NEAREST

RELATIVE

Name

KATIE M. SILAR (WIFE)

19

Address

EAST PROSPECT, YORK CO., PA

20

I AFFIRM THAT I HAVE VERIFIED ABOVE ANSWERS AND THAT THEY ARE TRUE.

P.M.G.O.                               ___________________________________________________________

FORM No. 1                                                    (Registrant’s signature or mark)         

REGISTRAR’S REPORT

DESCRIPTION OF REGISTRANT

HEIGHT

BUILD

COLOR OF EYES

COLOR OF HAIR

Tall

Medium

Short

Slender

Medium

Stout

21

X

 

22

23

X

24

25

26

BLU

27

BRN

28

29     Has person lost arm, leg, hand, eye, or is he obviously physically disqualified?

(SPECIFY.)

NO

30     I certify that my answers are true, the the person has read or has had read to him his own answers, that I have witnessed his signature or mark and that all of his answers of which I have knowledge are true, except as follows:

SEPTEMBER 12, 1918

Date of Registration

LOCAL BOARD FOR DIVISION 2 FOR THE COUNTY OF YORK, STATE OF PA, RED LION, PA.

Place