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World War I Draft Registration Card

No. 49

 

1

Name in full:

Carl Bernard Adams

Age in Yrs:

25

2

Home
Address:

(No)  (Street) (City) Butler(State) KY

3

Date of Birth: Nov. 5, 1891

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?

(Town) Gardnersville(State) KY(Nation) USA

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

By Whom Employed? self

Where Employed? Butler KY R.R. #1

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)? Wife and child
10
Married or Single (which)? MarriedRace (specify which)? Caucasian
11
Nearest relative?
Registrar's Report

 Tall, medium or short (specify which?) Medium

 Slender, medium or stout (which)? Medium

  Color of eyes? BrownColor of hair? Black Bald? No
 Has person lost arm, leg, hand, foot or both eyes, or
is he otherwise disabled (specify)? No
Precinct: "A" Butler

City or county: Pendleton

State: Kentucky

John S. Smith
(Signature of registrant)

June 5, 1917
Date of registration

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