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Registration Card
Serial Number 4495, Order Number a2952
1. Name - Charles J Bell.
2. Permanent Home Address - 565 Fern Ave., Lyndhurst, N.J.
3. Age in Years - 38, 4. Date of Birth - Decbr 18th, 1880.
Race
5. White - ?, 6. Negro - , 7. Oriental - , 8. Indian citizen - ?, 9. Indian Non - Citizen - .
U.S. Citizen
10. Native born - ?, 11. Naturalized - , 12 Citizen by Fathers Naturalization before Registrants' Majority - ,
Alien
13. Declarant - , 14. Non-declarant.
15. If not a citizen of the U.S. of what nation are you a citizen or subject? - ,
16 Present Occupation - Foreman 17. Employers Name - US Cork Co.
18. Place of employment or Business - 344 Green Ave, Lyndhurst NJ.
Nearest Relative
19. Name -Mary Bell
20. Address - 1565 Fern Ave., Lyndhurst. NJ
I affirm that I have verified above answers and hat they are true
P.M.G.O. Form No. 1 Charles J Bell (Registrant's signature or mark)
Registrar's report
Description of Registrant
Height - 21. Tall - ?. 22. Medium - , 23. Short - .
Build - 24. Slender - , 25. Medium - , 26. Stout - ,
Color of Eyes - 27. - Blue,
Color of Hair - 28. - Light,
29. Has person lost arm, leg, eye, or is he obviously physically disqualified? - ,
30. I certify that my answers are true, the the person registered has read or ha has had read to him his
own answers, that I have witnessed his signature or mark and that all of his answers of which I have knowledge are true, except as follows - .
Fred Pheiffer Signature of Registrar.
Date of Registration. Sept 12, 1918
Local Board xxxxxxxx
Division No.xxxxxxxxx
Municipal Libxxxxxxx
East Rutherfordxxxxxxxxx
(The Stamp of the local board having jurisdiction of the area
in which the registrant has his permanent home shall be
placed in this box>) |
