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The document was issued on February 21, 1911 in Berlin-Schöneberg.
Ink signature of Colonel WALTER VON HEINEMANN.
From March 22, 1910 he was in command of the 7th Thuringian Infantry Regiment No. 96.
Winner of the following awards:
- Order of the Red Eagle II class with oak leaves
- Order of the Crown, 2nd class with a star
- Commander II class of the Order of Henry the Lion
- Reussian Cross of Honor, 1st class
- Commander 1st class of the Duke of Saxony-Ernestine House Order
- Schwarzburg Cross of Honor 1st Class
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