Age in yrs: 25
Home Address: Saundersville, Sumner, Tenn
Date of birth: July 7 or 9?, 1891
Natural Born Citizen
Where were you born?: BeechGrove, KY
What is your present trade, occupation or office?: Agent and operator L and R RR
Employer's Name: L and R RR
Where employed?: Avondale Tenn
Have you a father, mother, wife, child under 12, or a sister or brother under 12, solely dependent
on you for support?: Wife and child
Married or single?: Married
Race: Caucasian
Do you claim exemption from draft (specify grounds)?: Agent L and R RR and my family
Description of Registrant:
Date of Registration: June 5, 1917
Height- Tall
Build- Stout
Color of Eyes- Brown
Color of Hair- Black
Bald- No
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