MySource |
SSN application for Rebecca D Ashburn |
Author |
Social Security Administration |
Coverage
Place |
Farmington, St. Francois, Missouri, United States |
Year range |
1895 - 1959 |
Surname |
Ashburn Doss |
Publication information
Type |
Application for Social Security Account Number |
Publication |
photocopy of completed form |
Citation
Social Security Administration. SSN application for Rebecca D Ashburn. (photocopy of completed form). |
Repository
Content of this MySource page relates specifically to Rebecca Ashburn
Photocopy of original application received from United States Social Security Administration under the auspices of the Freedom of Information Act.
Transcription from SSN Application
Field | Value
|
SSN | 486-46-5832
|
First name | Rebecca
|
Middle name | D
|
Last name | Ashburn
|
Mailing address | RR#2, Farmington, Mo
|
Full name at birth | Rebecca D. Ashburn
|
Age at last birthday | 63
|
Date of birth | July 16, 1895
|
Place of birth | St. Francois Co., Mo
|
Father's full name | Paca Vincent Ashburn
|
Mother's full name | Sarah Ann Doss
|
Sex | Female
|
Color or race | White
|
Business name of employer | Self employed Farm
|
Employment address | RR2 Farmington, Mo
|
Today's date | Jan. 6, 1959
|
Signature | (signed with full name)
|
|