Home Address: R2 Portland, Sumner, Tenn

Age in Years: 37

Date of birth: Oct 6th, 1881

Race: White

U. S. Citizen: Native Born

Present Occupation: Farming

Employer's Name: Self

Place of Employment: R2 Portland, Sumner Tenn

Nearest Relative: Mrs. Hettie Short, R2 Portland, Sumner, Tenn

Description of Registrant:
Height- Tall
Build- Medium
Color of Eyes- Blue
Color of Hair- L. Black

Date of Registration: Sept. 12, 1918