Permanent Address: R#4, Portland, Sumner, Tenn
Age: 40
Date of birth: December 2, 1878
Race: White
U. S. Citizen: Native Born
Present Occupation: Farmer
Employer's Name: Self
Place of Employment: R#4, Portland, Sumner, Tenn.
Nearest Relative: Hattie Deasy, wife, R#4, Portland, Sumner, Tenn
Description of Registrant:
Date of Registration: Sept. 12, 1918
Height- Medium
Build- Medium
Color of Eyes- black
Color of Hair- black
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