Application for Social Security Account Number
Name - Samuel Mathews
Date Signed - February 13, 1941
Address at date of application - Montgomery County, Texas
Age at last birthday - 43
Date of birth - 22 July 1897
Place of Birth - Columbia, Caldwell Parish, Louisiana
Color or Rate - Negro
Married - Yes
Business name of present employer - Farmer
Address of Employment - Richards, Texas
Fathers name - Zach Mathews
Mothers name - Magnolia Johnson
Date last full time job ended - 23 Dec 1940 Farmhand
Social Security # - 458-28-1991