Social Security Form SS-B Application for R. J. Choat of Richland Parish Louisiana
Submitted by Shawn Martin




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S S Application Forum for Account Number

1.  Name:  Robert Joshua Choat
2.  Address:  RFD 1, Box 360
3.  Post Office:  Lake Providence, Louiaiana
4.  Employer:  Un-employed
5.  Bus. Address:  None
6.  Age at last birthday:  45
7.  Date of Birth:  Feb. 23, 1893
8:  Place of Birth:  Mangham, Louisiana
9.  Full Name of Father:  Isaac Louis Choat
10. Full Name of Mother:  Betty Bell
11. Sex:  M
12. Color:  White
13. Give Date you became an employee:  N/A
14. Have you filled out a card like this before:  No
15. Date signed:  Oct. 24, 1938
16. Signature:  Robert J. Choat