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U. S. Social Security Act
Applications
| Name: Forest Alvin Blum |
Address: General Delivery, Cut
Bank, Montana |
| Business Name of Present Employer:
Manning & Martin, Inc. |
Business Address of Present
Employer: 4? Philtower Bldg.; Tulsa, Oklahoma |
| Age at last Birthday: 43 |
Date of Birth: May 25, 1893 |
| Place of Birth: Tionesta, PA |
Father's Full Name: Henry
Blum |
| Mother's Full Maiden Name:
Kate Elezebeth Ikenburg |
Sex: Male |
| Color: White |
Date Signed: 12/19/36 |
| Employee's Signature, as usually
written: F A Blum {sig} |
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Compilation
Copyright 2003-Present
by
Linda Blum-Barton
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