Tolong jelaskan mengenai 3rd award dari Ringkasan dinas George S. Patton

CITATION:  Lieutenant General George Smith Patton, Jr. (ASN: 0-2605), United States Army, was awarded a Second Bronze Oak Leaf Cluster in lieu of a Third Award of the Army Distinguished Service Medal for exceptionally meritorious and distinguished services to the Government of the United States, in a duty of great responsibility. War Department, General Orders No. 90 (1944)