| No. | 85? |
| Name in Full | Broadbent James |
| Age, in yrs. | 27 |
| Home Address | 2222 Rhineal? Chicago Ill. |
| Date of Birth | Deceember 13 1889 |
| Citizenship | Natural Born |
| Where were you born | Chicago Ill. U.S.A. |
| If not a citizen | |
| What is your present trade, occupation, or office | Motorman |
| By whom employed | Metrolpolitan Elevateor? |
| Where employed | Logan Square |
| Dependents | Wife |
| Married or single | Married |
| Race | White |
| What military service have you had | |
| Do you claim exemption from draft | No |
I affirm that I have verified above answers and that they are true
James Broadbent (Signature or mark)
| Tall, medium or short | Medium |
| Slender, medium or stout | Medium |
| Color of eyes | F. Brown |
| Color of hair | Brown |
| Bald |
A R Bartorz? Kiewicz (Signature of registrar)
Precinct 49028 City or County Chicago State Ill
Date of registration June 5-17
Source: Registration State: Illinois; Registration County: Cook
Source: Ancestry U.S., World War I Draft Registration Cards,
1917-1918