Dave Pitaway

 

Registration number: 1829
Name in full: Dave Pitaway
Permanent home address: Bernice Union, LA.
Date of birth: Nov 10, 1874
A native of the United States, negro
Age: 44
Present occupation: Farmer
Name of employer: Jn Greshaw
Place of employment: Bernice Union, LA.
Name of nearest relative: Mary Pitaway
Address: Bernice Union, LA.

Signed by: L Brooks


Registrar,s report

size: Short
Color of eyes: Brown
color of hair: Black
disabilities: One eye

Signed by:
9/12/1918

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