Clover Pitts

 

Registration number: 267
Name in full: Clover Pitts
Permanent home address: Bernice Union, LA
Date of birth: Oct 2, 1882
A native of the United States, negro
Age: 36
Where were you born:
Present occupation: Farming
Name of employer: L Filsy Cole
Place of employment: Bernice union, LA.
Name of nearest relative: Kattlin Pitts

Signed by: WR Harris


Registrar,s report

size: Medium
Color of eyes: Brown
color of hair: Black
disabilities:

Signed by:
9-12-1918

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