Re: WWI Reg- Carl W. JACKSON Loudoun Cty VA
#12
Carl W JACKSON
age - 29
Home address - Pircellville VA
d.o.b. May 15 1888
Where were you born? Paxson VA
present occupation? Farm Laborer
by whom employed? F. P. Wilson
where employed? Purcellville VA
Warried or single - Married
Race Af (scratched out) Negro
Do you claim exemption? Support of wife & children
Carl W Jackson (signature)