Serial # 1155 order # A 1573
George Hamilton JACKSON
Perm Gome Address - R.F.D. Aldie Loudoun VA
age - 38
d.o.b. - May 30th 1880
negro
present occupation - Farming
Employer's name - Henry Havener
place of employment - Aldie Loudoun VA
Nearest relative - Ruth A. Jackson
R.F.D Aldie Loudoun VA
X (his mark)