Seial # 1297 Order number A 961
Roland JACKSON
Permanent home address- Uno (?) Madison VA
Age - 37
d.ob. Oct. 15 1888
Race - Negro
present occupation Farmenr
emplyer - Mr Will Filler
place of employmet - R.F.D. Leesburg Loudoun VA
Nearest Relative Elnore Vibs (?)
Roshell VA