SS-5: Ora Mae Garris Christian, Union Parish, Louisiana
Submitted by: Kelly Priestly, troubles@bayou.com

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Form SS-5
Treausry Department
Internal Revenue Service
(Revised 7-45)

Application For Social Security Account Number
Required Under the Federal Insurance Contributions Act           439-48-9856

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:                                   ORA
    Middle Name:                                  MAE
    Last Name:                                    CHRISTIAN

2.  Present Mailing Address:                      FARMERVILLE, R.F.D 2, LA

3.  Full Name Given You At Birth:                 ORA MAE GARRIS

4.  Age At Last Birthday:                         45

5.  Date Of Birth:                                JUNE 30, 1907

6.  Place Of Birth:                               LILLIE, UNION, LA

7.  Father's Full Name
    Regardless Of Whether Living Or Dead:         WILLIAM THOMAS GARRIS

8.  Mother's Full Name Before Ever Married,
    Regardless Of Whether Living Or Dead:         LULA VIRGINIA FULLER

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.        DR. JOHN G. NORRIS
    If Unemployed, Write "Unemployed."            FARMERVILLE, LA

13. Today's Date:                                 JAN 6, 19534

14. Write Your Name As Usually Written:           ORA MAE CHRISTIAN


Return completed application to Social Security Administration Field Office.