Permanent Address: Bethpage, R 2, Sumner, Tenn.
Age: 32
Date of Birth: April 11, 1886
Race: White
U. S. Citizen: Natural Born
Present Occupation: Farming
Employer's Name: W. H. Clendenning
Place of Employment or Address: Blank
Nearest Relative: Laura Belle Cole, Bethpage, R 2, Sumner, Tenn
I affirm that have verified above answers and that they are true:
Registrar's Report
Remarks: Blank
Date of Registration: Sept 12, 1918
John Wilson Cole
Height: Short
Build: Medium
Color of Eyes: Blue
Color of Hair: Red
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