SS-5: Ira Wesley Nolen, Claiborne & Union Parish, Louisiana Submitted by: Kelly Priestly, troubles@bayou.com ************************************************ Copyright. All rights reserved. http://usgwarchives.net/copyright.htm http://usgwarchives.net/la/lafiles.htm ************************************************Form SS-5 Treausry Department Internal Revenue Service (Revised August 1941) Application For Social Security Account Number Required Under the Federal Insurance Contributions Act 434-30-0556 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: IRA Middle Name: WESLEY Last Name: NOLEN 2. Present Mailing Address: RFD #3, BERNICE, LA 3. Full Name Given You At Birth: (Blank) 4. Age At Last Birthday: 54 5. Date Of Birth: APRIL 22, 1888 6. Place Of Birth: BERNICE, CLAIBORNE, LA 7. Father's Full Name Regardless Of Whether Living Or Dead: EDWARD RICHARD NOLEN 8. Mother's Full Name Before Ever Married, Regardless Of Whether Living Or Dead: MARY CYNTHIA JOHNSTON 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." SELF-EMPLOYED 13. Date Signed: 7/30/42 14. Write Your Name As Usually Written: IRA W. NOLEN 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. # # #