Robert Pillgreen

 

Registration number: 1109
Name in full: Robert Newton Pillgreen
Permanent home address: Bernice union, LA.
Date of birth: Mar 10, 1878
A native of the United States, white
Age: 40
Present occupation: Farm laborer
Name of employer: R.C.Mitchauer
Place of employment: Bernice union, LA.
Name of nearest relative: Mrs Ammie Pillgreen
Address: Bernice Union, LA.

Signed by: JW Hammett


Registrar,s report

size: Medium
Color of eyes: Blue
color of hair: Black
disabilities: No

Signed by:
sept 12, 1918

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