Permanent Address: Fountain Head, Sumner, Tenn
Age: 43
Date of birth: May 28, 1875
Race: White
U. S. Citizen: Native Born
Present Occupation: Bridge C_?
Employer's Name: U & C. R.R. Co.
Place of Employment: U & C. R.R.
Nearest Relative: (wife) Rosa Baskerville, Fountain Head, Sumner, Tenn
Description of Registrant:
Date of Registration: Sept. 12, 1918
Height- medium
Build- medium
Color of Eyes- Blue
Color of Hair- Black
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