Application for Account Number to Social Security

Name: John Weitz
Address: 262 Maple Street Oshkosh, Wisconsin
Employer: The R. McMillen Company 633 High Street, Oshkosh, Wis
Age: 43 Birthdate: October 4, 1893 Place of Birth: Russia
Father's Full Name: George Weitz Mothers's Full Name: Katherine Felker
Sex: Male Color: White
Date Submitted: November 24, 1936 Signature: John Weitz
SS#390-10-5966