Name: Harold Mahan
SSN: 402-14-5878
Last Residence: 62568 Taylorville, Christian, Illinois
Born: 22 Feb 1921
Last Benefit: 62568 Taylorville, Christian, Illinois
Died: Jan 1982
State (Year) SSN issued: Kentucky (Before 1951)

KENTUCKY BIRTHS
Name: Harold R Mahan
Date of Birth: 22 Feb 1921
County: Harlan
Mother's name: Bessie Bryant
Volume Number: 041
Certificate Number: 20417
Volume Year: 1943

A COPY should include:

* Full name
* Full name at birth (including maiden name)
* Present mailing address
* Age at last birthday
* Date of birth
* Place of birth (City, county, state)
* Father's full name "regardless of whether living or dead"
* Mother's full name, including maiden name, "regardless of whether living or dead"
* Sex and race
* Ever applied for SS number/Railroad Retirement before? Yes/No
* Current employer's name and address
* Date signed
* Applicant's signature

a letter like

Social Security Administration
Office of Earnings Operations
FOIA Workgroup
300 N. Greene Street
P.O. Box 33022
Baltimore, Maryland 21290

Re: Freedom of Information Act Request

Dear Freedom of Information Officer,

I am writing this request under the Freedom of Information Act, 5 U.S.C. Section 552. I hereby request a copy of the SS-5, Application for Social Security Card, or a corresponding NUMIDENT printout (see below) for the following individual:

Mahan, Harold
402-14-5878
Birth: 22 Feb 1921
Death: Jan 1982

This individual is deceased, having been listed in the Social Security Administration's Death Master File. I understand the fee for this service is $27 for copy of original SS-5 application when the Social Security Number is provided. I am requesting SS-5 copy Included is a check for $27 made out to the Social Security Administration to cover any administrative costs required by this request.

Please respond to my request upon receipt of this initial correspondence. Thank you for your attention and assistance.

Sincerely,




Address:

Daytime Phone Number: