war service .......4.4...(Place)..... .. ......tv...t.,,.,t.t..e.(na¢e)AQuestions to be put to persons called out or presenting themselves or voluntaryenlistment.‘0uL7l. Surname _-gr‘ (BLOCK LETTERS)l. What is your name? , 1 1 :Other names _.2. In or near the town of. .... 2. Where were you born ? in the state or country of ..... 3. Are you a British Subject? 3. _ - J/0Date of Birth u .... 5. What is your trade or occupation? 5. -a4s.6. Are you married, single or widower? 6. )1I7. Have you previously served in any Armed Force either in} 7z,‘ Y M _4. What is your age and date of birth?peace or W“ ? If “I when and in what um P . 8. Name i 8. Who is your actual next of kin? (Order of relati0nship.— Address .... ‘ wifc, eldest son, eldest daughter, father, mother, eldest A1/ét/Lb?brother, eldest sister, eldesthalf-brother, eldest half-sister) L Rela ionship .' 9' what is your permanent “Mm” l0. What is your religious denomination? (This question need / 6 Z I 2 4 lnot be answered if the man has a conscientious objection to 10............... .__ ____ doing so) .. My /40¢/4-r solemnly declare that theabove answers made the above‘ questions are true.Witnesred _ (Signature of ttestmg or Witnessing Officer.) Signature.‘ The person will be warnedthat should he give false answers to my of these question he will be liable to heavy penalties underthe Defence Act.h—~~—|j—-~——‘ 4- Ir —* A ~ —-~ —--<—~ »—~

B .MEDICAL EXAMINATION ’ ~I have made full and careful examination of the abovenamed person in accordance with the instructions contained in theStanding Orders for Australian Army Medical Services. In my opinionhe is—“ . -l. Fit for Class I.3. Fit-for-Ghss—I-I1Place ..... D .. . _Signature of Examining Medical Officer ...... /- //~1 0. .791?»' Classication: which are inapplicable to be an'uek out. none for cneu to b stated.COATH OFENLISTMENTIFor persons voluntarily enlisted or called upon under Part III. or Part IV. of the Defence Act to serve in theCitizen Forces in time of war. Not compulsory for serving members of the Forces or those allotted tothe CitizenForces under Part XII. of the Act, but unless in any case an objection is raised, the oath should be administered tothem as part of the ceremony of attestation. that I will well and trulyserve our Sovereign Lord, theKing, in the Military Forces of the Commonwealth of Australia until thecessation of the present time of war or until sooner lawfully discharged, dismissed, or removed, and that Iwill resist His Majesty’s enemies and cause HisMajesty’s peace to be kept and maintained, and that I willin all matters appertaining to my service faithfully discharge my duty according to law.Sn 2:111 t 6:131! _Signature of Person Enlisted............ .... Subscribed theState of ...... this .................. ........... ..day of ...... t.Before me— Signature of Attesting I Persons who object to take In oath may make an airmation in accordance with the Third Schedule of the Defence Act.In such casethe above form will be amended accordingly and initialled by the Attesting Oicer.l Victorian Railways Printing Works, North Melbourne.L I 7 — — e ~

n_ <' ~:?:5=5<aao~1aav\w~w/1ITALY STAR ., . MA sun ‘ MEDAL .... NAME......./1 Axas/45 STAR 2 AFRIC X%vith 18¢ Clasp ,, with am Clasp ATLANTIC STAR ..... A.C. EUROPE STAR R CE& G. STAR CIFIC STAR..F MEDAL ~ 7 rvAddr LIL.’.... Rwwrder.AFL.>..:......;..%f4.=...Checker‘_______________,_______,,___,_,___AWARDS WITHHELDRE_ . - . ‘ . ‘_ 11_\UTH0RlTY:...........4.......A4 (Pa¢ker........,......I! Despatcher______T0WHOM DESPATCHED.........§.............;,.........i.......¢.....,...._Reg'd Parcel No ..................................... .. DATE......... -1/';.- (' »~ REC T , ._ I _E{?_.*‘ Jr»: Ii; er Serials .... ............ ...... .. Sig. ......3' A I 'AHQPres&—3329—7/~l6—10m DA TE .................................. ..

I’ iiiiw A-Compiled by Unlt: PROCEEDINGS FOR DISCHARGE. Z0 NOV 1945 .,,,,:;,3;;, *,~,.;?=i.y/Discharge AMR;0— /94~(”lAuthority ..................... -----_--- '2' (3..Reason for ‘Disci-W» fa ll ~AMR G O 253mm , Unit.._.;_._;1Q.- Army No.. _...Rank.... State in which discharge de=ir=d—— Other Names...a..7-7...--..L-1.1.3;.I;.Q-lug-..._......§...-E-n:.r--s..5n2...::;2--. ....... .. Normally State in which rnem- V id _ (mock Lane,-S)ber‘s home lssituated. -~'~----~—— 2.2PART B—Persona| detai|s—compiled b Unit: _ PART °—C°"\Piled bY E¢l"- C1 RecI. Home address ...... 5- Details far Certificate at Discharge '\»'\ ” Unit (for discharge purposes) 'Datecommenced Date of Birth / Served on C@TlR#|%US Full Timeg)WaLService in the KiState whether:— to__......, Married, single, No. of D8P9|'\dOT\|'S in respect of vvhom : ,—'di"°'°edi “id?” ‘ d°°e"d°"' S °“°l"€"°° '5 b°'"9p°'d'/_ for a Total Effective Period‘ ’ "or w ow K4... fl l Under l r IL. l6 r aver,,......_ ~ - - -id e 6 v 4- ~1~ v=- £1Z. Present Descri ion of S0ldier'-- .M,d,,,| cue, Q,“ Active Service O/S Australia’r......f....§:,..§.do s l. *5/‘ y _ YAse---...rrwritl'i= AMI! C1 0 253Ail) id) Decorations and Awardsi during that Service: 3;; fHeight .fi..it...Q?.&.ins. Eyes Disability :— Marks/Sm" ______M__m________W"_ W_WM__ . _.__\__ Wm Bodgem , _ . A Medwlticlcrf ¢h%i§y, ;;;;- gf§]'|:iTR$'_ % Class and Q....Ba4?e egister.........ie.>2.;':.:5T.:L{1....’33. Operational Service:— Discharged from §.7......Z:..and dischargela) <Z\;ersf:=;:r@a Ergxagg D'=¢r;::t'l<=d/ g;-;;;;}"c;;i"|_;‘"'§';;;;;;;;; confirmed vide Schedule [\l0.l(.l{...'L!£Q.$. . 9 take effect n%}&n§AfRr:§>m......$J....;;...I.1}:.Ll»§ /fa ,. _______________ i /__;I/__% _L/__§_/YE I,“ Md“ u_,_ Signatur0........ ______.___ _./_ /.._ ___/---/<-_ Ai___ , Dlili'¢5~D-Z@<-‘l-g4.§--OffiCEf and Rec.-—-i-—--~-~ ~---/— /-— —/—--/—- 6- Details compiled by ........ lb) N.T. (N "H of P . l4"}° SCH.) T -,,_ ,,’,_:*- *" °' °"" _ A.A.F.A.i0i wiiiieh by Ar From To tnteredDischarge Certificate Register_—/_ ‘/-— '__/-—_/-_ Hi“-_ W I .../ / / / A/\F A131 Obtained by R isterdays, which included 6' IActive Service in AustraliaT..ih.ZZQ..2...days and LP°'* B °‘;"‘P"°d “Y-_ _ ,§M/éuv ./Z,’ PARTE—To be signed by Soldier on discharge: ......... 7. I hereby acknowledge receipt of‘ *6(Office?! riumrun and rank) lal Certificate of Discharge No / ZPART C—Compiled by Ech and Rec ( )0 C' . .: lb) ' | l_ ~ - 2 War Badge.. .. -44' Non ________________________;_ ________________n____ DQEDEC-1945----5iahature of Soldier‘--......" Placm§§.4.&Rk.............Signature of Witness .. ..... .. * "Effective Period" means the period at service,less y consecutive 2i days. .._._ _._._ ... ............. ..___.._ _ _______,___,____,___ ar mare far which the soldier was not entitled to pay.' R Q01!-776 ‘r Australia means the mainland at Australia and Ta rile‘— _ --7A 7 _ __.._ _ 3 Don not Include War Medals.

T l _, v\.\\_j'rI. DIIOD. mature:DETERMINATION OF DIMOIILIZATION PRIORITYh v A’ ea 7 \A. ARMY am|<......_.<sb_‘a.Z._........uNiT...-......_-.-....__.._.-.c.._-........... . O \SURNAME .............. f. OTHER . Data ofCommencement of Full War Time War Service Age at commencement at Full Time War Service...._...._fij_c_...years.I. ASSESSMENT or NORMAL PRIORITY. E1. unqm at Service in months SI >< 2 (males) or x Ilternalesl .. ._ __1_Q_%;1. Age at enlistment in years37X 2 lrnalesl or X 2 (females) .. . . .. .. t. .. . .. 3. Dependency Status [males onlyl—ona point for each month of Service .. .. .. .. .. .. .. .. .. .. :3-_l’_Total lNormal Priority)4. Depandancy Status (female; onlyl—lnsar! "A" C5. Marriage (females only) —lr\sart "B" } ~ O“6. Records and a nt checked. -. — *2Data I ‘ _ r ‘ A’; ____.....Siqnatur0 ad Officer.7. I desire discharge in tho State of___\2LL_._.i8. I intend to apply— Y _. _ _ e _, Datc......__2?.__ /._c>_. (La '° l(iIl)l .. .. ..M $igmmre of Member.C. DECl$lON OF COMMANDING OFFICER OR REPRESENTATIVE OF,-§E§VlCE ON FORMATION H.Q.'l'‘ SignatureData.' e l . / l — 8 13/ I.. . ....._.~..._._._.___ ......._.._[{;:£,.’ .. ..;;§.;.........,...-,-Lieut __:,_,_r_,___________‘ _ . . _ ,. far C O ___ __ _ i D. ALLOTMENT OF SPECIAL PRIORITY A_ OwMJl>- ie HQ) QM)Reason andAuthariw.._.... ;._T 7 .£‘_ Dam i _ _ / ’if¢€4f - ‘ Signature of Commanding Officer § _ - -—vv~-—-~- or Representative of Service.|*s§¥Qc'r|oNsLENGTH OF SERVlCE.—Months of service calculateg 6&5,‘tEd'3$1eS@§$i'nnQ'$riQ§p9Ftul|-time service ta the date notified by L H QAGE AT ENLISTMENT.—Comp|ete\d years of age at date at commencement at full-time war service. I l lDEPENDANCY STATUS.-—Accardedonly to members an whose behalf an allowance is being paid by the Army for one or more dependants.ir MAllRlAGE.—Clcnms by female members tar discharge on account of marriage will not be recognised if suchmarriage has not hamreported, and in consequence has nat been entered in their personal records.YPART C.—8EASONS FOR RETEN'|'lON—-to be inserted as appropriatell) Member oi Permanent Military Forces; lllllService throughout Demob. p0rl°¢_y°||'qq'_(Ill Applicant for Permanent Military Farce: (iv) Sorvlcu uuntia|—Retalned untll..ulZ_.?/d» gr 4 Q T' ‘semi. an mm aooruoriah A,,g..m, 44‘/,4 Z;/gH / ,'

SERVICE AND UALTY FORM " "M "“'“"‘°"’‘£71070 Contmuanon Sheet to AF B 10a_| H041‘-TREPORT e A df TI mu It regkrdn prnmutmv (acting temp r '| ml 0 mbstnnh )nppwintnmuc mmsfer 9 mugs ta m t he mi ture y wedentsIdm s u to d dm 11 r-I from Heap xl Onsualtv Glen g St Nona &e Date at di embark t OasnnlkyF m wgim and emhsu/katmn from ch tre oi wa (inclnd ng ful ugh ta)renewPlace nfCummlty51945: nfiw/via/’4.%Ww5545//op’ % fw/Y7 J5 goIllQSPAA0/.4¢.E wn TTEN N TH s‘ifig,Q Mk9 ‘I ‘#5 -// Mo 3L LTO V» 49 as 1/wt J‘ /"K 8 YNOTH NG T0 Bs/.1 4; H/"/F..w it H C hm N 0%.? //0‘ M1-‘ ‘I V’ QQ*=\%@4\9 Q44 M» -€»*’~ I/W 75 A/ "7/7Y5 ’7'fP’¢- $41/&*£7LY -1» I-15 6 AHQ0 Wyn M ‘B1 m;<,~==,... §1..,v.,,.,' %IjIfIfII 7?;‘\Hmfw /f wwwf A LTDV 6/311° £If.'f-II 686 dffA thority Imt ahW 301.1 of OlccB 2061? C rtiiy gComectn uDo \-unenl: at Entries/e

L. HA. Preu—2159—3/45—Hhn.SERVICE AND CASUALTY FORMContinuation Sheet to A.F. B.l03—l.A.F. B.l05—2 (Adnpild)Initial:REPORT__ _‘ Fmm whenM‘ nceivldRecord oi all camuhiel rvgnrding promotinn|~(u:ting,temporny, lam! or substantive),-ppomuwm, mum, pomnp, nttlchmenh, m. foeitur: ol pay, wuundn, lccidentl,ldmililnn (0 and dllcharge lrnm HGIPIIJI, Onmulty Ulelllf Bi-lnl, BL, Dlte Of diwlllbnrkntionand 1-mblrkltlo hum Itheatre 01 VII‘ (illdlldiug lufluugh, ML).Date nl Place 0!Qalullly Cuullty3 AuthorityW.:w11,13.3009.or otherDocument0! OwrCertifyingOnrrectnellOI Ellhiei'30V¢lS €lH.I. N N3.L.I.lHM 38 O1. BNIHLON

,.I .\\%.< l ,a*w_¢:a- ‘\_ , 7 . _ - ~ -~-~--- .-. =1 -» .“"'iq"_:>,~_~ ,~ L- '~ ---*~~; "*'rr~~'~ . ‘ > »\ 41>‘X ‘I13I - 1-1¢E?~.*9Lu§',,‘ 4615' ‘""’ "“.'.'.':..'.f.r‘.‘?.;."':}...f““"""‘*‘ ‘“ ‘ SERVICE MD CASUALTY FORM M“ “ ”“' Am,',,,»,¢W,;_,,~__,; /\/<*?G* .......... . . 5 ,_- 1~ .. Rank ................................ .......................... .. Chm-nan Name;_............_..................._........._.fI§.§§'§;..=.L§l¥.P.L‘Z';"l.__..m.._-._.._..“_...4,4. ..~.._..._.,_ .......... .......-_., V -#4(On lnlhtmeul) (IIMI Ihvlhh) ~/,-_‘:5 1.-.=.-MS SPACE.Date of Dale of Place oi Trade or Occupation.‘........§~.‘§.Ql?.l?§j=.I}Q.....lTT9ZT§!Il.§.E._.............4__..._“..._.,_____,..“._._._...__-......_,._. ..._. M“-4k.......-.._».._.--.~_..M_..~.»-~W... ....... .. Mum! Condiliolx.-~l‘-Q-E7-Z7»-5»-6-9-1 ..... ~_‘~.__'.r;. ’ — :7» 12;. .$§.,1 if‘Owl Park »N of ..I.1r.=1..... 1,. A..':.1..cm.IL1“ ‘ ext . ..t_. 0. J: n r_. ~- .4e-a~‘>..‘...~‘---‘W--»__..----~» 'I19/,4/1,9,Q4________,,“_,4__4,,4,_.A_,__ _ ............ .....__..____. Add;-eago{Next of Kin.......,.....B14111....£u111...Rc1-..,».....WM_.*.__.,.__..._.__._.._..._,_;l;.ram».m;;u1,,.....y1.Q....,........... ...... ..__._.. ' ___._._-_..-_J2m2mil.-.......~._A.-.____~_______._;._._;;; ...... ., Relationship.>..W...~~...i§iif.B_-~..-»-~4--“Mm~-----------~“--‘---~--~--»-»---~~-----~---—-----»-»~»-------~—--_¢INTHIIII _ _(0. gmuqgugy Distinctive Marh ......._.__'_._._._._.._..._...______._________M.,¢;,,,1 (;|,,,,g,c.m,,,._g- 61 / U ldcunhcnuon—C0lnu.r of Hm- I-;yaV“'2g<-F II -N\ REPORTDu, Fm" _";'m lumhurhllun Ind ambnhtlnn from I’ bula at Ill’ (including fnrloulh, be-).reconheard ol All cumulus: naming pmmnnnnl (mung, tampon:-1, Incl! or uuhnundu).nppolntmenu, lnnntan. uontingl, lllllihmanll, l:¢.. lorfaltura of nu, Inundn, ncvldenla, D3" 9’ldmlaalon m -nu dilchu-[9 [mm an-mm CuunltyClearing swam. la mu ol CuunkyPlmo 0|Cuulty01051»: ~Cmvina =CanectnaudEnIrielAummy ‘V3011,B1069,or otherDocumentNOTHING TO BE25/e/413O(=1,c/Jo 611/.570. 6 4/96> ‘7 4’—//f.//.42» /.»#1.2,-9‘ M/ 'I‘e.I-Jenofgstreggth 0/0. 146/54/41 24/6/41:25 @L~u M \ ‘'__ 24». 4, 4/ /Qvgd/8? Q75, S gw Hp B > /r/v :1/4"-71¢»5%/0 ll I <,\ZZQ/ '1/J / M1‘; /$2 .y£/‘GA J5/y /-r/wv/17*’M 4»; ,5,“ 5/. 0}.f_@5j-¢,,,.. 3'/6.. /51. 1170.4//5//2,._Q/Qgj-gfQCL¢»_u 0270 19¢», A?/0 >7/7” J7-é 4/ “sq e~//-/ é w./yf/Z"/.7-//-y av ,. .. ;~/([011, \ ‘= .17-/.7'?~¢ 1- *1 /¢ ;,L~,<../la 1‘304 // - 1-/-.2 /2 ~X 3/Z” ,. _~¢ I '_7‘/. 1,43 f/V/4 »{;.,,,,(__g-'../,-/2€.... ';_,_4..2:?1_p("//_uQ/,¢.6=¢,uJo 4- WJ1, C» '1' .970 /x, 5 ‘7‘/<V/ ,-- 2%‘ ‘ ’*- Q’/O ””‘“/ 4%‘y°"‘%” :.><¢~ :9 04//Y,//-1»Y/ I xi//_ 4-=_'1.- f%»-3*-1 /€.70v»w1-4/.7' M//»#>/Kw; /V 4;»P.@%M4-.~.v »r¢4}a%':>’ 7.//WRoyal06/—&¢-LaCY/.4(14>q/_,,1Jdf/Z,-4-.»é¢/r/,%'/A4*~ ‘W2‘ I‘.;.L:-‘=m@_-JQ-3 Park Liob 5./'u1{n .’-‘,1, —/'7/_ J ~/Z/1-LH _~,,. ,90 ‘vv3Q1! -Q-, ll4 ,w ?o/r 9%,1L/‘Jan //A" "I gz/¢/ F‘,Z115 K4, é/IW301; i 5;.‘J0 3/' .,,¢..;_, 14/_;'..;7.'j,f_’ 7/ A‘ f/air://V 1/‘Q? ’/V 4 “é7'/La .5\/V 30/1,_._.,-=-V.-v--._.-r 7., '|w||1q|:\ fG"' »'~/In ' " ' /---\ I _v __;_-_-~-.._-- - ~— “ “"‘ I_> _ ‘ ,- -.~, -——~ V a> iD\/ _

_--./_ _.__.__. ___.‘_- __ ‘ ,/‘9’\///r @ ‘H’Booord I usulthl nnxdlni m-omollnnl (lcn: muponry local or mllhntlv D oi 1‘ ‘soulnppolntmen h-union roman ltuchmanh an lormturo my vwundn Incident: I“ Pllof v' ldmlulnn to uddischarge lzmn Hospital Cu-unity (!1ur1n| hdonl la. In Cllullty (hlulhy 33,59dllambuhon nd unbnrhon tram I mum ol Ill (Including nu-lunch, in or oxurDocumentVA?Signatureof OioerCertifyingOonecmeuof Entries¢M.@/Mu£,...m4.»f.»»%//4172 m¢4.W/Mr’/r 1, 1 ¢*5 79‘: J’ /%///MM 0/» 4 =/ZL, If/WCA-7-¢ =Z¢,.._.,.__.n..¢v/c[,-/c"a_.._4_,,_ //vs /vsw 3‘*’$33- §fj**§/1 %a§»»\ SIHJ. NI NELIJIIA {Iii 0&5»Jn-61'.’ Q. vi-a=*@~1 4»-»~"' " <~<=Y?9/;1_7¢ ii-»¢..-1-»-»~ »69<'ré.._A¢ wry: /funny /“W//10> 2%!ram ”W3 __.___ __ 4'41 __ 6114!! _ Q , J40 3 A/1,Ja~P¢ ' Ar hm T /2 +44 /70 7 rum b4w #1 r /1 4 44 Ab éwl/575%1 2» /nw /1* /I/>*#/V-7%“Mi-,*/ 1\__ Z km;I¢jw@,lnwJJ/<54//7? /1 941/ /W2‘.+ (NW/':/x.;‘mm/vG.vox Li; ;d:tw(/O6 K/Md“ WW /M M “ /,%{7'7 '“ ‘A [%Wu/yapdfiw»46mJrwJu4/ Jndlwg,4,,,.1,.,»,.,¢, ,94Fl! I1 s +5 K° TM *5’\1\t__* ‘‘ ' **1$\\_\__.\_A_'->_;,- ~ Q 2 kJ~ "“Edi-1¢,,2“<-1‘?-;,g‘,A¢.~;,;.1@ .,-1-\-'7 -"er ____ “M __ _ _i k “*4 * _. nnnzpi _ ‘wk3 2