(Officers’ Individual Service Report to be rendered as prescribed in paragraph 887-J, A. R., as published in G. O., No. 
144, War Department, August 15, 1906.) 
To THE MILITARY SECRETARY OF THE ARMY. 
(Through military channels.) 
Silt: 
I have the honor to report that during the period between July 1, 1904, and June 30, 1906— 
1. I was present for duty with my regiment or corps^-_/ .months, _ZZT7Z_days. 
- months,....ZZ_...__days. 
On detached service 
On leave of absence 
U - - - -- - - 
fha+islru- 2 _ 7 
.. months,_...._days. 
2. Married or single, If married, number of minor children, 
3. Name and address (street and house number, if any) of nearest relative, 
to. , '9/ 8 d. GmjlA ; 
ff 
a.. 
ilitarv. C 
4. (a) Professional or scientific study and investigation other than military, 
( b ) Special knowledge of any particular lino of work, whatever its nature, 
5. (a) I am able to speak the following foreign languages 
( b ) I am able to translate the following foreign languages 
. ^ 7 
G. Subjects or titles of books written or published, essays prepared, lectures delivered or papers 
read, when and where:. CL. . .. 
certify on honor that the entries heroin made are-correct 
On the reverse side of this sheet a succinct account of services since July 1, 1904, will be furnished, together with the 
dates of all occurrences connected therewith. Reference should be made to any commendatory mention contained in offi¬ 
cial documents which bear on such services, and duly authenticated copies of such documents, or extracts therefrom, may 
be forwarded with this report. 
In the event that an officer is making this report for the first time, a statement will be included of the engagements 
or actions, if any, participated in by him since his entry into service, whether as an officer or as an enlisted man. 
Under “Remarks” give any necessary explanation of any answer for which the allotted space is insufficient. 
Form No. 206, M. S. O. 
(Ed. Avar. 30-00—7,500.) 
(OVER.) 
