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OCR Page 1 of 2REGISTRATION CARD-(Men born on or after April 28, 1877 and on or before February 16, 1897)
SERIAL NUMBER
1. NAME (Print)
S TRUMAN
ORDER NUMBER
U
HARRY
(First)
(Middle)
(Last)
2. PLACE OF
21910 (Number RESIDENCE and street) (Print) DEVAWARE, (Town, township, Independence village, city) Jackson (County) (State) Mo
or
[THE PLACE OF RESIDENCE GIVEN ON THE LINE ABOVE WILL DETERMINE LOCAL BOARD
JURISDICTION; LINE 2 OF REGISTRATION CERTIFICATE WALL BE IDENTICAL
3.
MAILING 240 ADDRESS Senate [Mailing address if other than Office indicated Bldg line If insert Washington, word same] DC
place on 2. same
4. TENEPHONE
5. AGE IN YEARS
NA 3120
58
Lachai
6. PLACE OF BIRTH Mo.
May
DATE 8 OF BIRTH 1884
(Town or county)
(Exchange)
(Number)
(Mo.)
(Day)
(Yr.)
(State or country)
7. NAME ADDRESS PERSON WILL ALWAYS KNOW YOUR
8.
EMPLOYER'S Bess AND NAME/AND W.TRUMAN, OF ADDRESS WHO 219 No ADDRESS Welcorace Inde the
United States Squatz
9. PLACE OF EMPLOYMENT OR BUSINESS
Washington
ID. e
is TRUMAN NARA Japan
(Number and street or R. F. D. number)
I AFFIRM THAT I HAVE VERIFIED ABOVE ANSWERS AND THAT
THEY (Town) ARE TRUE. (County) (State)
D. S. S. Form 1
16-21630-2
(Revised 4-1-42)
(over)
(Registrant's signature)
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