World
War I Draft Registration Card
|
No. A
1207
|
1 |
Name
in full:
Chase
W. York |
Age
in Yrs: 18
|
2 |
Home
Address: R. 5,
Falmouth, Pendleton County, Kentucky
|
3 |
Date
of Birth: Jany
15 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 |
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? Harry
M. York
Where
Employed? R.
5, Falmouth,
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? Josie York |
Registrar's
Report
|
Tall,
medium or short (specify which?) Tall
Slender,
medium or stout (which)? Slender
|
Color
of eyes?
BrownColor
of hair?
DarkBald?
|
Has person
lost arm, leg, hand, foot or both eyes,
or
is he otherwise disabled (specify)? |