SS-5: Jiles Kimble Christian, Union Parish, Louisiana

Submitted by: Kelly Priestly, troubles@bayou.com

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************************************************Form SS-5
Treausry Department
Internal Revenue Service
(Revised September 1942)

Application For Social Security Account Number
Required Under the Federal Insurance Contributions Act           435-32-6062

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:                                   JILES
    Middle Name:                                  KIMBLE
    Last Name:                                    CHRISTIAN

2.  Present Mailing Address:                      R-2, FARMERVILLE, LA

3.  Full Name Given You At Birth:                 SAME

4.  Age At Last Birthday:                         16

5.  Date Of Birth:                                SEPT 14, 1926

6.  Place Of Birth:                               LILLIE, UNION, LA

7.  Father's Full Name
    Regardless Of Whether Living Or Dead:         TOT CHRISTIAN

8.  Mother's Full Name Before Ever Married,
    Regardless Of Whether Living Or Dead:         ORA MAE GARRIS

9.  Sex:  Male/Female                             MALE

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                NO

12. Business Name And Address Of Employer.
    If Unemployed, Write "Unemployed."            (Blank)

13. Today's Date:                                 JULY 6, 1943

14. Write Your Name As Usually Written:           JILES KIMBLE CHRISTIAN


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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