Age in years: 28
Home Address: R. F. D. #2 Portland, Tenn
Date of birth: January 23rd, 1889
Natural Born Citizen
Where were you born?: Portland, Tenn, USA
Present Occupation: Farming
By Whom Employed?: Wm Oh_
Where employed?: Portland, Tenn
Have you a father, mother, wife, child under 12, or sister or brother under 12, solely dependent
on you for support?: Wife and two children
Married or single?: Married
Race: Caucasian
Description of Registrant:
Precinct: Portland, Sumner, Tenn.
Date of Registration: June 5, 1917
Height- medium
Build- slender
Color of Eyes- blue
Color of Hair- d_?
Bald: No
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