#ompf

To be prepared in TRIPLICATE                                                 Jacket made

REPORT OF INDUCTION OF SELECTIVE SERVICE MAN                                                                                                                                

(last name) Stewart   (first name) James  (Middle name) Maitland   (Army serial No.) 39230721     

                                                Permanent address (Town) Los Angeles (County) Los Angeles (State) Calif  {Urban x   (Mother tongue) English                         

Birthplace (City, town, or county) Indiana   (State or country) Pennsylvania   Birth date (Month) May (Day) 29, (Year) 1908   

Age: 32 years 10 months.      U.S. citizen Yes               Race White  

                                                                                                                                          If an applicant for citizenship, show date and court in which application was made:    XXX     

                          If not a citizen, show country of allegiance:      XXX     

                                                                                                                                                        Grade complete in grammar school: 8;   high school 4;    college or university: 4   

                                                                                    Civilian trade or occupation: Actor;      years so engaged: 8;        weekly wage: $1500    

Marital status:  Single        Dependents  None

                                                                                 Previous service in United States military or naval service, Marine Corps, Coast Guard, or National Guard in an active, inactive, or reserve status:       none

 Do not enter anything

in this column

Residence

State      County

91              037

Place inducted

9141

Date inducted

Day    Month   Year

22          03           41

Source     Nativity

                        32

Year of birth

08

Race         Education

  1                     8

Occupation     Marital

   002                       6

                                                                                                                                                                                                                                                     NEAREST RELATIVE AND PERSON TO BE NOTIFIED IN CASE OF EMERGENCY

Nearest relative  Elizabeth R. Stewart

Relationship  Mother                Address 104 N. 7th St. Indiana, Pennsylvania

Person to be notified in case of emergency      Elizabeth R. Stewart

Relationship Mother                        Address 104 N. 7th St. Indiana, Pennsylvania

DESIGNATION OF BENEFICIARY

The persons eligible to be my beneficiary are designated below:

1.   none

2.   none

In the event of my leaving no widow or child, or their decease before payment is made, I then designate as my beneficiary the relative whose name, relationship, and address are shown below:

3.  I decline to designate any person as my beneficiary

In the event of the death or disqualification of the last-named dependent relative before payment is made, I then designate as my beneficiary the relative whose name, relationship, and address are shown below:

4.  none

The above recorded information is correct.

Signature of inducted man:    James M. Stewart

Witnessed at Induction Sta. No. 2, Los Angeles, Calif. on Mar 22 1941

Elmer E Berland [signature] Elmer E. Berland Private DEMI (RS)

INSTRUCTIONS

1.  An original and two copies of this form will be prepared for each selectee.  For each man inducted, the original signed copy accompanied by FBI Military Fingerprint Card will be forwarded from Induction Center to The Adjutant General, Washington, D.C.  One unsigned copy will be sent to Reception Center for extraction of data; then to Corps Area Headquarters for machine record purposes; then to The Adjutant General.  One signed copy will be given to the man.  For each man rejected the original will be sent to the local board; one unsigned copy to The Adjutant General; one signed copy to the rejected man.  All copies other than original will be clearly marked "Copy" in large red overprint letters diagonally across the face of the form.

2.   Fingerprints are not required for rejected men; for inducted men they are required only on original copy and on FBI Military Fingerprint Card.

3.   Forms of men rejected will be marked "Rejected" in large letters at the top of first page.

W.D., A.G.O.  Form 221

October 1, 1940

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