| Serial Number | U2997 |
| Name | Charles W. Broadbent |
| Order Number | |
| Address | 817 W. Monroe Chicago Cook Ill. |
| Telephone | Palatine 27M2 |
| Age in Years | 48 |
| Date of Birth | May 23, 1894 |
| Place of Birth | Chicago Ill. |
| Country of Citizenship | U.S.A. |
| Name and Address of Person Who Will Always Know Your Address | Mrs. Lillian Broadbent Gayner Park, Palatine Ill. |
| Employer's Name and Address | Chicago Mills Hotel |
| Place of Employment or Business | 817 W. Monroe chcago, cook, Ill. |
I affirm that I have verified above answers and that they are true.
C W Broadbent (Registrant's signature)
| Race | White |
| Height | 5' 9" |
| Eyes | Blue |
| Weight | 146 lb |
| Hair | Brown |
| Complexion | Ruddy |
| Other obvious physical characteristics that will aid in identification |
Lillian S Jordan (Signature of Registrar)
Registrar for Local Board 120 Chicago Ill.
Date of Registration April 27, 1942
Source: Ancestry - U.S., World War II Draft Registration Cards, 1942