Age in years: 27

Home Address: R. F. D. #2, Portland, Tenn

Date of birth: October 29th, 1889

Natural Born Citizen

Where were you born?: Portland, Tenn, USA

Present Occupation: Farming

By Whom Employed?: M. _. Payne

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?: No

Married or single?: Single

Race: Caucasian

Do you claim exemption from draft (specify grounds)?: Bloody Piles

Description of Registrant:
Height- Medium
Build- Medium
Color of Eyes- Blue
Color of Hair- Black
Bald: No

Precinct: Portland, Sumner, Tenn.

Date of Registration: June 5, 1917