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World War I Draft Registration Card

No. A 124

1

Name in full: Willie Virgil Debruler

Age in Yrs:18

2

Home Address:
R.R. 4 (care of Thomas Murphy)(City) Falmouth (County) Pendleton(State) KY

3

Date of Birth: May 19, 1900

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 Citizen
5

Where were you born?

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

By Whom Employed? Andy Downs

Where Employed? Chilo, Ohio

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)? Caucasian
11
Nearest relative? Harriett Debruler
Registrar's Report
 Tall, medium or short (specify which?) Medium Slender, medium or stout (which)? Medium
  Color of eyes? Dark BrownColor of hair? BlackBald?
 Has person lost arm, leg, hand, foot or both eyes, or
is he otherwise disabled (specify)? No
Precinct:

City or county:

State:

J.L. Bradford
(Signature of registrant)

September 12, 1918
Date of registration:

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