serial # 449 order# A348
Walter Gabriel JACKSON
Prm Address -33 Harper's Ferry W.VA
age - 34
d.o.b. - Dec 18 1884
Negro
Present Occupation - Manager of Blue Ridge Rod
Employer's Name - Members of Club & Gun Club
Place of Employment - Near Harper's Ferry WVA
Nearest Relative - wife
Harper's Ferry WVA
Walter Gabriel Jackson (signature)