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WAR HISTORY COMMISSION

STATE OF VIRGINIA

MILITARY SERVICE RECORD

Name in full

(family name): Bondurant

(first name): Sam

(middle name): Walton

Date of birth

(month): April

(day): 10

(year): 1893

Place of Birth

(town): Rice,

(county): Pr. Edward,

(state): Va.

(country): U.S.A.

Name of father: Ed. T. Bondurant

Birthplace (country): Rice

Maiden name of mother: Agnes Clark

Birthplace (country): Rice, Va. U.S.A.

Are you White, Colored, Indian or Mongolian: White

Citizen (Yes or no): Yes

Voter (yes or no):

Church (denomination): Baptist

Married: Nancy Johson

year:

at: Farmville, Va.

To (maiden name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Children

(name):

Born:

year:

at:

Fraternal Orders:

College Fraternities:

Previous military service or training:

Education

(Preparatory):

(College):

Education

(University):

(Degrees):

Occupation before entry into service:

employer:

Residence before entry into the service

(street number):

(town):

(county):

Present home address

(street number):

(town):

(county):

(state):

Notes and Questions

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DreJoe

Additional information at the bottom of page: (Married since signing blank) AS.