Vitals/SS-5: Benjamin Wynton Holemon; Webster Par., Louisiana.
Submitted by: Kelly Priestly
Date: Dec. 2000



**********************************************
Copyright.  All rights reserved.
http://usgwarchives.net/copyright.htm
http://usgwarchives.net/la/lafiles.htm
**********************************************
 


Form SS-5

Treausry Department

Internal Revenue Service



U. S. Social Security Act

Application For Account Number                    257-?7-9729





1.  Employee's First Name:                        BENJAMIN

    Middle Name:                                  WYNTON

    Last Name:                                    HOLEMON



2.  Street And Number:                            122 W. JONES ST.



3.  Post Office/State:                            SAVANNAH, GA



4.  Business Name Of Present Employer:            UNEMPLOYED



5.  Business Address Of Present Employer:         SAVANNAH, GA



6.  Age At Last Birthday:                         34



7.  Date Of Birth:                                DEC 10, 1902



8.  Place Of Birth:                               MINDEN, LA



9.  Father's Full Name:                           JOSEPH W. HOLEMON



10. Mother's Full Maiden Name:                    MATILDA STEWART



11. Sex:  Male/Female                             MALE



12. Color:  White/Negro/Other                     WHITE



13. If Registered With The U.S. Employment

    Service, Give Number Of Registration Card:    NO-UNKNOWN



14. If You Have Previously Filled Out A Card

    Like This, State Place/Date:                  NO



15. Date Signed:                                  3/8/1937



16. Employee's Signature As Usually Written:      B. W. HOLEMON

--