Permanent Address: R2, Portland, Sumner, Tenn

Age: 37

Date of birth: January 7, 1881

Race: White

U. S. Citizen: Native Born

Present Occupation: Farming

Employer's Name: (Father) Marian Payne

Place of Employment: R2, Portland, Sumner, Tenn

Nearest Relative: Marian and Bettie Payne, R2, Portland, Sumner, Tenn

Description of Registrant:
Height- Tall
Build- Slender
Color of Eyes- Gray
Color of Hair- brown

Date of Registration: Sept. 12, 1918