Permanent Address: R # 3 Portland, Sumner, Tenn.
Age: 45
Date of Birth: Feb 24, 1875
Race: White
U. S. Citizen: Natural Born
Present Occupation: Farming
Employer's Name: Self
Place of Employment or Address: R #3 Portland, Sumner, Tenn
Nearest Relative: Elmarine Lovell, R #3, 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
William E. Lovell
Height: Medium
Build: Medium
Color of Eyes: Brown
Color of Hair: Black
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