FORREST ADELBERT CARRUTHERS SOCIAL SECURITY APPLICATION, STEUBEN, NEW YORK

Copyright (c) 2001 by Sharon Hamilton (sharkay@swbell.net).

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Application for Social Security Account 087-26-3606
Forrest Adelbert Carruthers
Mailing Address:  336 E. William St., Bath, N.Y.
Age:  45
Born:  4/19/05
Place:  Crosby, Pennsylvania
Father's name:  William L. Carruthers
Mother's name:  Mary Rosier
Self-employed at 325 W. Morris St., Bath, N.Y.
Today's date:  March 8, 1951
Signed:  Forrest Carruthers