Name in Full: Carl Edwin Larson
Age in Years: 28
Home address: 660 Downer Pl, Aurora, Illinois
Date of birth: February 14, 1889
Are you (1) a natural-born citizen, (2) a naturalized citizen, (3) an alien, (4) or have you declared your intention (specify which): Citizen
Where were you born: Vastergotlan, Sweden [7 yrs might be written before this, but it is hard to read]
If not a citizen, of what nation are you a citizen or subject: USA
What is your present trade, occupation, or office: Shauffer [chauffer]
By whom employed: H.S. Waters
Where employed: 660 Downer Pl, Aurora
Have you a father, mother, wife, child under 12, or a sister or brother under 12, solely dependent on your for support (specify which): Father + Mother
Married or single (which): Single
Race (specify which): Caucasian
What military service have you had? Rank: No branch years Nation or state
Do you claim exemption from draft (specify grounds): No
I affirm that I have verified above answers and that they are true: [his signature]
Registrar's Report: 1. tall, medium, or short (specify which): Tall
Slender, medium, or stout (which): Medium
2. Color of eyes: Brown Color of hair: light Bald: No
3. Has person lost arm, leg, hand, foot, eye, or both eyes or is he otherwise disabled (specify): No
I certify that my answers are true, that the person registered has read his own answers, that I have witnessed his signature, and that all of this answers of which I have knowledge are true, except as follows.
Signature of Registrar: [signature of Henry F. Wood]
Precinct: 1
City or County: Kane
State: Illinois
Date of Registration: 5 June 1917
mvh,
Carl