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County - e.g., Haywood County (Tenn.) If no county is listed at top of card, use county of the place they entered service. If that is out of state, use the birth county.: Madison County (Tenn.)
Name in full (Last name, First name Middle name, e.g., York, Alvin C.): Black, George Tillman
Date of birth - Year Month Day - e.g., 1895 November 2: 1899 June 3
Where born, Town (if any), and County and State - e.g., Memphis (Tenn.): Bolivar (Tenn.); Hardeman County (Tenn.)
Name of parents - separate with semicolons ; (Last name, First name Middle name): Black, G. A.
Place of their birth - e.g., Memphis (Tenn.): Bolivar (Tenn.)
Name of nearest kin (Last name, First name Middle name): Parents
Date of entering service - Year Month Day - e.g., 1917 May 11:
Place of entering service e.g., Memphis (Tenn.): Jackson (Tenn.)
Branch of service (Army, Navy, Marines) E.g., Infantry or Artillery is Army.: Student Army Training Corps
Company: A
Regiment:
Division: