Buis, Worth
Name: Worth M. Buis
Serial # :
Address : Fillmore, Putnam County, Indiana
Age : 25
Birth Date : Dec 7, ,1891 - Putnam County, Indiana
Occupation : Painter
Employer's Name : --
Place : Putnam County, Indiana
Nearest Relative : wife (not named)
Height : Medium
Build : Slender
Color of Eyes : Grey
Color of Hair : Light
Registrar : E.E. Ruark
Date : June 5, 1917
Board : Marion Twp, Putnam County, Indiana
Signed (or X) : Worth M. Buis