Permanent Address: Portland, Sumner, Tenn.

Age: 18

Date of Birth: Oct 22 , 1900

Race: White

U. S. Citizen: Natural Born

Present Occupation: Farming

Employer's Name: J. P?, Mayes

Place of Employment or Address: Portland, Sumner, Tenn

Nearest Relative: Mrs. Minerva (Goostree) Mayes, Portland, Sumner, Tenn

I affirm that have verified above answers and that they are true:
James Riley Goostree

Registrar's Report
Height: Medium
Build: Slender
Color of Eyes: Brown
Color of Hair: Brown

Remarks: Blank

Date of Registration: Sept 12, 1918