Age in years: 21
Home Address: RFD #4 Portland, Tenn
Date of birth: November 10? 1895
Natural Born Citizen
Where were you born?: near Portland, Tenn,
Present Occupation: Farmer
By Whom Employed?: Self
Where employed?: near Portland
Have you a father, mother, wife, child under 12, or sister or brother under 12, solely dependent
on you for support?: Wife
Married or single?: Married
Race: Caucasian
Description of Registrant:
Precinct: 13, Sumner, Tenn.
Date of Registration: June 5, 1917
Height- medium
Build- medium
Color of Eyes- black
Color of Hair- black
Bald: No
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