Permanent Address: 911-Cheatham Rt Springfield Robertson Tenn

Age: 18

Date of birth: June 20, 1900

Race: White

U. S. Citizen: Native Born

Present Occupation: Farming

Employer's Name: J. O. Kirkham

Place of Employment: R3 Foutain Head, Sumner, Tenn

Nearest Relative: Laura B. Payne, 911-Cheatham Rt Springfield Robertson Tenn

Description of Registrant:
Height- Tall
Build- Slender
Color of Eyes- Blue
Color of Hair- Light

Date of Registration: Sept. 12, 1918