Permanent Address: R4 Portland, Sumner, Tenn.
Age: 43
Date of Birth: March 21, 1875
Race: White
U. S. Citizen: Natural Born
Present Occupation: Farming
Employer's Name: Self
Place of Employment or Address: R4 Portland, Sumner, Tenn
Nearest Relative: Effie H. Lovell, R4 Portland, Sumner, Tenn
I affirm that have verified above answers and that they are true:
Registrar's Report
Remarks: Blank
Date of Registration: Sept 12, 1918
Date of Registration: June _?, 1917
Eddie Lovell
Height: Medium
Build: Medium
Color of Eyes: Gray
Color of Hair: Dark
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