The President of the United States of America, authorized by Act of Congress, July 9, 1918, takes pleasure in presenting the Army Distinguished Service Medal to Maude Cleveland, a United States Civilian, for exceptionally meritorious and distinguished services to the Government of the United States, in a duty of great responsibility during World War I, as Chief of the Home Communications and Casualty Services of the Red Cross, Brest France. By her unremitting efforts in caring for the sick and wounded evacuated through the port of Brest, Maude Cleveland’s valuable assistance in the interment of the dead, consummated at night under the most adverse weather conditions, her careful consideration in writing the details of the death to the nearest relative, and her supreme exertion during the distressing epidemic of influenza pneumonia from September to December 1918, she has rendered self-sacrificing service of the highest character to the American Expeditionary Forces.