| Name |
Address |
Age
in Yrs |
D.O.B. |
Race |
| Monroe Adams |
Cutshin Leslie Ky |
39 |
May 26 1879 |
White |
| Citizenship |
Occupation |
Employer |
Place
of Employment |
Nearest
Relative |
| Native Born |
Farmer |
Carnie Adams |
||
| Height |
Build |
Eye
Color |
Hair
Color |
Date
of Reg. |
| Tall |
Medium |
Blue |
Black |
Sep 12 ? |