WWIB0010979-A

Last Name: Burgess

First Name: Clarence

Middle Name:

Serial Number: 4717686

Race: Caucasian

Branch: Army or Marines

Town or City of Residence: Richmond

County of Residence:

Place of Birth: Fountain City, Ind

Date of Birth:

Age: 22 10/12

Is this card a reverse side? (Indicated by "-B"): no