| Name |
Address |
Age
in Yrs |
D.O.B. |
Race |
| Jay Adams |
Cutshin? | 21 | Oct 23 1895 ( Cutshin ) |
White |
| Citizenship |
Occupation |
Employer |
Place
of Employment |
Nearest
Relative |
| Natural Born |
Farmer |
Father |
Leslie |
|
| Height |
Build |
Eye
Color |
Hair
Color |
Date
of Reg. |
| Short |
Stout |
Blue |
Black |
June 5 1917 |