424
Joseph JACKSON
age 29
Home address - Lincoln VA
d.ob. - - 1888
Where were you born? Airmont VA
present occupation - farm laborer
by whom employed? - James Reed
where employed? Hughesville VA
Have you a father , mother, wife, child under 13 or a sister or a brother under 12 solely dependent on you for support? (specify which) wife & child
Married or single - married
race - Negro
X his mark