| Serial Number | 343 |
| Order Number | 1611 |
| Name in Full | Benjamin Franklin Broadbent |
| permanent Home Address | 10 W. Huron Chicago Cook Ill. |
| Age, in Years | 41 |
| Date of Birth | Jan. 24 1877 |
| Race | White |
| Citizenship | Native Born |
| Present Occupation | Stock Clerk |
| Employer's Name | Sears Roebuck & Co. |
| Place of Employment or Business | 925 S. Honian? Chicago Cook Ill. |
| Nearest Relative |
Mrs. Pete Keifer
1542 N. Witesian? Chicago Cook Ill. |
I affirm that I have verified above answers and that they are true
Benjamin Franklin Broadbent (Registrant's signature or mark)
| Tall, medium or short | Short |
| Slender, medium or stout | Medium |
| Color of eyes | Grey |
| Color of hair | Black |
| Has person lost arm, leg, hand eye, or is he obviously physically disqualified? | No apparent physical defects |
Lena M. James (Signature of registrar)
Date of registration Sept 12, 1918
Local Board for Division
No. 47. City of Chicago,
State of Illinois
400 East Chicago Avenue
Source: Registration State: Illinois; Registration County: Cook
Source: Ancestry - U.S., World War I Draft Registration Cards,
1917-1918