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World War I Draft Registration Card

No. A 245

 

1

Name in full:

Cassius Black

Age in Yrs:

36

2

Home Address: RFD 2, DeMossville, Pendleton County, KY

3

Date of Birth: Feb 8, 1882

4
Are you (1) a natural-born citizen, (2) a naturalized citizen, (3) an alien, (4) or have you declared your intentions (specify which)? Natural Born
5

Where were you born?

6
If not a citizen, of what country are you a citizen or subject? Citizen
7
What is your present trade, occupation or office? Farmer
8

By Whom Employed?

Where Employed? R.F.D. 2, DeMossville, Pendleton County, KY

9
Have you a father, mother, wife, child under 12, or a sister or brother under 12 solely dependant on you for support (specify which)?
10
Married or Single (which)? Race (specify which)? White
11
Nearest relative? Ada Black
Registrar's Report

 Tall, medium or short (specify which?) Medium

 Slender, medium or stout (which)? Medium

  Color of eyes? BrownColor of hair? Dark BrownBald?
 Has person lost arm, leg, hand, foot or both eyes, or
is he otherwise disabled (specify)?
Precinct:

City or county:

State:

C.A. Kelly
(Signature of registrant)

Sept. 12, 1918
Date of registration

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