Permanent Address: R4, Portland, Sumner, Tenn.

Age: 40

Date of Birth: May 10, 1878

Race: White

U. S. Citizen: Natural Born

Present Occupation: Farming

Employer's Name: Self

Place of Employment or Address: R4, Portland, Sumner, Tenn

Nearest Relative: Valley Lovell, R4, Portland, Sumner, Tenn

I affirm that have verified above answers and that they are true:
Ruben Oscar Lovell

Registrar's Report
Height: Tall
Build: Slender
Color of Eyes: Blue
Color of Hair: Light

Remarks: Blank

Date of Registration: Sept 12, 1918