Vitals: SS-5 - Capitola Stewart Walker; Bossier & Webster Parish, La.



Submitted by: Kelly Priestly



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Form SS-5

Treausry Department

Internal Revenue Service

(Revised August 1943)



Application For Social Security Account Number

Required Under the Federal Insurance Contributions Act           437-36-2048



Read instructions on back before filling in form.



Fill in each item.  PRINT in black or dark blue ink or use typewriter for all items except

signature.  If the information called for in any item is not known, write "unknown."





1.  First Name:                                   CAPITOLA

    Middle Name:                                  STEWART

    Last Name:                                    WALKER



2.  Present Mailing Address:                      ROUTE 1 BOX 262, HAUGHTON, LA



3.  Full Name Given You At Birth:                 CAPITOLA STEWART



4.  Age At Last Birthday:                         42



5.  Date Of Birth:                                MAY 17, 1902



6.  Place Of Birth:                               DOYLINE, WEBSTER, LA



7.  Father's Full Name

    Regardless Of Whether Living Or Dead:         JAMES WILLIAM STEWART



8.  Mother's Full Name Before Ever Married,

    Regardless Of Whether Living Or Dead:         IDA ELLEN LAMBDIN



9.  Sex:  Male/Female                             FEMALE



10. Color or Race:  White/Negro/Other             WHITE



11. Have You Ever Before Applied For Or Had:

     A. Social Security Account Number            NO

     B. Railroad Retirement Number                ---



12. Business Name And Address Of Employer.

    If Unemployed, Write "Unemployed."            UNEMPLOYED



13. Today's Date:                             SEPT 9, 1944



14. Write You Name As Usually Written:            

MRS. CAPITOLA STEWART WALKER





Return completed application to or secure information on how to fill in application from nearest Social Security Board Field Office.  The address can be obtained from local post office.



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