| Name |
Address |
Age
in Yrs |
D.O.B. |
Race |
| Theo Adams |
Cutshin Ky |
30 |
Aug 3 1886 |
White |
| Citizenship |
Occupation |
Employer |
Place
of Employment |
Nearest
Relative |
| A Citizen |
Farmer |
Self |
Leslie |
|
| Height |
Build |
Eye
Color |
Hair
Color |
Date
of Reg. |
| Tall |
Stout |
Blue |
Brown |
June 5 1917 |