DS9 Document EFTA01132167

2 I REGISTRATION CARD—(Men born on or after April 28,1877 and on or before February 16, 1897) SERIAL NUMBER U. "--- 71 2. PLACE or 3. MAIIJNO ADDY.N.Y8 I. 2.1.uti (Print) ORDER NUMBER Y 4. Trarruost .L DETERN E LOCAL BOARD REGISTRATION CERTIFICATE WILL BE IDENTICAL] Awls« sAlres If other than plat* hulked.) on Uwe 2. II nor., lawn *cord ~ar - 5. AO's is: Ytius B. PLssP Bunn Crowe or mists) (Ksehaa.:".1 (Number/ (Yr.) • (Slat* or country) 7. NAME AND -Unfit r PERSON WHO WILL ALWAYS KNOW Yaws ADIAIISAS ' •_? 8. ZMPLOYEICS NAME AND ADDXESS 9. Ptacs or EMPLOYILE-Y7 OU BusWILSS . (Stunt« and ninon or It. Y. number) • (Tintn) ((IAtetr) (mats) I AFYIUM THAT I IfAYi Vision. Anon Annuli Aso THAT THEY Att Taut. D. S. S. Fonn I. (Revised 4-1-42) (over) ter-21030-3 Itari•••• EFTA01132167