Home Address: R 3 Foutain Head, Sumner, Tenn

Age: 41

Date of birth: Sept, 22, 1877

Race: White

U. S. Citizen: Native Born

Present Occupation: Farming

Employer's Name: Self

Place of Employment: R 2 Foutain Head, Sumner Tenn

Nearest Relative: Mary Deasy R 3 Fountain Head, Sumner, Tenn

Description of Registrant:
Height- medium
Build- medium
Color of Eyes- Black
Color of Hair- L. Black

Date of Registration: Sept. 12, 1918