The medals and insignia of Paul Q. Mackes, who served as a combat medic with the 77th Division in the Pacific. The group consists of the following:
- Army Good Conduct Medal, slot brooch, unnamed as awarded, with ribbon bar and enamel lapel badge;
- American Defense Medal, slot brooch, with ribbon bar and enamel lapel badge;
- Pacific Campaign Medal with 3 campaign stars, crimp brooch, together with the ribbon bar with 3 campaign stars and an arrowhead device (The division earned a total of 4 campaign stars during the war and participated in several invasion assaults, though only one arrowhead device is ever worn).
- WWII Victory Medal, slot brooch, with ribbon bar.
- Philippine Liberation ribbon, with star.
- Two Combat Medic badges, both pin back, one of which is marked as "Sterling" and the other of which is unmarked;
- 3 Dog tags for Paul Q. Mackes, with his service number;
- A pair of clutch back enlisted collar insignia, being the "U.S." disk and the Medical Corps disk;
- Eagle discharge lapel badge;
- Eagle discharge uniform patch in khaki;
- Army Sharpshooter badge with "Rifle" bar, with the badge being pin back and both the badge and the bar marked as "Sterling".
- Pin back, sterling and enamel distinctive insignia for the 305th Infantry Regiment.