Permanent Address: Hendersonville, Sumner, Tenn.

Age: 35

Date of Birth: Dec 21, 1882

Race: White

U. S. Citizen: Natural Born

Present Occupation: Farmer

Employer's Name: Self

Place of Employment or Address: Hendersonville, Sumner, Tenn

Nearest Relative: Amanda Rice, Hendersonville, Sumner, Tenn

I affirm that have verified above answers and that they are true:
Henry Burford Rice

Registrar's Report
Height: Medium
Build: Medium
Color of Eyes: Grey
Color of Hair: light brown

Remarks: Blank

Date of Registration: Sept 12, 1918