By direction of the President, under the provisions of the act of Congress approved July 9, 1918 (Bul. No. 43, W.D., 1918), Major (Medical Corps) Horace Ewing Ruff, United States Army, is cited by the Commanding General, 3d Division, American Expeditionary Forces, and a silver star may be placed upon the ribbon of the World War I Victory Medals awarded him. While serving with Headquarters 7th Infantry Regiment, 3d Division, American Expeditionary Forces, Major Ruff rendered exceptionally meritorious service as Regimental Surgeon during the Meuse-Argonne Offensive. His tireless energy, his fearlessness and good judgment under shell fire, made him an example to be emulated by his assistants and the enlisted personnel and won the highest respect from his superiors.