SS-5: Louanna Johns Morris, Richland Parish, Louisiana
Submitted by: Kelly Priestly, troubles@bayou.com



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 Application For Social Security And Tax Account Number
(Or Replacement of Lost Card)
Information Furnished On This Form Is CONFIDENTIAL          433-76-3222


1.  Full Name You Use In Work Or Business
    (First Middle Last)                           LOUANNA ----- MORRIS

2.  Full Name Given You At Birth:                 LOUANNA JOHNS

3.  Date Of Birth:                                MAR 21, 1907

4.  Place Of Birth:                               FLORA, (UNKNOWN), MISSISSIPPI

5.  Age At Last Birthday:                         58

6.  Sex: Male/Female                              FEMALE

7.  Color Or Race: White/Negro/Other              WHITE

8.  Mother's Full Name At Her Birth:              RUTH ----- ODOM

9.  Father's Full Name,
    Regardless Of Whether Living Or Dead:         JOHN JOHNS

10. Have You Ever Before Applied For Or Had A
    Social Security Or Railroad Retirement Number NO

    If Your Answer Is "YES," Print The State
     In Which You First Applied And When:         -----  

    Print Your Account Number If You Know It:     -----

11. You Mailing Address:                          ROUTE 4 BOX 616, RAYVILLE, LOUISIANA

12. Today's Date:                                 APRIL 5, 1965

13. Sign Your Name As You Usually Write It:       LOUANNA MORRIS


TREASURY DEPARTMENT INTERNAL REVENUE SERVICE
FORM SS-5 (REVISED 7-63)

Return completed application to nearest SOCIAL SECURITY ADMINISTRATION DISTRICT OFFICE.