Age in years: 27
Home Address: Fountain Head, Tenn
Date of birth: April 6, 1890
Natural Born Citizen
Where were you born?: Portland, Tenn, USA
Present Occupation: Farmer
By Whom Employed?: Self
Where employed?: Fountain Head
Have you a father, mother, wife, child under 12, or sister or brother under 12, solely dependent
on you for support?: Wife
Married or single?: Married
Race: White
Description of Registrant:
Precinct: Fountain Head, Sumner, Tenn.
Date of Registration: June 5, 1917
Height- Medium
Build- Medium
Color of Eyes- dark brown
Color of Hair- Black
Bald: No
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