Pages
22
What is your name?: Robert Campbell
What is your age? (years): 21
What is your occupation?: Farming
Where is your residence?: Madison, Co., Va
Where were you born?: Madison, Co., Va
Are you married?: no.
What was your wife's name before marriage?: no 1925
Are you married to more than one woman?: none 1919
Have you children?: none 6
Do your wife and children enjoy good health?: none
Are you sound in body?: yes
Are you subject to any periodic complaint which is liable to render you unable to follow your usual employment, or which is calculated to shorten life, and thereby render yourself, wife, and children a burden to this Lodge?: no
Will you faithfully obey the laws and submit to all the penalties that may be imposed, should it ever be proved that you have made a false statement?: yes
Dated: July 12, 1919
Signed : Robert Campbell
Witnessed: : Jas Price
Witnessed: Mike Campbell
24
What is your name?: William Willis
What is your age? (years): 50
What is your occupation?: Farming
Where is your residence?: Madison, Co., Va
Where were you born?: Madison, Co., Va
Are you married?: yes
What was your wife's name before marriage?: Sarah Richard
Are you married to more than one woman?: no
Have you children?: yes
Do your wife and children enjoy good health?: yes
Are you sound in body?: yes
Are you subject to any periodic complaint which is liable to render you unable to follow your usual employment, or which is calculated to shorten life, and thereby render yourself, wife, and children a burden to this Lodge?: no
Will you faithfully obey the laws and submit to all the penalties that may be imposed, should it ever be proved that you have made a false statement?: yes
Dated: July 12, 1919
Signed : William Willis
Witnessed: : Jas. Price
Witnessed: Mike Campbell Sr.