Glory III,717200,Squad Commander,841st Rifle Regiment,Wounds 1965

[patricko]

Record card

Form nr. 1
(To be filled out without blotches)

Date and location of issue of the order or medal; republic, krai, oblast, city, raion: July 15, 1965; city of Chita, Chita Oblast

1. Last name: Potemkin
2. First name and patronymic: Panteleimon Afanasevich
3. Nationality: Ukrainian
4. Sex: Male
5. Year of birth: July 27, 1920
6. Place of birth: Village of Berezovaya Rudka, Piryatin Raion, Poltava Oblast
7. Party membership (since which year): Candidate member of the Communist Party since April 1965
8. Education: 7 classes in 1936
9. Military rank (for servicemen): Master Sergeant
10. Since which year in the Soviet Army (for servicemen): From September 19, 1940 to October 1, 1941, from October 7, 1943 to November 9, 1945 and since May 23, 1952
11. Place of service (name of the unit) and duty position at the time of the award: Squad commander in the 841st Rifle Regiment, 1st Ukrainian Front
12. Current place of service and duty position: Medic at a medical station of the 439th Military Construction (Vehicle Transport) Detachment
13. Home address of the awardee (city, raion, oblast, krai, republic): Military unit nr. 33937
14: Record of all awards received (in order of award date):


Order of Glory, 3rd Class 717200 Order booklet nr. D-728920 Decree of May 6, 1965

Signature of the awardee: [signed]

I confirm the correctness of the data and the signature of the awardee:

Commander of military unit nr. 74360
Colonel of Engineering [signed] /Babenko/
June 1965