Age in yrs: 21
Home Address: R.F. D#2 Portland, Tenn
Date of birth: August 22, 1895
Natural Born Citizen
Where were you born?: Portland, Tenn, USA
What is your present trade, occupation or office?: Farming
Employer's Name: E. Deasy
Where employed?: Portland, Tenn
Have you a father, mother, wife, child under 12, or a sister or brother under 12, solely dependent
on you for support?: Father and Mother
Married or single?: Single
Race: Caucasian
Description of Registrant:
Precinct: Portland, Sumner, Tenn.
Date of Registration: June 5, 1917
Height- medium
Build- medium
Color of Eyes- brown
Color of Hair- dark
Bald- No
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