AGENCY: HSCA
RECORD NUMBER:
180-10072-10186
RECORD SERIES:
JFK Assassination System
Identification Form
Date:
10/2/201
Agency Information
NUMBERED FILES.
AGENCY FILE NUMBER:
010313
Document Information
ORIGINATOR :
FROM:
SOCIAL SECURITY ADMINISTRATION
TO:
HESS, JACQUELINE.
TITLE:
DATE:
PAGES:
07/31/1978
64
SUBJECTS:
OSWALD, MARINA; FINANCES, INCOME TAXES.
OSWALD, LEE; PRE-RUSSIAN PERIOD, MILITARY SERVICE,
COURT-MAR
DOCUMENT TYPE:
REPORT.
Unclassified
3
CLASSIFICATION:
RESTRICTIONS:
CURRENT STATUS:
DATE OF LAST REVIEW:
OPENING CRITERIA:
COMMENTS:
Redact
07/10/1996
Includes insurance forms, death certificate, & military documents of Oswald. Box 189.
v9.1
NW 88326 Docld:32245128 Page 1
Released under the John F. Kennedy
Assassination Records Collection Act of
1992 (44 USC 2107 Note). Case#:NW
88326 Date: 2025
DEPARTMENT
HEALTH
U.S.A
REFER TO:
IPO-4-5-1
DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
BALTIMORE, MARYLAND 21235
JUL 28 1978
Ms. Jackie Hess
Select Committee on Assassinations
U.S. House of Representatives
3331 House Office Building, Annex 2.
Washington, D.C. 20515
010313
Dear Ms. Hess:
This is in response to Mr. Blakey's May 15, 1978, request for access
to all files and documents concerning or referring to Lee Harvey Oswald
and Marina Oswald. The following documents are enclosed:
1. Form SS-5, Application for Social Security Account Number, completed
by Lee Harvey Oswald.
2.
Form SS-5, Application for Social Security Account Number, completed
by Marina Oswald.
3. Numident showing name changes for Marina Oswald.
4.
5.
Form OA-C5, Application for Survivors Insurance Benefits, completed
by Marina Oswald.
Certificate of Death issued by the City of Dallas for
Lee Harvey Oswald.
6. Marriage certificate (and translation) for Lee Harvey Oswald and
Marina Nikolaevna Prusakova.
7.
Birth certificate (and translation) for Marina Nikolaevna.
8. Birth certificate (and translation) showing child born to
Lee Harvey Oswald and Marina Nikolaevna Oswald.
9.
OA-C704, Certification of Contents of Document(s) or Record(s),
re birth of child to Lee H. Oswald and Marina Nikolaevna Prusakova.
NW 88326 Docid:32245128 Page 2
2
˚10.
11.
Letter dated 7/25/63 from the Department of the Navy to
Lee Harvey Oswald.
Form OA-C654, Certification By Uniformed Services, for Lee Harvey Oswald.
12.
13.
14.
15.
16.
17.
18.
Form DD-214, Armed Forces of the United States Report of Transfer
or Discharge, for Lee Harvey Oswald.
Undesirable Discharge from the Armed Forces of the United States,
issued to Lee Harvey Oswald.'
Forms OA-C668, Claimant's Report to Social Security Administration,
completed by Marina Oswald on 3/27/64 and 5/1/65.
Form OA-C669, Claimant's Report About Work to the Social Security
Administration, completed by Marina Oswald on 10/8/64.
Form SSA-1425, Reporting Card, completed by Marina Porter on 5/4/66.
Forms OA-C777, Annual Report of Earnings, completed by Marina Oswald
for 1964 and 1965.
Form OAC-1001, Statement of Employer, completed by Jaggars-Chiles-Stovall,
Inc.
19. Form OAC-1001, Statement of Employer, completed by Texas School Book
Depository.
20. Form OAC-1001, Statement of Employer, completed by William B. Reily,
Company, Inc.
21.
OAC-5002, Report of Contact, re contact with Jaggars-Chiles-Stovall, Inc.
22. OAC-5002, Report of Contact, re earnings under Jaggars-Chiles-Stovall, Inc.
23.
Copies of three pages of the Warren Commission Report re employment of
Lee Harvey Oswald prior to service in the Marine Corps.
24. Form OA-C790, Request for E/R Action.
25.
26.
Memorandum dated 6/3/65, re remarriage of Marina Oswald.
Forms SSA-L735 sent to Marina Porter and completed by Mrs. Porter.
NW 88326 Docld:32245128 Page 3
27. Forms OA-C107, Determination of Resumption of Award.
28.
Forms OA-C528b, Determination of Termination of Entitlement or
Suspension of Payments Based on Supporting Evidence on File.
29. Forms OA-C610, Payee, Address Change, or Hold Check Request.
30.
Form OA-C526, Benefit Summary.
31.
Form OA-C101, Determination of Award.
32. Form OA-C589, receipt for check.
33. Form OA-C596, 1965 Conversion of Benefit Rates.
34. Form AC-512, Appointment of Representative, completed by
· Marina N. Oswald and James H. Martin.
35. Form OAC-5002, Report of Contact, with James H. Martin.
36. Form OAC-5002, Report of Contact, re Lee Harvey Oswald's death.
The above-mentioned documents are being sent to you in their entirety.
We have withheld only the records of wage and self-employment income
maintained under the direction of 42 U.S.C. 405(c)(2). This record is
created on the basis of tax return information received from the Internal
Revenue Service. Under 26 U.S.C. 6103, this information is given to the
Social Security Administration for the administration of the Social
Security Act and redisclosure is prohibited. You may request this
information directly from the Internal Revenue Service.
I understand that the Dallas Region has already sent you the local
folder on Lee Harvey Oswald. We are also checking with the National
Archives to determine if it may have further social security records
on Lee Harvey Oswald or Marina Oswald. To date, we have found no
records under the aliases you provided. We will contact you if further
documents are located.
Enclosures
Sincerely yours,
Robert Bynum
Associate Commissioner
for Program Operations
NW 88326 Docid:32245128 Page 4
.
3
Form 88-8
ABURY DEPARTMENT
ERNAL REVENUE SERVICE
(Revised 7-46)
APPLICATION FOR SOCIAL SECURITY ACCOUNT NUMBER
REQUIRED UNDER THE FEDERAL INSURANCE CONTRIBUTIONS ACT
READ INSTRUCTIONS ON BACK BEFORE FILLING IN FORM
FILL IN EACH ITEM. PRINT IN BLACK OR DARK BLUE INK OR USE TYPEWRITER FOR ALL ITEMS EXCEPT
MIDDLE NAME. (IF Y
L
433-54-3937
DO NOT WRITE IN THE ABOVE SPACE
TURE. IF THE INFORMATION CALLED FOR IN ANY ITEM IS NOT KNOWN, WRITE "UNKNOWN."
LAST NAME
MIDDLE NAME OR INITIAL. DRAW A LINE -
HARVEY
PRINT NAME YOU GAVE YOUR PRESENT
FIRST NAME
1
EMPLOYER. OR IF UNEMPLOYED, THE
NAME YOU WILL USE WHEN EMPLOYED
MAILING ADDRESS (NO. AND ST., P. O. BOX, OR RFD) (CITY) (ZONE)
2
AGE ON LAST BIRTHDAY
DATE OF BIRTH (MONTH)
5
7
12: ELANGEST. NO, LA.
(DAY)
(STATE)
PRINT FULL NAME GIVEN YOU AT BIRTH
3
ост 181932
FATHER'S FULL NAME, REGARDLESS OF WHETHER LIVING OR DEAD
Oswald
FE HARVEY Oswald
MOTHER'S FULL NAME BEFORE EVER MARRIED, REGARDLESS OF WHETHER LIVING OR DEAD
MARGRET CLEVIERY
(YEAR)
PLACE OF BIRTH
(CITY)
(COUNTY)
6
NEW ORLEANS
(STATE)
LA.
8
☑
COLOR (MARK (✗) WHICH) (IF OTHER, SPECIFY)
10 OR WHITE NEGRO OTHER
RACE
HAVE YOU EVER BEFORE APPLIED
FOR OR HAD A SOCIAL SECURITY OR
RAILROAD RETIREMENT NUMBER?
(MARK (X) WHICH)
YES
NO
ROBERT LEE OSWALD
(MARK (X) WHICH)
FEMALE
9
MALE
SEX: ☑
BUSINESS NAME OF EMPLOYER. IF UNEMPLOYED, WRITE "UNEMPLOYED"
.42
EMPLOYER'S ADDRESS (No. AND STREET)
(CITY)
(ZONE) (STATE)
TODAY'S DATE
13
153
16-5528-7
NW 88326 Docld:32245128 Page 5
11
IF ANSWER IS "YES" PRINT THE
STATE IN WHICH YOU FIRST
APPLIED AND WHEN
ALSO PRINT YOUR ACCOUNT
NUMBER IF YOU KNOW IT
WRITE YOUR NAME AS USUALLY WRITTEN (DO NOT PRINT)
14
20
STATE
DATE
DAL
COUNT NUMBER™!
RETURN COMPLETED APPLICATION TO NEAREST SOCIAL SECURITY ADMINISTRATION FIELD OFFICE
DO NOT WHITE IN THIS SPACE
ཇ་་ནམས་m34:5གཞན 1:|:: +2*e
NW 88326 Docid:32245128 Page 6
المدانة
A300s o
100)
www
NICHOLAEVNA
3 M Wishesnova PreOJA ROVA
ANMANGEL
(5-3)
།
RUSSIA
QCO
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DO
(6)
ا 0000
329 STRAND RO RONALDOWN TO
1200)
200
OFFICIAL RECORD FOR SOCIAL SECURITY NUMBER 467 824034 PRINTED ON 071978
FORM 1 APPL/CYCLE 08 64 ENTRY O
NAME LINE MARINA
SIGNATURE
BIRTH DATE 0717941
NICHOLAEVNA
OSWALD
REF# 65163940518
C
243
C
CODE S
SEX 2 RACE 1
C
C
C
V PROOSAKOVA
FATHER NICHOLAI
UNKNOWN
ARCHANGEL
UR*
MOTHER CLAUDIA
BIRTHPLACE
о REQ BY BR 032 SEC
UNIT
CLERK 00827 DATE 195
о
PAGE 1 OF 3
OFFICIAL RECORD FOR SOCIAL SECURITY NUMBER 467 82 4034 PRINTED ON 071978
DO IRS FORM 2 APPL/CYCLE 121175 ENTRY 2
о NAME LINE MARINA
2ND NAME MARINA
Ӧ
SIGNATURE
BIRTH DATE 0717941
NIKOLAEVNA
PORTER
NIKOLAEVNA
OSWALD
REF# 75165960637 · -0
636
243
C
C
• CODE. S
SEX 2 RACE O
C
C
C
PAGE
2 OF 3
MOTHER KLAVDIA
PROOSAKOVA
FATHER ALEXANDR
MEDVEDEV
0
BIRTHPLACE • ARCHANGEL
UR*
REQ BY BR 032 SEC
UNIT
CLERK 00827 DATE 195
OFFICIAL RECORD FOR SOCIAL SECURITY NUMBER 467 82 4034
DO COO FORM 8 APPL/CYCLE 011976 ENTRY 2
NAME LINE. M
2ND NAME MARINA
N
NIC
SIGNATURE
BIRTH DATE 0717941
PORTER
OSWALD
PRINTED ON 071978
C
REF# 76010006538
C
636
243
C
CODE D
SEX 2 RACE O
تمع
C
C
NW 88320:324512827
UNIT
CLERK 00827 DATE 195
PAGE
3 OF- 3
୮
LEASE DO NOT WRITE
IN MARGIN
DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
Bureau of Old-Age and Survivors Insurance
DALLAS, TEXAS
BENEFITS*
APPLICATION FOR SURVIVORS INSURANCAN
Form approved.
Budget Bureau No. 72-R094.11.
(Do not write in this space)
Dallas DO JAN 9.
Received
деля
All items on this form requiring an answer must be answered or marked "Unknown."
NOTICE. Whoever (a) makes or causes to be made any false statement of representation of a
material fact for use in determining the right to or the amount of any benefit, of in determining an
individual's disability, under Title II of the Social Security Act, or (b) who, having
received a pay-
ment for the use and benefit of another person, knowingly and willfully uses such payment for
other than the person for whom it is received, is subject, under the Social Security Act, to a fine of
not more than $1,000 or 1 year's imprisonment, or both.
3.
Lee Harvey Oswald 433-54-3937
(Name of deceased wage earner & self-employed person)
(Social security account number)
for all insurance benefits payable to
n awal, hereby apply
I Marina N.
(Full name of applicant)
me under Title II of the Social Security Act, as amended, and to the children listed in item 14 below.
1. When was the deceased born? Month
10
Day 19 Year 39
2. In what State or foreign country did the deceased have his fixed, permanent home when he died? C
3. (a) Did the deceased ever serve in military or naval service of the United States?
If "Yes," answer (b).
Yes
☑
(b) Was the deceased in active service after September 7, 1939, and before January 1, 1957?.. Yes
If "Yes," answer (c) and (d).
(c) Give dates of service during the period specified in (b) above
No
☐ ☐ ☐ ☐
10/24/56 - 9/11/59
(d) Has anyone (including the deceased) received, or does anyone expect to receive, from any
Federal agency other than the Social Security Administration, a benefit based on the em-
ployment, military service, disability, or death of the deceased?.
If "Yes," name such person(s).
List all such agencies
4. Did the deceased work in the railroad industry at any time on or after January 1, 1937?.
No
Yes
No
☐
Yes
No
5. Give the names and addresses of the deceased's employers during the 12 months before his death; if the
deceased worked in agricultural employment, give this information for the year of death and the year
before. (If self-employed, write "Self-employed.")
NAME AND ADDRESS OF EMPLOYER
Year
63
WORK BEGAN
WORK ENDED
2.
con't.
• Chile Storall: 522 Powder Hollan
am. B. Reily Cebu, 640 Magazine,
Month
Year
Month
10
62
Naggers.
6. If the deceased was self-employed last year or the year before, give:
Year
Kind of Trade or Business
في ما
Amount of Net Earnings
☐ Less than $400
☐ Less than $400
$400 or more ☐
$400 or more ☐
7. About how much did the deceased earn from employment and self-employment during
the year in which he died?.
2600.00
8. Give the following information about each marriage of the deceased, including his marriage to you.
DATE AND PLACE OF MARRIAGE(S)
Month, Day, Year
City
TO WHOM MARRIED
State
How MARRIAGE
ENDED
MARRIAGE ENDED
Date
Place
4/30/61 Minsk, Belo Russia Marina n. his death 11/24/63 Salles 2x
Marina Nicholarona Proosakova
9. What was your maiden name?-
10. When and where were you born?
Proosakova
7/17/41
(Month, day, and year)
Severo Avinsk, Russi
(State or foreign country)
This may also be considered an application for survivors benefits under Section 5 of the Railroad Retirement Act and for Veterans Administration
payments under Title 38 USC., Veterans Benefits, Chapter 13 (which is, as such, an application for other types of death benefits under Title 38).
Form OA-CS
NW 88326 Docid:32245128 Page 8.
11. Indicate by (✓) whether your marriage to the deceased was performed by:
Clergyman or authorized public official ☑ or Other ☐ ...
- 12. Were you married before your marriage to the deceased?
If "Yes," give the following information about each of your previous marriages.
(Explain)
DATE AND PLACE OF MARRIAGE(S)
Month, Day, Year
City
TO WHOм MARRIED
State
☐
Yes
☑2
How MARRIAGE
ENDED
MARRIAGE ENDED
Date
Place
No
13. (a) Were you and the deceased living together at the same address when the deceased died?.. ☑
(b) If either you or the deceased was away from home (whether or not temporarily) when the deceased
died, give the following: which of you was away; date last home; reason absence began; reason you
were apart at time of death; if hospitalized, name of hospital and nature of
He was hast at hom
to go to work
2
11/22/63
confinement left.
Le were not aparated by
marital dificulties; he was in polic
he were
ustody until his death.
14. Was the deceased survived by any unmarried children (including stedren, adopted, and
illegitimate children): (a) who were under 18 years of age when he died; or (b) who were 18
years of age or older, with a disability that began before age 18? .
If your answer is "No," leave out the next questions and continue with question 21.
If your answer to question 14 is "Yes," give the following information about each such child.
Yes
No
(If uncertain as to name, date of birth, or whereabouts of any of these children, explain under "Remarks" on last page.)
Show relationship to you and the deceased by placing (✓) in the proper column.
FULL NAME OF CHILD
June
..DATE OF BIRTH
RELATIONSHIP TO DECEASED
RELATIONSHIP TO YOU
Month
Day
Year
Legitimate Adopted Stepchild Illegitimate
Natural or
Adopted
Stepchild
2
15 62
✗
✓
✗
✗
Audrey Marina Rachel 10 20 6.3
Oswal
(If you are not filing this application on behalf of any child listed above, give under "Remarks" on last page the name
of each such child and the reason(s) for not filing. If a child of the deceased is born after this application is filed, notify
your office of the Social Security Administration promptly, as such child may receive benefits.)
PLEASE DO NOT WRITE IN MARGIN
15. Has any child listed in item 14 ever been adopted by anyone other than the deceased?.
Yes
No
If "Yes," give the name of child, by whom adopted, and when..
16. (a) Were all the children listed in item 14 living with the deceased at time of death?.
'Yes
☐
No
If "No," and the deceased was the FATHER or ADOPTING FATHER who died before September 1960, answer (b).
(b) Which of the children listed in item 14 were living with their STEPFATHER when the deceased died?.
17. Are all the children listed in item 14 now living with you?.
If "No," give the following information about each child not living with you now.
FULL NAME OF CHILD NOT LIVING WITH YOU
Yes
No.
PERSON WITH WHOM CHILD NOW LIVES
Name and Address
Relationship to Child
18. Has a child listed in item 14 lived with you in every month since your husband's death?.
If "No," list the months in which no such child lived with you...
NW 88326 Docld:32245128 Page 9
☑
'Yes
No
19. Do you understand that all payments made to you on behalf of a child must be spent or saved
for his use and benefit, and do you agree to so apply the benefits?.
20. Do you agree to notify the Social Security Administration promptly when you no longer have
responsibility for the welfare and care of any child for whom you are filing this application? C☑
21. Have you or any children listed in item 14 married since the death of the deceased?.
If "Yes," give name of person who married and date of marriage.
es
☐ ☐ ☐
Yes
Yes
22. Have you or any children listed in item 14 ever had a social security account number?.
If "Yes," give the following information for each person having a number.
NAME OF PERSON AS SHOWN ON SOCIAL SECURITY CARD
SOCIAL SECURITY ACCOUNT NUMBER
☐
Yes
No
No
☐ 2 ☐ 2 α
☑
No
23. Have you or any children listed in item 14 ever filed an application for social security benefits
before?
If "Yes," give the name and account number of the person on whose earnings record such previous claim was based.
(Name of wage-earner or self-employed person)
Answer questions 24 and 25 only if you are within 3 months of age 62 or older.
Yes
No
(Social security account number)
24. Were you in the active military or naval service of the United States after September 7, 1939,
and before January 1, 1957?..
25. Did you work in the railroad industry at any time on or after January 1, 1937?..
Yes
No
Yes
No
Deductions are made from the benefits (other than disability benefits) of any person under age 72 who earns more than
$100 a month in employment or renders substantial services in self-employment, and has earnings in excess of $1,200 for the
taxable year.* This applies to all employment and self-employment, whether or not covered by the Social Security Act.
26. (a) Are you or any of the children for whom you are filing now earning more than $100 a
month in employment or rendering substantial services in self-employment?.
If "Yes," give the name of each such person..
(b) Do you expect your total earnings or the total earnings of any child for whom you are
filing to exceed $1,200 this year (count all earnings beginning with the first month of this
year)?.
If "Yes," give the name of each such person and the amount of his expected earnings. If “No,” con-
tinue with question 27.
☑
Yes
No
Yes
No
PLEASE DO NOT WRITE IN MARGIN
PERSON
$
$
EXPECTED EARNINGS
(c) Did every person listed in (b) earn more than $100 a month in employment or render sub-
stantial service in self-employment in all months of this year (counting the present month)?.
☐
Yes
No
If "No," give the name of each person and the months of this year in which the person did not earn more than $100
a month in employment and did not render substantial services in self-employment. If any such person was self-
employed, show the number of hours he devoted to self-employment opposite each month listed--if none, show "None."
PERSON
MONTHS
$
The yearly period referred to in this and subsequent items is the same 12-month period used in figuring income taxes.
use a fiscal year (one that does not end on December 31), enter here the name of such person and the month the fiscal year ends..
If you or any of the children
NW-88326 Doeld 32245128 Page 10

Answer item 27 only if the deceased died before this year.
27. Did you or any child for whom you are filing earn more than $1,200 last year?.
Yes
☑
No
If "Yes," give the name of each such person, show his total earnings, and list the months of last year in which the person
did not earn $100 a month in employment and did not render substantial services in self-employment. If any such person
was self-employed, show the number of hours he devoted to self-employment opposite each month listed--if none, show
"None." (Do not list any month before the month the deceased died.)
PERSON
EARNINGS
MONTHS
$
$
An annual report of earnings must be filed with the Social Security Administration within 3 months and 15 days after
the end of any year in which you, while under age 72 at least one full month of that year, or any child for whom you are
filing, earned more than $1,200. Also, your benefit is not payable for any month you do not have in your care a child of
the deceased entitled to a child's benefit unless you are receiving benefits because you are a widow age 62 or over.
FAILURE TO REPORT THESE EVENTS MAY RESULT in the LOSS OF ADDITIONAL
MONTHLY BENEFITS.
28. Do you agree to file the annual report of earnings when required?.
29. Do you agree to notify the Social Security Administration promptly if you do not have an en-
titled bad of the deceased in your care?
☑☑
No
No
A widow's entitlement to benefits ends with the month before the month in which: (a) she remarries, with certain excep-
tions (however, all marriages must be reported); or (b) she is under age 62 and no child of the deceased is entitled to
child's insurance benefits.
A child's entitlement to benefits ends with the month before the month in which the child: (a) attains age 18 (unless the
child has a physical or mental impairment which began before age 18, is expected to be long-lasting, and prevents any sub-
stantial gainful activity); (b) dies; (c) marries, with certain exceptions where the child is disabled (however, all marriages
must be reported); or (d) is legally adopted (unless the adoption is by the child's stepparent, grandparent, aunt, or uncle
after the death of the parent on whose record the child's claim is based).
If the child is age 18 or over and is receiving benefits as a disabled child, his entitlement to benefits also ends with the
second month after the month in which his disability ceases.
30. Do you agree to notify the Social Security Administration promptly if any of these events occur
and to return promptly any check for benefits received by you if you or any of the children are ☑
not entitled to it?.
Yes
No
REMARKS: (This space may be used for explaining any answers to the questions. If you need more space,
attach a separate sheet.)
3. Dewa School Book Hepository.
411 Elm, Dalias Que 10/63-11/62
PLEASE DO NOT WRITE IN MARGINN
Knowing that anyone making a false statement or representation of a material fact for use in determining the right to
or the amount of Federal old-age, survivors, or disability insurance benefits or in determining an individual's disability, com-
mits a crime punishable under Federal law, I certify that the above statements are true.
If this application has been signed by mark (X), two wit-
nesses who know the applicant must sign below, giving their
full addresses.
1.
Signature of applicant (Write in ink):
Sign
Here
(Name)
(Street and number)
(City)
(Zone number)
(State)
2.
(Name)
(Street and number)
(City)
(Zone number)
(State)
NW 88326 Docid:32245128 Page 11
Marina Norwald
Po
(First name)
(Middle initial)
(Last name)
PO Box 1407
(Street and number)
Grand Prairie ut 75050
(City)
(Zone number)
(State)
Telephone number at which I can be reached:
DA7 6 5 6-9 DA 7-0188
(If none, write "None.")
Date:
✗
(Month)
(Day)
(Year)
U.S. GOVERNMENT PRINTING OFFICE 1961 OF 5883.38
✓5-11 REV. 1/58
TEX DEPARTMENT OF HEALTH - BUREAU OF VITAL STATISTICS
CERTIFICATE OF DEATH
STATE FILE NO.
2. USUAL RESIDENCE (Where deceased lived. If institution: residence before admission)
c. LENGTH OF STAY
in 1 b.
13 Mo.
"
STATE OF TEXAS
1. PLACE OF DEATH
a. COUNTY
Dallas
b. CITY OR TOWN (If outside city limits, give precinct no.)
Dallas
d. NAME OF (If not in hospital, give street address)
HOSPITAL OR Parkland Hospital
INSTITUTION
a. IS PLACE OF DEATH INSIDE CITY LIMITS?
3. NAME OF
DECEASED
(Type or print)
5. SEX
Male
YES ☑
NO ☐
(b) Middle
Harvey
:
(a) First
Lee
6. COLOR OR RACE
7.
White
a. STATE Texas
b. COUNTY
c. CITY OR TOWN (If outside city limits, give precinct no.)
•
· Dallas
d. STREET ADDRESS (If rural, give location)
1026 N. Beckley
e. IS RESIDENCE INSIDE CITY LIMITS?
Dallas
f. IS RESIDENCE ON A FARM?
"
YES ☑
NO ☐
YES ☐
NO ☑
4. DATE OF DEATH
November 24, 1963,
(c) Last
Oswald
18. DATE OF BIRTH
19. AGE (in years IF UNDER I YEAR | IF UNDER 24 HRS.
Married ☑ Never Married ☐ October 19,1939 day) Months
24
Widowed ☐
Divorced ☐
10a. USUAL OCCUPATION (Give kind of work done 106. KIND OF BUSINESS OR INDUStreet 11. BIRTHPLACE (State or foreign country)
during most of working life, even if retired)
Laborer
13. FATHER'S NAME
Printing, Book, Metal
Robert Edward Lee Oswald
dat ન
15. WAS DECEASED EVER IN U.S. ARMED FORCES?
no. or unknown}
Yes
(Yes
New Orleans, La
14. MOTHER'S MAIDEN NAME
Dayt
Hours
Minutes
12. CITIZEN OF WHAT COUNTRY?
Margeruite Claverie
16. SOCIAL SECURITY NO.
17 INFORMANT
310-1955 9-1959 433-54-3937 K
18. CAUSE OF DEATH [Enter only one cause per line for (a). (b), and (c).]
PART 1. DEATH WAS CAUSED BY:
IMMEDIATE CA
a
DUE TO (b).
12
DUE TO (c)_
Hemonhape, secondary
gunshot wound of the chest,
to
USA
INTERVAL BETWEEN
ONSET AND DEATH
approx
45 minutes
MEDICAL CERTIFICATION
Conditions, if any.
which gave rise to
above cause (8).
stating the under-
lying cause last.
PART II. OTHER SIGNIFICANT CONDITIONS CONTRIBUTING TO DEATH BUT NOT RELATED TO THE TERMINAL DISEASE CONDITION GIVEN IN PART 1(a)
Deceased shot at close
range
20a.
ACCIDENT
☐
SUICIDE
☐
HOMICIDE
206. DESCRIBE HOW INJURY OCCURRED. (Enter nature of injury in Part I or Part II of Item 18.)
☑
Hour
Month
Day
R.m.
11
20c. TIME OF
INJURY
125
20d. INJURY OCCURRED
WHILE AT
WORK
NOT WHILE
☐
AT WORK
21.
jon_
19. WAS AUTOPSY PER-
FORMED?
YES ☑ NO ☐
while officers
24 63 were in process of transferring him from city to
206. PLACE OF INJURY (e.g., in or about home, form, factory, 201. CITY, TOWN, OR LOCATION
street, office building, etc.)
I hereby certify that I attended the deceased from_
22a. SIGNATURE
19.
City Hall
injust
Death occurred at_
(Degree or title);
McBride J.P.
23. BURIAL, CREMATION, REMOVAL (Specify)
NEX REMOVAL
23d. LOCATION
(City, town, or county)
Fort Worth
25a. REGISTRAR'S FILE NO.
6717
23b. DATE
19
Dallas
12:45pm.
22b. ADDRESS
November 25, 1963
(State)
Texas
25b. DATE REC'D BY LOCAL REGISTRAR
DEC 6
1963
COUNTY
Ballas
on 11-24-63
STATE
1 exas
and last
22c. DATE SIGNED
12-5-63
_m. on the date stated above, and to the best of my knowledge, from the causes stated.
310 Courthou
23c. NAME OF CEMETERY OR CREMATORY
Park
Rose Hill Burla) 125 rok #23775
24. FUNERAL DIRECTOR'S SIGNATURĘ,
Miller
Funeral Home Ft Worth, Texas
25 REGISTRARY RIGNATUREZ
BY
Taurine &am
ACTING REGISTRAR
NW 88326 Docid:32245128 Page 12
DALLAS, TEXAS Jan. 2,
1964
I HEREBY CERTIFY THAT THIS IS A TRUE COPY OF DEATH
CERTIFICATE OF ONE. Lee Harvey Oswald
AS IS RECORDED IN THIS OFFICE IN THE CITY OF DALLAS,
COUNTY OF DALLAS
CF
J.W.BOF TEXAS.
BY
e.w.
ACTING REGISTRAR
-
VITAL STATISTICS
DALLAS, TEXAS ….
NAME OF INSURED INDIVIDUAL
TRANSLATION
SOCIAL SECURITY ACCOUNT NUMBER
433-54-3937
TRANSLATING OFFICE
Social Security Administration
A. REQUEST FOR ASSISTANCE
(Complete only if document is sent to
another office for translation.)
1. DATE:
1/23/64
2. LANGUAGE OF DOCUMENT:
RUSSIAN
3. PERSON(S) FOR WHOM PROOF SUBMITTED:
(If married woman give maiden name)
L
4. FACT(S) TO BE PROVED:
5. ALLEGED DATE EVENT IN ITEM A-4
OCCURRED:
1. TYPE OF DOCUMENT:
B. TRANSLATION
(To be filled out by official translator)
Marriage Certificate
4. TITLE OF OFFICER EXECUTING DOCUMENT:
Bureau Manager (chief)
2. DATE EVENT RECORDED, IF
SHOW!
4/30/61
5 NAME OF ISSUING AGENCY:
3. DATE DOCUMENT
15242/30/61
of Citizens
Bureau of Registrati
Statistics minok, Dist Join
6. Does this document appear to be genuine and unaltered, and to have been
made at the time purported? .
7. Is Foreign Service post verification stamp
shown on document.
8. Describe and explain any irregularities in document:
YES
NO
YES
NO
9. The document, which is in the
_language, contains the following pertinent information:
Citizen Oswald, Lee Harvey, born 10/18/39 in
and
New Orleans
Citizen: Prycanova, Marina Mikolaevina, born
July 17, 1941 in molotovsk, Dist. Arkhangelok
were married
Reg. Mc. 415
RECUESTING OFFICE:
Г
on
Social Security Administration
L
NW 88326 Docid:32245128-Page-13-
April 30, 1961
Cert. Mo. 332281
7
SIGNATURE OF AUTHORIZED
TRANSLATOR
Garg sh
TITLE
DATE
I auth
1/23/64
NW 88326 Docid:32245128 Page 14
СВИДЕТЕЛЬСТВО О БРАКЕ.
Грамадзянін
Граждання
1939
Освалья
Карвей
jun | lun ja Garibay
года нараджЭННЯ
года рождения
182
гор новый Орлсон
1 грамадзянка
Hгpanaska
УАСИВО
Sipycatch
Марина
Сбразом Фаммами.
школь
dan 1 ter na bankay - www
1915 года нараджений 17 12
rona, poach
меень народжение
PHANECATCHO.
застра
уступілі ў шлюб 
300трия 
вы
вступили в брак (пропісе вай се, можна і чута
1 AW FOR, .10)
lescentgenows
"Spett
.:
Certificate
аб чым у ките запісаў актаў грамадзянскага стану
аб шлюбе
очем в книге записей актов гражданского состояния
браке
196/som anpess
MCCяfa
Recita
прона соответствующая запись за
Nam
sene
Mcca
Spann
Y_!
ремон
2"";""tH
12387.
продов
38073
ALGERIA
CNC)
1-332281
15
a ematty
angre
16 COGRIQANDA
гора
لراكوبه
th
The original document, of which this is
a photocopy. appears to be genuino and
unaltered and to have been made at the
time purported.
Signature
Date_
Titlo.
is a true comes of a
document beld divide
by the Foul Ban
Devistagation 
and 
famination
of the originive 
document
the 
7.B.2. Toborotory.
discloses no evidence
Velteration Wallace 
R.
Special agro FBQ
Beropycoxia ■ɔ.
Гознак. 1959.
Bee CCP-ecos CCP
СВИДЕТЕЛЬСТВО О БРАКЕ
NW 88326 Docid:32245128 Page 15
NAME OF INSURED INDIVIDUAL
TRANSLATION
SOCIAL SECURITY ACCOUNT NUMBER
433-54-3937
TRANSLATING OFFICE
Social Security Administration
A. REQUEST FOR ASSISTANCE
(Complete only if document is sent to
another office for translation.)
1. DATE:
1/23/64
2. LANGUAGE OF DOCUMENT:
RUSSIAN
3. PERSON(S) FOR WHOM PROOF SUBMITTED:
(If married woman give maiden name)
L
4. FACT(S) TO BE PROVED:
5. ALLEGED DATE EVENT IN ITEM A-4
OCCURRED:
1. TYPE
NT
B. TRANSLATION
(To be filled out by official translator)
Birth Certificate
4. TITLE OF OFFICER EXECUTING DOCUMENT:
2. DATE EVENT RECORDED, IF
SHOWN:
8/14/41
5. NAME OF ISSUING AGENCY:
Ellegible*
6. Does this document appear to be genuine and unaltered, and to have been
made at the time purported? .
7. Is Foreign Service post verification stamp
shown on document.
8. Describe and explain any irregularities in document:
3. DATE DOCUMENT
ISSUED:
$ 7/14/61
YES
NO
YES
NO
(
9. The document, which is in the_
_language, contains the following pertinent information:
Name: PRycanova, Marina Mikolaevna was born
(MC. ILLegible) 17, 1941 (month appears to be July or June)
Place of BIRTH: (City Illegible), District Arkhangelsk, RSFSR
Father: (allegible)
Mother C."
Reg. No. 1285
REQUESTING OFFICE:
Cent Mo. (b)
* Document shows official Soviet
ZACS bureau stamp.
Social Security Administration
L
NW 88326 Deeld:32245128 Page 16
SIGNATURE OF AUTHORIZED
TRANSLATOR
Gec. Rolls
"I auth
TITLE
DATE
1/23/64
GPO 1962 O - 648770
Sp..
po
al p
fa
امل C
more
MECT
F
pecny Stance
о чем в
o polari
3
14
NOCH 1
числа розведена соответското запись
1235
01
национальность
M:
Mol, in chi
Marina's
"Birth Certificate
B
ļ
:
NW 88326 Docid:32245128 Page 17
NAME OF INSURED INDIVIDUAL
TRANSLATION
SOCIAL SECURITY ACCOUNT NUMBER
433-54-3937
TRANSLATING OFFICE
Social Security Administration
A. REQUEST FOR ASSISTANCE
(Complete only if document is sent to
another office for translation.)
1. DATE:
11/23/64
2. LANGUAGE OF DOCUMENT:
Russian
3. PERSON(S) FOR WHOM PROOF SUBMITTED:
(If married woman give maiden name)
L
4. FACT(S) TO BE PROVED:
D/B
5. ALLEGED DATE EVENT IN ITEM A-4
OCCURRED:
1.
TYPE OF POCUMENT:
Birth Certificate
B. TRANSATION
(To be filled out by official translator)
4. TITLE OF OFFICER EXECUTING DOCUMENT:
2. DATE EVENT RECORDED, IF
SHOWN:
$2/25/62
5. NAME OF ISSUING AGENCY:
3. DATE DOCUMENT
SSUED 2/25/62
Bureau manages (chel) Bureau of Degistrati
6. Does this document appear to be genuine and unaltered, and to dz
made at the time purported? . .
7. Is Foreign Service post verification stamp
shown on document.
8. Describe and explain any irregularities in document:
Statutics
of
NO
YES
NO
9. The document, which is in the_
Family name: OSWALD
First Name:
June
_language, contains the following pertinent information:
Patronymic: Lee
BORN: February 15, 1962
FATHER'S NAME: OSWALD,
Lee HARVEY
FATHER'S NATIONALITY: American
Mother's Name: OSWALD,
Marina NIKOLAEVNA
Mother's NATIONALITY: RUSSIAN
Place of Birth: Minsk, White Russian SSR
Reg. No. 2.08
REQUESTING OFFICE:
(over)
Г
Social Security Administration
NW 88326 Docid: 22451282 Page 18
1
SIGNATURE OF AUTHORIZED
TRANSLATOR
George Ketishion
TITLE
DATE
1/23/64
GPO 1962 O - 648770
Place of Registration: Minsk, District Jenin
Office of Registration
Certificate No. 123610
NW 88326 Docid:32245128 Page 19
0
Гр.
НЯСВЕДЧАННЕ
HE
ЯБ НАРАДЖЭННІ
СВИДЕТЕЛЬСТВО О РОЖДЕНИИ
Освальд
ПДжун
(panand Фамилия,
Ли
мама да бацьку - VI
нарадзіўся (лася)
родился (лась)
15.11. 1962
(проліски і лічбамі вод, месиц і число -
лятнадцатого
ью и цифрами год, меси
тысяча
февраля
ЧИСЛО
девятьсот
шестьдесят второго года
Месца нараджэння дзіцяці: горад, сяло Минск
Место рождения ребенка: город, село
paën
район
вобласць,
область
бесо
аб чым у кнізе запісаў актаў грамадзянскага стану аб
караджэнні
о чем в книге записей актов гражданского состояния
о рождении
1962 года февраля
года
зроблен адпаведны запіс за
Месяца
месяца
25
произведена соответствующая запись за
чысла
числа
№ 208.
Junes Lee Birth Certificate
Бацька
отсуш
Мінска
Амиста
БАЦЬКІ:
РОДИТЕЛИ:
433-54-3947
Освальд
(прозвіш
Харвей
Імя і імя па бацьку - име и отчество)
нацыянальнасць
национальность
Mani
американец
Освальо
мамарина
(проз
Фамилия,
Николаевна
Імя 1 ма на бацьку — имя и отчество)
нацыянальнасць
национальность
Месца рэгістрацыі
Русская...
Минск
входжанне вюра ЗАГС -
Место пристрации (нало
ЗАСС
Бюро
Дата сдать
.м. п.
и местонахождение биро ЗАГС)
Ленинского рнал
25
февраля 1962.
par
дэпут
3
МУ-ПЯ
бура запісаў
kama Rail shekula emany
- Заведужнай Бюро записей
актов гражданского состояния
N 123610
баств
•
NW 88326 Docld:32245128 Page 20

DEPARTMENT OF
HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
BUREAU OF OLD-AGE AND SURVIVORS INSURANCE
Name of wage earner or self-employed person
CERTIFICATION OF CONTENTS OF DOCUMENT(S) OR RECORD(S)
(This form must be executed by an authorized employee of the Social Security Administration)
Social security account number
Lee Harvey Oswald
433
54-3937
Every item in a block must be filled out with exact excerpts from the paper certified or the item must be marked "not shown."
If the date on which an entry was made in a family record is "not shown," indicate under "Remarks" any allegation as to when the
document or record was established. CROSS OUT ALL UNUSED SPACES.
A. AGE (OR RELATIONSHIP) OF:
1. NAME OF PERSON AS SHOWN ON EVIDENCE
BORN
Audrey Marina Rachel Oswald 10/20/63
NAME OF THER
Lee H. Oswald
NOT SHOWN
PERSON HAVING CUSTODY, RELATIONSHIP TO APPLICANT, AND ADDRESS:
NAME
BUS
ter
AGE
AGE
LAST
BIRTHDAY AT WHICH AGE SHOWN
NEAREST
DATE RECORDED
NAME OF MOTHER
NEXT NOT GIVEN ☑
na
NOT SHOWN
AGE
ne marina Michalarona Provechoca
☑
APPLICANT
AND ADDRESS OF ISSUING AGENCY (If certifying from a Bible, give date of publication)
Dlx,
2. NAME OF PERSON AS SHOWN ON EVIDENCE
BORN
NATURE OF EVIDENCE
Cart of
Birth Re
CUSTODIAN
DOCUMENT NO.
19/33
DATE RECORDED
NAME OF FATHER
AGE
BIRTHDAY AT WHICH AGE SHOWN
LAST
NEXT
NEAREST
NOT GIVEN
☐ NOT SHOWN
AGE
NAME OF MOTHER
AGE
NOT SHOWN
PERSON HAVING CUSTODY, RELATIONSHIP TO APPLICANT, AND ADDRESS:
NATURE OF EVIDENCE
APPLICANT
NAME AND ADDRESS OF ISSUING AGENCY (If certifying from a Bible, give date of publication)
DOCUMENT No.
CUSTODIAN
3. NAME OF PERSON AS SHOWN ON EVIDENCE
BORN
AGE
BIRTHDAY AT WHICH AGE SHOWN
LAST
NEAREST
NEXT
NOT GIVEN
DATE RECORDED
NAME OF FATHER
AGE
NAME OF MOTHER
NOT SHOWN
☐ NOT SHOWN
AGE
PERSON HAVING CUSTODY, RELATIONSHIP TO APPLICANT, AND ADDRESS:
NATURE OF EVIDENCE
APPLICANT
NAME AND ADDRESS OF ISSUING AGENCY (If certifying from a Bible, give date of publication)
DOCUMENT No.
CUSTODIAN
4. NAME OF PERSON AS SHOWN ON EVIDENCE
BORN
AGE
BIRTHDAY AT WHICH AGE SHOWN
LAST
NEAREST
NEXT
NOT GIVEN
DATE RECORDED
NAME OF FATHER
☐ NOT SHOWN
AGE
NAME OF MOTHER
☐ NOT SHOWN
AGE
NATURE OF EVIDENCE
☐ APPLICANT
PERSON HAVING CUSTODY, RELATIONSHIP TO APPLICANT, AND ADDRESS:
NAME AND ADDRESS OF ISSUING AGENCY (If certifying from a Bible, give date of publication)
B. MARRIAGE OF:
NAME OF HUSBAND AS SHOWN ON EVIDENCE
NAME OF WIFE AS SHOWN ON EVIDENCE
NATURE OF EVIDENCE
DOCUMENT No.
☐ CUSTODIAN
NO. OF PREVIOUS MAR-
RIAGES (1, 2, ETC.)
BORN
AGE
BIRTHDAY AT WHICH AGE SHOWN
LAST
NOT SHOWN
NO. OF PREVIOUS MAR-
RIAGES (1, 2, ETC.)
BORN
AGE
NOT SHOWN
PLACE OF MARRIAGE
MARRIAGE CERTIFICATE
PERSON HAVING CUSTODY, RELATIONSHIP TO APPLICANT, AND ADDRESS:
NAME AND ADDRESS OF ISSUING AGENCY (If certifying from a Bible, give date of publication)
Form OA-C704
(6-62)
NW 88326 Docid:32245128 Page 21
(OVER)
NEXT
NEAREST
NOT GIVEN
BIRTHDAY AT WHICH AGE SHOWN
LAST
NEXT
NEAREST
NOT GIVEN
DATE OF MARRIAGE
APPLICANT
☐ CUSTODIAN
DOCUMENT No.
DEPARTMENT OF HEAL
SOCIAL SECURITY ADMINISTRA..
UCATION, AND WELFARE
Bureau of Old-Age and Survivorsenge
CERTIFICATION BY UNIFORMED SERVICES
The information requested below is for use in connection with
a claim for social security benefits based at least in part on active
service in the armed forces after September 7, 1939.
Alexxxxx
P
Thomas C. Parrott Date 1/24/64
Director
FROM: Social Security Administration
Division of Claims Policy
Entitlement Branch, Room 645
Baltimore, Md. 21235
PART I-TO BE COMPLETED BY SOCIAL SECURITY ADMINISTRATION
LAST NAME FIRST NAME MIDDLE NAME
Oswald, Lee Harvey
BRANCH OF SERVICE
Marine Corps
RATE OR RANK
DATE OF BIRTH
DATE OF DEATH
SOCIAL SECURITY NUMBER
10/19/39
11/24/63
DATE(S) OF ENTRY INTO SERVICE
10/24/56
DATE(S) OF SEPARATION
9/11/59
433-54-3057
PLACE OF SEPARATION
SERIAL NO.
1653230
Part II ☑
REMARKS:
Part III ☐ below to be completed by the service department
PART II-SERVICE DEPT. CERTIFICATION ABOUT ACTIVE SERVICE AFTER SEPTEMBER 7, 1939.
1. DATE(S) OF ENTRY INTO
ACTIVE SERVICE
240ct56
2. DATE(S) OF SEPARATION
FROM ACTIVE SERVICE
3. CHARACTER OF SEPARATION(S) * (If Bad Conduc
AS A RESULT OF A General COURT MARTIAL)
CATE IF GIVEN
11Sep59
4. If period of service was less than 90 days, WAS
INDIVIDUAL DIS-
CHARGED OR RELEASED FROM ACTIVE SERVICE AS RESULT OF INJURY
OR DISABILITY INCURRED OR AGGRAVATED IN SERVICE IN LINE OF DUTY?
YES
☐ NO
5. IF A PERIOD OF SERVICE HAD AN ENTRY DATE AFTER 12/31/46 AND
BEFORE 12/16/50, BY WHICH OF THE FOLLOWING WAS ENTRY EFFECTED?
INDUCTED
CALLED FROM
INACTIVE SERVICE
RE-ENLISTED
☐ COMMISSIONED
ENLISTED
Honorable
*IF CHARACTER OF SEPARATION WAS NOT Honorable, Under
Honorable Conditions, Dishonorable, NOR Bad Conduct As A RESULT
OF A General court MARTIAL, CHECK REASON FOR SEPARATION BELOW:
a.
b.
c.
DESERTION.
RESIGNATION FOR THE GOOD OF THE SERVICE (Officers Only).
CONSCIENTIOUS OBJECTOR WHO REFUSED TO WEAR THE UNIFORM
OR OTHERWISE TO COMPLY WITH LAWFUL ORDERS OF COMPETENT
MILITARY AUTHORITY.
d. ☐ CONVICTION BY A CIVIL COURT FOR TREASON, SABOTAGE, ESPIO-
e.
NAGE, MURDER, RAPE, ARSON, BURGLARY, ROBBERY, KIDNAPPING,
ASSAULT WITH INTENT TO KILL, ASSAULT WITH A DANGEROUS
WEAPON, OR OF AN ATTEMPT TO COMMIT ANY OF THESE CRIMES.
NONE OF THE ABOVE.
PART III-SERVICE DEPT. CERTIFICATION ABOUT RETIRED OR RETAINER PAY (See instructions on reverse side)
IF THE VETERAN WAS NEVER RETIRED or TRANSFERRED TO THE FLEET RESERVE, check this box.
Sign and return the form without answering items 1, 2 and 3 below.
.
1. (a) Was this veteran an enlisted member of the Army, Air Force, Navy, Marine Corps, or
Coast Guard and retired after September 15, 1940, and before October 1, 1949, because
of disability?
Yes
Νο
(b) Was this veteran ever retired or transferred to the Fleet Naval (or Marine Corps) Re-
serve after September 15, 1940, for any reason other than disability which is the proxi-
mate result of the performance of active duty?
Yes
No
If answer to 1 (a) or 1 (b) is "Yes," answer (c) and (d).
(c) Was active service after September 15, 1940, and before July 25, 1947, used to establish
eligibility to receive retirement or retainer pay?
Yes
.
(d) Was active service after July 24, 1947, and before January 1, 1957, used to establish
· eligibility to receive retirement or retainer pay?
Yes
2 2
No
No
2. (a) Has the retirement (or retainer) pay of this individual ever been fixed under a formula
which includes a multiple of active service?
Yes
Νο
If answer is "Yes," answer (b) and (c).
•
(b) Was this multiple increased because of active service occurring after September 15, 1940,
and before July 25, 1947?
Yes
No
.
(c) Was this multiple increase because of active service occurring after July 24, 1947, and
before January 1, 1957?
Yes
No
Yes
No
3. Did the veteran have active duty or active duty for training after December 31, 1956?
REMARKS BY CERTIFYING AGENCY:
☐ CONTINUED ON REVERSE SIDE
Served in an inactive status in the Marine Corps Reserve from 12Sep59
to 13Sep60 when discharged as Undesirable.
ORGANIZATION Records Service Section
SIGNATURE
W.C
Zeene
of Section
Hq. U: .S. Marine Coprs
27Jan64
Head
DATE
RANK OR TITLE
Form OA-C654
(2-61)
NW 88326 Docld:32245128 Page 22
5+2
LNSTRUCTIONS
This form requests information to permit the Social Security Administration to determine
whether the veteran had active military or naval service during 
World War II (September 16, 1940--
July 24, 1947) or post- World War II (July 25, 1947--December 
31, 1956) for which military service wage
credits may be granted.
The duplicate copy of this form should be kept in the veteran's military file. If there is ever a
subsequent change made in the service or retirement record 
which affects the information furnished on
this form, the Social Security Administration should be advised 
accordingly.
PART I-The items identifying the veteran are completed by the requesting Social Security
Administration office shown in the upper right corner of the 
form. That office will also check block(s)
after "Part II" and/or "Part III" to show the type of information 
being requested.
toms in Part II are to be com-
775755
separation from earlier service.
discharge did not affect the character of
Corps Reserve from 9/12/59 to 9/13/60, which
was from his inactive status in the Marine
The DWE's discharge as Undesirable
1/24/64.
Hdqs. Marine Corps, Washington, D.C.) on
(W. C. Keene, Record Service Section,
confirms telecom. with Marine Corps
active service 10/24/56 - 9/11/59 which
Attached OA-C654 reflects DWE's honorable
and attached OA-C654 completed 1/27/64.
elecom. with Marine Corps 1/24/64
See CM 1823.
precluded by type of discharge from later
MS wage credits for 10/56 - 12/56 are not
period of service.
འི་ནས་འཐལ་#3་
Claims Policy Examiner
Lorene B. Benning
military
Walted Cabinstein
--military service in 1962 and 1963.
and 
benefite wurd computed 
based on
service is not regard
and for insired status
Hiss het does not apply since
Mon
Claims Policy
Examiner
NW 88326 Docld:32245128 Page 23
250
DEPARTMENT OF THE NAVY
NAVY DISCHARGE REVIEW BOARD
WASHINGTON 25, D. C..
IN REPLY REFER TO
EXOS:QB(33)
JAP:gjo
JUL 25 1963
"
Mr. Lee H. Oswald
P. O. Box 30061
New Orleans, La.
Dear Mr. Oswald:
The review of your discharge has been completed in
accordance with the regulations governing the procedures
of this Board. Caroful consideration was 
given to the
evidence presented in your behalf as well as 
that 
contained
in your official records. The Secretary of 
the Navy has
reviewed the proceedings of the Board.
It is the decision that no change, correction or
modification is warranted in your discharge.
Sincerely yours,
Bon
D. W. BOWMAN
Captain, USN
Presidont
Navy Discharge Review Board
Encls: Original Discharge Certificate.
Two (2) letters dated 31 Jan 1962, 13 Nov 1961.
Information on Reenlistment
NW 88326 Docid:32245128 Page 24.
4 Service Discharge
PERSONAL DATA
: -
NW 88326 Docid:32245128 Page 25
in vara målade živi...
LEGEND: Insert N/A to the items below which are not applicable. I
1. LAST NAME FIRST NAMER MIDDLE NAME
OSWALD, Lee Harvey
4. DEPARTMENT, COMPONENT AND BRANCH OR
CLASS
USMC
74. RACE
Caucasian
2. SERVICE NUMBER
1653230
15. PLACE OF BIRTH (City and State or Country)
30. GHADE, RATE OR RANK
b. DATE OF RANK (Duy, Monih,
PFC (E-2)
6.
•Mar59
DAY
MONTH
YEAR
DATE
Or
BIRTH
18
Oct
39
New Orleans,
Louisiana
b. SEX
C. COLOR HAIR
d. COLOR EYES
•. HEIGHT
WEIGHT
Male
Brown
Grey
71"
150
☑ YES ☐ NO
100. HIGHEST CIVILIAN EDUCATION LEVEL
ATTAINED
High School - 1
b. MAJOR COURSE OR FIELD
Academic
b. STATION OR INSTALLATION AT WHICH EFFECTED
119. TYPE OF TRANSFER OR DISCHARGE Transferred
to Marine Corps Reserve
U.S. CITIZEN
9. MARITAL STATUS
Single
H&HS, MCAS, El Toro, (Santa Ana), California
C. REASON AND AUTHORITY 226-Dependency. Par 10273 MARCONMAN & MCO
1000.2B & CG 3aMAW's 5th End of 31 Aug;59
12, LAST DUTY ASSIGNMENT AND MAJOR COMMAND MACS-9,MMING, 30, 180. CHARACTER OF SERVICE
NFHbFuc,MCAS, ElToro (Santa Ana) California HONORABLE
14. CLLECTIVE SERVICE NUMBER
¡16. SELECTIVE SERVICE LOCAL BOARD NUMBER, CITY, COUNTY AND STATE
id.
DAY
MONTH
YEAR
EFFEC⚫
TIVE
DATE
11 Sep
59
b. TYPE OF CERTIFICATE
DUS 217-MC
16.
DATE INDUCTED
DAY
MONTH
YEAR
SERVICE DATA
N/A
¨ N/A'
N/A
17. DISTRICT OR AREA COMMAND TO WHICH RESERVIST TRANSFERRED
MARTC NAS, Glenview, Illinois
10. TENKINAL DATE OF RESERVE
OBLIGATION
19. CURRENT ACTIVE SERVICE OTHER THAN BY INDUCTION
O. SOURCE OF ENTRY
b. TERM OF
c.
DATE OF ENTRY
SERVICE
DAY
MONTH
YEAR
(Years)
DAY
MONTH
YEAR
8
Dec
62
3
24
Oct
56
20. PAIOR REGULAR ENLISTMENTS
20.
NON'S
chlisted (First Enlistment) ☐ ENLISTED (Prior Service) ☐ REENLISTED
OTHER:
21. GRADE. PATE OR RANK AT TIME OF
ENTRY INTO CURRENT ACTIVE SERVICE
Private
23. G X OF RECORD AT TIME OF ENTRY INTO ACTIVE SERVICE (Street, RFD,
City, County and State)
4936. Collinwood Street
Fort Worth, Torrent, Texas
260. SPECIALTY MURER AND TITLE
32. PLACE OF ENTRY INTO CURRENT ACTIVE service (City and State)
Dallas,
Texas
STATEMENT OF SERVICE
24.
YEARS
MONTHS
DATE
a.
(1) NET SERVICE THIS PERIOD
2
9
3
CREDITABLE
FOR BASIC
(2) OTHER SERVICE
0
0
b. RELATED CIVILIAN OCCUPATION AND
2. O. T. NUMBER
(3) TOTAL (Lina (1) + line (2))
9
D. TOTAL ACTIVE SURVICE
9
C. FOREIGN AND/OR SEA SERVICE
6741: Avmilectronic
Operator
Radio Operator
0-61.30
PAY
PURPOSES
2. DECORATIONS, UEDALS. HAUGES, COMMENDATIONS. CITATIONS AND CAMPAIGN RIBBONS AWARDED OR AUTHORIZED
NONE
27. WOUNDS RECLIVED AS A RESULT OF ACTION WITH ENEMY FORCES (Pluce and data, if known)
NOVE
POST GRADUATE COURSES SUCCESSFULLY COMPLETED
28. OTHL
NW 88326 Docid:32245128 Page 26
SERVICE DATA
Dec LUK
☐ O
20. PRIOR REGULAR ENLISTMENTS
NONE
21. GRADE, PATE OR RANK AT TIME OF
ENTRY INTO CURRENT ACTIVE SERVICE
Private.
23. HOME OF RECORD AT TIME OF ENTRY INTO ACTIVE SERVICE (Street, RFD,
City, County and State)
4936 Collinwood Street
Fort Worth, Tarrant, -TX03
250. SPECIALTY HUNGER AND TITLE (b. RELATED CIVILIAN OCCUPATION AND
6741: AvnElectronic D. T. NUMBER
Operator
Radio Operator
0-61.30
28. PLACK OF ENTRY INTO CURRENT ACTIVE SERVICE (CITY onio
Dallas,
24.
a.
CREDITABLE
FOR BASIC
Texas
STATEMENT OF SERVICE
YEARS
MONTHS
(1) MLT SERVICE THIS PERIOD
2
9.
(a) OTILA SERVICE
0
0
0
(3) TOTAL (Line (1) + line (2))
9
b. TOTAL ACTIVE SERVICE
2
3%
C. FORLIGN AND/OR SCA SERVICE
PAY
PURPOSES
2t. DECORATIONS. MEDALS, BADGES, COMMENDATIONS. CITATIONS AND CAMPAIGN FILHOMS AWARDED OR AUTHORIZED
NONE
27. WOUNDS RECEIVED AS A RESULT OF ACTION WITH ENEMY FORCES (Pluce and data, if known)
Nore
28. SERVICE SCHOOLS OR COLLEGES. COLLEGE TRAINING. COURSE: AND/OR POST GRADUATE COURSES SUCCESSFULLY COMPLETED
SCHOOL UR COURSE
a
DATES (From • Tu)
b
Jacksonville, Florida 18Mar57-3May57
Biloxi, Mississippi
(May57 19 Jun57
MAJOR COURSES
AvnFundamentalCl "P"Sool
28. OTHER SERVICE TRAINING
COURSES SUCCESSFULLY
COMPLETED
USAFI GED HSLOW
YA DATA
AUTHENTICATION
SGG. GOVERNMENT LIFE INSURANCE IN FORCE
YES
NO
310. VA BENEFITS PREVIOUSLY APPLIED FOR (Specify type)
32. REMARKS
D. AMOUNT OF ALLOTMENT
N/A
NONE
C. MONTH ALLOTMENT
DISCONTON O
W/A
b. YA CLAIM HUMBER
C-
N/A
Lump sum leave settlement due but not settled /
Hileage paid: $91.55-
Recommended for Reenlistment.
Time lost current active duty: Forty-five (45) days
Pers in a non-pay status: From 29 Jun 58 to 12Aug58
Good Conduct Medal period commonces 27Jun58 (1st Award)
Total payment on separation: $132.30 (9/11/59)
OR DISCHARGE
(Street, RFD, City, County and Stutel 37?
33. PERMANENT ADDRESS FOR MAILING 
PURPOSE
. 5th Street,
Fort Worth, Tarrant, Tolas
380. TYPED NAME, GRADE AND TITLE OF AUTHORIZING OFFICER
7349
A.G.AYERS Jr,lstLt USMCR Ass't OIC SopSed
DD
I NOV 85
214
REPLACES EDITION OF 1 JUL 52 WHICH IS
OBSOLETE
34. SIGNATURE OF PERSON BEING TRANSFERALD OR DISCHARGED
b. SIGNATURE OFFICER AUTHORIZED TO BIGA
ARMED FORCES OF THE UNITED STATES
REPORT OF TRANGER ONDISCHARGE
UNDESIRABLE
DISCHARGE
FROM THE ARMED FORCES OF THE
UNITED STATES OF AMERICA
DO 256 MC
THIS IS TO CERTIFY THAT
PRIVATE FIRST CLASS LEE HARVEY OSWALD 1653230
WAS DISCHARGED FROM THE
UNITED STATES MARINE CORPS
ON THE 13th DAY OF SEPTEMBER 1960
AS UNDESIRABLE
Это ветви
M. G. LETSCHER, FIRST LIEUTENANT, USMC
NW 88326 Docid:32245128 Page 27
18-82083-3
7
¡ty for discharge
Lat
8 service
eld on discharge.
occupational specialty
(sca, foreign, battles, engagements, expeditions)
on the
day of
19_
to serve
ycars
number
ation
f discharge
that the above is correct according to the service records.
. NAS, GLENVIEW, ILL. 26 Septo
non-delivery of Discharge
(address unkown)
By direction
VETERING OFFICE 16-63063-9
NW 88326 Do 132245128 Page 28
(Duse of
ww
"
j
Form OA-C591
(8-58)
UNIT DESTINATION
ADJ
COR
CC
CR
CL
DR
INCOMING CORRESPONDENCE ASSIGNI
(MAIL AND DISTRIBUTION SUBUNIT)
Referred to
Received by
Searcher
Final disposition
REMARKS:
DEPARTMENT OF
HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
BUREAU OF OLD-AGE AND SURVIVORS INSURANCE
Form Approved
Budget Bureau
No. 72-R597.1
CLAIMANT'S REPORT TO
SOCIAL SECURITY ADMINISTRATION
PRINT NAME OF PERSON ABOUT WHOM REPORT IS MADE
Marina Oswald
SOCIAL SECURITY CLAIM NUMBER
433-54-3937 E, C1,2
-Fill-in. Only the Item(s) being reported.
"
1. CHANGE OF ADDRESS. (Fill in new address at bottom.)
Check if change is for: ✓ more than 6 months ☐ 6 months or less
To avoid delay in receipt of checks you should also file a regular change
of address notice 
with your local post office.
Enter date of marriage
2. MARRIAGE.
Show new name
Enter date of death_
3. DEATH...
4. DIVORCE OR ANNULMENT OF
MARRIAGE (of spouse beneficiary from
insured individual)...
5. CHILD OR OTHER CLAIMANT LEFT
YOUR CARE
6. CHILD LEGALLY ADOPTED
Enter date decree fino!
Enter date child left your
care
Enter date of adoption
BY
:
☐ Stepparent ☐ Grandparent ☐ Aunt ☐ oncle ☐ Other
7. WORK OUTSIDE THE DIVITED STATES:
I was employed or self-employed outside
the United States beginning with the
month of
SIGNATURE of person making this report
Date signed
Month and Year
Marina Oswald.
March 27, 1964.
P.O. Box or Street
629 Belt
Line
Zone No.
State
Richardson, Lex. 75080
FORM OA-C668 (10-62)
GPO 1962 OF-663532
NW 88326 Doeld:32245128 Page 29
Form OA-C591
(2-64)
UNIT DES'
PES
CC
CAS
}
DEPARTMENT OF
INCOMING CORRESPONDEN
HEALTH EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
:
CLAIMANT'S REPORT TO
Form Approved.
Budget Bureau
No. 72-R597.2
SOCIAL SECURITY ADMINISTRATION
PRINT NAME OF PERSON OR PERSONS ABOUT WHOM REPORT IS MADE
MARINA
N
OSWALD
NW 88326 Docid:32245128 Page 30
SOCIAL SECURITY CLAIM NUMBER(5)
433-54
-54-3937-E
Fill in Only the Item(s) being reported.
1. CHANGE OF ADDRESS.
(Fill in new address at bottom.)
Check if change is for: ☑ more than 6 months
☐ 6 months or less
To avoid delay in receipt of checks you should also file a regular change
of address notice with your local post office.
2. MARRIAGE
Show New Name
Enter date of marriage
3. DEATH OF (Show Name)
4. DIVORCE OR ANNULMENT OF MARRIAGE
(of spouse beneficiary from insured indi-
vidual)..
5. CHILD OR OTHER CLAIMANT LEFT YOUR
CARE...
Show Given Name(s) of Person(s) Who Left:
Enter date of death
Enter date decree final
Enter date child left your
care
GOING OUTSIDE THE U.S.
Name of country to which going
Given Name(s) of Person(s) Going
CHILD LEGALLY ADOPTED
Show Given Name(s) of Child(ren)
Date of departure from
U.S.A.
Enter date of adoption
BY ☐ Stepparent ☐ Grandparent
SIGNATURE of person making this report
Aunt
☐ Uncle
Other
& Mrs. Marina Oswald
P.O. Box or Street
1245 DONNA DRIVE
City
State
Zip Code
RICHARDSON, TEXAS 75080
ter name of county, if any, in which you live
DALLAS COUNTY
FORM OA-C 668 (6–63)
Date Signed
5-1-65
* GPO 1963 OF 696-004

NW 88326 Docid:32245128 Page 31
อ
Form OA-C669
(11-60)
Form Approved.
Budget Bureau No. 72-R598
CLAIMANT'S REPORT ABOUT WORK TO
SOCIAL SECURITY. ADMINISTRATION
PRINT NAME OF PERSON ABOUT WHOM REPORT IS MADE
MARINA N. OSWALD
SOCIAL SECURITY CLAIM NUMBER
433-54-3937-E
Fill in Only the item being reported.
REPORT HERE IF YOU WORK
and expect to eam more than $1,200 during this taxable
year.
I am working for wages of more
than $100 (or rendering substan-
tial services in self-employment)
beginning with the month of..
Fill in both boxes.
I estimate that my total eamings for
this taxable year will be. . . .
Month & Year
9-64
Amount
5,000
Your estimate will be used to schedule benefit payments
to you during the year. At the end of the year an annual
report of actual earnings is required, at which time ad-
justments, as necessary, will be made.
REPORT HERE IF YOU STOP WORKING
for wages of more than $100 a month (or rendering substan-
tial services in self-employment).
559 6
10
The last month I worked for wages
of more than $100 (or rendered
substantial services in self-
employment) was
Month & Year
REPORT HERE TO REVISE AN ESTIMATE
of earnings you previously gave for this taxable year.
I estimate that my total earnings
for this taxable year will be .
*If $1,200 or less, show "$1,200 or less"
Amount⭑
Your benefit payments will be rescheduled in line with
the changes in your work activity reported above.
SIGNATURE of person making this report Date signed
Mrs. Marina Oswald Oct. 8, 156.4.
P.O. Box or street
629 BELT LINE ROAD
City
Zone No.
State
RICHARDSON, TEXAS 75080
GPO 1960 0-572939
NW 88326 Doeld:32245128 Page 32
(2-64)
PES
COR
CC
RECON
CAS
REC
Referred to
Received by
Searcher
Final disposition
INCOMING CORRESPONDENCE ASSIGNMENT RECORI
(MAIL AND DISTRIBUTION C
REPORTING CARD
Form Approved.
Budget Bureau
No. 72-8597.3
PRINT NAME OF PERSON OR PERSONS ABOUT WHOM REPORT IS MADE
MARING N. Porter
ENTER SOCIAL SECURITY CLAIM NUMBER IN THIS SPACE
433 54 3937
Check or fill in ONLY the information being reported.
1. ☑ CHANGE OF ADDRESS (Print new address at bottom)
Check if change is for: ☐ More than 6 mos. ☐ 6 mos. or less
2. ☐ KING AND WILL EARN OVER $1,500 THIS YEAR:
arking for wages of more than
nit
late
$120 a month (or rendering substan-
tial services in self-employment) be-
ginning with the month of
MONTH AND YEAR
..
REMARKS:
Fill in both boxes-
I estimate that my total earnings for
this taxable year will be.
AMOUNT
$
3. ☐ STOPPING WORK:
The last month I worked for wages of
more than $125 (or rendered sub-
stantial services in self-employment)
MONTH AND YEAR
was
4. ☑ SIGNIFICANT CHANGE IN ESTIMATE:
I estimate that my total earnings for
this taxable year will be..
AMOUNT
$
5.
DEATH
NOTE: The work of beneficiartes who were over
_ age 72 when the year began need not be reported.
ENTER DATE OF DEATH
6. GOING OUTSIDE THE U.S.
Name of country to which going
7. ☐ MARRIAGE
Place of marriage (City, County & State)
DATE GOING
DATE EXPECT TO RETURN
DATE OF MARRIAGE
DATE DECREE FINAL
8.
DIVORCE OR ANNULMENT.
9.
CHILD LEGALLY ADOPTED BY
ENTER DATE OF
ADOPTION
Stepparent
Aunt or Uncle
Other
Brother or
Sister
Grandparent
10.
CHILD OR OTHER CLAIMANT ENTER DATE HE LEFT YOUR
LEFT YOUR CARE
SIGNATURE OF PERSON MAKING THIS REPORT
CARE
Mrs. Marina n. Porter
NUMBER AND STREET, P.O. BOX, OR ROUTE
6448 DUNSTAN Lane
CITY
DALLAS
DATE SIGNED
5-4-66
STATE
Texas
ZIP CODE
75214
TELEPHONE NUMBER, IF ANY
EM 8 2177
ENTER NAME OF COUNTY, IF ANY, IN WHICH YOU LIVE
DALLAS
FORM SSA-1425 (12-65) KC
osition
U.S. GOVERNMENT PRINTIN
NW 88326 Docld:32245128 Page 33
433-54-3937 E
SOCIAL SECURITY ADMINISTRATION
ANNUAL REPORT ARNINGS
.
1964
Please read enclosed INSECTION leaflet carefully.
Form Approved
Budget Bureau
No. 72-R$24.9
App. Exp. 12-31-66
NOTICE: Whoever makes a false statement in connection with this report is liable to
a penalty.
·
4 Answer only if you answered item 20 on other side.
Show wwork you did in connection with your business
during month for which you made an entry in item
2d. (Also explain if ownership of your business changed. )
MONTHS
HOURS
OF WORK
WHAT WORK DID YOU DO?
PRINT NAME AND ADDRESS BELOW IF NOT
ALREADY SHOWN, THEN ANSWER QUESTIONS
ON OTHER SIDE.
MARIANA N OSWALD
629 BELT LINE RD.
RICHARDSON TEX
75080
SEPT 157
OCT 457
WRITER
L
J
Nov 457
"
Please do not bend, pin or tear this card.
DEC
457
7
FORM OA-C777 (12-64)
DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE-SOCIAL SECURITY ADMINISTRATION
2/27/65
EAC HIP 720
NW 88326 Docld:32245128 Page 34
IN 1964?
YES
If "yes"
complete a & b
1. WERE YOU AN EMPLOYEE
a. Show amount of wages earned from January 1, 1964 through December 31, 1964
(gross wages before payroll deductions)
$
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
NO
b. Place "X" in box for each month, if any, in which
you did NOT earn more than $100.
2 3 4 5 6 7
8 9 10 11
2. WERE YOU SELF-EMPLOYED/
IN 19647
YES Complete
a. Show 1964 tōtal receipts (farmers show gross profits).
b. Show 1964 net earnings (or loss (if a loss, write "L" after the amount)
If "yes"
c. State kind of trade or business
business
a, b, c & d
NO
B
3. DO YOU EXPECT TO EARN
OVER $1,200 in 19657
YES
NO
In "yes"
complete a &b
DATE AND
SIGN HERE
$
$
40, 935.05
10,502, 06
9999
d Place "X" in box for each month, if any, in which you JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
believe you did NOT render substantial services in
your business and complete item 4 on the other side.
=
a. Show your expected total earnings for 1965.
3 4 5 6
10.
$ 5,000
00
b. Are you now EITHER working for wages of over $100 a month OR
rene 19 substantial services in self-employment;
DATE
SIGNATURE
This inclu
YES
NO
SOCIAL SECURITY CLAIM NUMBER
733 54-3937.
EAC HIP 720 BACK
Form OAC-5002
(1-64)
W/E OR S/E PERSON
OFFICE:
REPORT OF CONTACT
(USE INK OR TYPEWRITER)
DATE:
"Lee Harvey Oswald
NAME AND ADDRESS OF PERSON(S) CONTACTED:
CONTACT
Dallas, Tex.
1-10-64
NN 133-54-3937
A/N
Fr, Geo, R. Clower
Chiles Stovall
Mgr - Jaggor Chiba Stral-1-55 office
IN PERSON
TELEPHONE
I asked
|
PLACE OF CONTACTO
Dallas
cipy of love lower to look at
for 17/62, He
did
and reported that he
showed #727.21.1
It is obvious that the the
636,50 appearing
was
1962 is one
on the
wage
the 794
1962
wine a volter Employer and therefore
of the high years.
This reased the #727, & did not
record is bicance the
Jaggars Corporation used an inaccurat
allount number, They showed 423-54-3739
instead of
433-54-3937,
1/27/64
:
مه
for oswald
did report
3/63, 
+ 6/62 
as
18/611
Jaggers
for
CONTACT MADE BY
torp 3/63,
Under
NW 88326 Docid:32245128 Page 35
emf
They say,
Same
wrong number.
(SIGNATURE)
°
er
re
eports
amounts
arter
as
The
show
1001
Один з
At my.
(FOR CONTINUATION OF THIS REPORT, TURN PAGE. KEEP MARGINAL SPACE AT RIGHT FOR BINDING
U. S. GOVERNMENT PRINTING OFFICE 1958 O -486513
(TITLE)
Eget
54-3937 E
SOCIAL SECURITY ADMINISTRATION
ANNUAL REPORT OF EARNINGS - 1965
Please read enclosed INSTRUCTION leaflet carefully.
Form Approved
Budget Bureau
No. 72-R524.9
App. Exp. 12-31-66
NOTICE: Whoever makes a false statement in connection with this report is liable to
a penalty.
PRINT NAME AND ADDRESS BELOW IF NOT
ALREADY SHOWN, THEN ANSWER QUESTIONS
IN OTHER SIDE.
MARINA MWALD
1245 DONNA DR
RICHARDSON TEX
15080
Please do not bend, pin or tear this card.
FORM OA-CAPTENT OF HEALTH DONATION AND WELFARE---
14. Answer only if you answered item 2d on other side.
Show what work you did in connection you pristness
during each month for which you made an entry in item
2d. (Also explain if ownership of your business
MONTHS
HOURS
OF WORK
you
WHAT WORK DID YOU DO?
JAN
Feb
June
7
"
J
PH107
་ཀ་”,:』
700
"
F148 4/23/66
lin E-30-13
4/25/66
EAC
HIP 2568
NW 88326 Docld:32245128 Page 36
NW 88326 Docid:32245128 Page 37
1.
IN 1965?
YES
If "yes"
"
complete a & b
NO
b-Place "X" box for each if any, in which
**you did NG, earn more than $100.
YOU AN EMPLOYEE
a. Show amount of wages earned from January 1, 1965 through December 31, 1965
(gross mayes before payroll dedu-tions)
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
$
I
2
↑ 4 15
0
7
8
り
10 11
2. WERE YOU SELF-EMPLOYED
IN 1965?
a. Show 1965 total receipts from self employment (farmers show gross profits).
+
5130
b.
"yes"
complete
Show 1965 net earnings (or loss) from self-employment
(if a loss, write "t" after the amount)
C. State kind of trade or business
☑YES
NO
a, b, c & d
d Place "X" in box for each month, Wany, in which you
believe you did NOT render substantial services in
your business and complete iten 4 on the other side.
Writer
JAN FEB MAR APR MAY JUN JUL AUG SEP OCT NOV DEC
$
5130.24
2 3.
4 5
6
7
8
9
10 11
12
3. DO YOU EXPECT TO EARN
OVER $1,500 IN 1966?
YES "yes"
a. Show your expected total earnings for 1966.
$
complete a &b
NO
DAYND
SIĘ RE
b. Are you now EITHER working for wages of over $125 a month OR
rendering substantial services in self-employment?
DATE
4-5-66
YE
ΝΟ
SIGNATURE
SOCIAL SECURITY CLAIM NUMBER
Mrs. Marina n. Porter
467 82
4034
EAC HIP 2569 BACK
PLEASE DO NOT WRITE IN MARGIN
DEPARTMENT OF HEALTH, EDUCATION, AND WELfare
SOCIAL SECURITY ADMINISTRATION
Bureau of Old-Age and Survivors Insurance
Form approved.
Budget Bureau No. 72-R247.12
In replying, Address: SOCIAL SECURITY ADMINISTRATION
3716 Rawlins St. P. O. Box 6556.
Dallas, Texas 75219
RI 9-2885
Telephone
RI 9-299 late 1/10/64
We have received an application for social security benefits based upon the wages paid to the indi-
vidual named below. We need a statement of wages to process this claim. Your cooperation in promptly
filling out and retuming this statement will be appreciated. An envelope requiring no postage is enclosed
for your use. (The filing of an application does not necessarily mean that a currently employed wage eamer
plans to quit working)
୮
JAGGARS- CHILES- STOVALL, INC.
522
S. BROWDER ST.
- DALLAS TEXAS 75222
Dickenson
District Manager.
Enclosure.
STATEMENT OF EMPLOYER
1.
This is to certify that wages in the amounts shown have been PAID during the calendar year(s) to-
Lee Harvey Oswald
OSWALD 433-54-3937
(Name of wage earner)
(Social security account number)
Include the value of all remuneration before withholding of tax whether paid in cash or kind (but for
services performed in a private home as a domestic, or in work not in the course of the employer's trade
or business, show only the cash amount paid). If no wages were paid in the periods checked below, write
"None"; if the amounts are unknown, write "Unknown." If you believe any of the amounts shown are
not wages or any of the employment is not covered under the Social Security Act, outline your reasons
under "Remarks" on the back of this form.
2.
WAGES PAID
PERIOD
WAGES PAID
WAGES PAID
WAGES PAID
YEAR 19.62
YEAR 19.6.3
YEAR 19..
YEAR 19
January 1-March 31, inclusive..
$..
none
$...945.69
$.
April 1-June 30, inclusive ...
$ none
$121.67
$.
July 1-September 30, inclusive...
$ none
s none..
$.
727.81.
October 1-December 31, inclusive......
$.
none
$.
In item 3 below use specific terms such as file clerk, traveling or city salesman, maid, plumber,
attorney, etc. In item 7 use specific terms such as radio manufacturing, wholesale drugs, retail grocery
store, physician's office, private home, etc.
3. EMPLOYEE'S OCCUPATION
7. NATURE OF BUSINESS
Camera Dept.
4. BUSINESS NAME OF EMPLOYER (Type or print)
Jaggars-Chiles-Stovall, Inc.
5. STREET ADDRESS OF EMPLOYER
Typography
9. WRITTEN SIGNATURE OF EMPLOYER OR AUTHORIZED EMPLOYEE OF FIRM
De malone
TITLE OF PERSON SIGNING ABOVE
6. CITY
522 Browder St.
Dallas, Texas
Form OAC-1001 (9-62)
NW 88326 Docid:32245128 Page 38
STATE
Secretary-Treasurer
10. EMPLOYER'S FEDERAL
IDENTIFICATION NO.
75 0359250
11. DATE THIS STATEMENT FILLED OUT
1-10-64
DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
Bureau of Old Age and Survivors Insurance
Form approved.
Budget Bureau No. 72-R247.12
In replying, Address: SOCIAL SECURITY ADMINISTRATION
3716 Rawlins St. P. O. Box 6556
Dallas, Texas 75219
RI 9-2885
RI 9-2991
Telephone
Date
1/10/64
We have received an application for social security benefits based upon the wages paid to the indi-
vidual named below. We need a statement of wages to process this claim. Your cooperation in promptly
-filling-out and returning this statement will be appreciated. An envelope requiring no postage is enclosed
for your use. (The filing of an application does not necessarily mean that a currently employed wage earner
· plans to quit working.)
TEXAS SCHOOL Book
DEPOSITORY
ELM 'AT HOUSTON...
- DALLAS TEXAS..
Enclosure.
JWrikeman
District Manager.
STATEMENT OF EMPLOYER
1.
...This is to certify that wages in the amounts shown have been PAID during the calendar year(s) to—
LEE HARVEY OSWALD
(Name of wage earner)
433-54-3937
(Social security account number)
Include the value of all remuneration before withholding of tax whether paid in cash or kind (but for
services performed in a private home as a domestic, or in work not in the course of the employer's trade
or business, show only the cash amount paid). If no wages were paid in the periods checked below, write
"None"; if the amounts are unknown, write "Unknown." If you believe any of the amounts shown are
not wages or any of the employment is not covered under the Social Security Act, outline your reasons
under "Remarks" on the back of this form.
PLEASE DO NOT WRITE IN MARGIN
2.
PERIOD
WAGES PAID
YEAR 19.1
19.6.3
WAGES PAID
YEAR 19..
WAGES PAID
YEAR 19........
WAGES PAID
YEAR 19.
January 1-March 31, inclusive.
S. NONE
$.
$.
April 1-June 30, inclusive.
S. NONE
$.
July 1-September 30, inclusive..
S. NONE
$.
$.
October 1-December 31, inclusive.....
$.
261.68
$.
$.
$.
In item 3 below use specific terms such as file clerk, traveling or city salesman, maid, plumber,
attorney, etc. In item 7 use specific terms such as radio manufacturing, wholesale drugs, retail grocery
store, physician's office, private home, etc.
3. EMPLOYEE'S OCCUPATION
7. NATURE OF BUSINESS
4. BUSINESS NAME OF EMPLOYER (Type of print)
Texas Real Book Depository
5. STREET ADDRESS OF EMPLOYER
Elmas Hester Str.
CITY
2
NW 88326 Docid:32245128 Page 39
STATE
Texas
8. WRITTEN SIGNATURE OF EMPLOYER OR AUTHORIZED EMPLOYEE OF FIRM
Or
9. TITLE OF PERSON SIGNING ABOVE
Lice
10. EMPLOYER'S FEDERAL
IDENTIFICATION NO.
11. DATE THIS STATEMENT FILLED OUT
075-0891330 | 1-10-64
PLEASE DO NOT WRITE IN MARGIN
DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
Bureau of Old Age and Survivors Insuranos
Form approved.
Budget Bureau No. 72-R247.12
In replying, Address: SOCIAL SECURITY ADMINISTRATION
Telephone
701 Loyola Avenue,
New Orleans, Las 70113
527-2551
Date
1/80/64
the indi
Your cooperation in promptly
We have received an application for social security benefits based upon the wages paid
vidual named below. We need a statement of wages to process this claim.
filling out and retuming this statement will be appreciated. An envelope requiring no postage is enclosed
for your use. (The filing of an application does not necessarily mean that a currently employed wage eamer
plans to quit working.)
୮
L
Will Be Co.,
640 magazie St
new orleans Lo
Enclosure.
"Martha amr Steen
j (Mrs.) Martha A. McSteen
District *nager.
STATEMENT OF EMPLOYER
This is to certify that wages in the amounts shown have been PAID during the calendar year(s) to
Oswald
1 x H.
(Name of wage earner)
433-54-3937
(Social security account number)
Include the value of all remuneration before withholding of tax whether paid in cash or kind (but for
services performed in a private home as a domestic, or in work not in the course of the employer's trade
or business, show only the cash amount paid). If no wages were paid in the periods checked below, write
"None"; if the amounts are unknown, write "Unknown." If you believe any of the amounts shown are
not wages or any of the employment is not covered under the Social Security Act, outline your reasons
under "Remarks" on the back of this form.
2.
PERIOD
January 1-March 31, inclusive..
WAGES PAID
YEAR 19..
63
WAGES PAID
YEAR 19
WAGES PAID
YEAR 19
WAGES PAID
YEAR 19.
April 1-June 30, inclusive...
July 1-September 30, inclusive..
$ 422.25
$ 19/125
October 1-December 31, inclusive.
$.
$.
In item 3 below use specific terms such as file clerk, traveling or city salesman, maid, plumber,
attorney, etc. In item 7 use specific terms such as radio manufacturing, wholesale drugs, retail grocery
store, physician's office, private home, etc.
3. EMPLOYEE'S OCCUPATION
order in plant
4. BUSINESS NAME OF EMPLOYER (Type or print).
WB. REILY co. One
m
S. STREET ADDRESS OF EMPLOYER
640
6. CITY
magazine st
NW 88326 Docid: 32245128 /Page 40 70130
7. NATURE OF BUSINESS
Caffee Roasters
8. WRITTEN SIGNATURE OF EMPLOYER OR AUTHORIZED EMPLOYEE OF FIRM
9. TITLE OF PERSON SIGNING ABOVE
10. EMPLOYER'S FEDERAL
IDENTIFICATION NO.
.
Controller
11. DATE THIS STATEMENT FILLED OUT
1/10/64

---------
Wage Earner
Lee H. Oswald
A/N
433-54-3937
Understanding that this statement is for the use of the Social Security
Administration in the administration of the Social Security Act, Title II, I
hereby certify that the following information is correct:
(1) Were the wages shown on the attached statement of employer
reported to the Director of Internal Revenue?
Yes
No
(2) If wages were reported, please give date(s) reported and under
what employer's name the report(s) was made:
Same
,
ледиваг
egular 
Return
on re
(3) If the wages were not reported, please give reason for failure
to report:
1/10/64
Date
Attachment to Form OAC-1001
NOLA-7/63
•
Hd Controller
Signature
NW 88326 Docld:32245128 Page 41
)
Form OA-C589
و
DEPARTMENT OF
HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
10-14-64
Always give
Claim No.
433-54-3937-E
when writing about your claim
nowledged of the following:
DESCRIPTION OF REMITTANCE
'sonal check dated 10-6-64
Forwarded by:
Mrs. Marina Oswald
629 Belt Line Road
Richardson, Texas 75080
NW 88326 Docid:32245128 Page 42
^
AMOUNT
SCHEDULE NO.
37.50
OCT 15
74
ACKNOWLEDGED
Previous balance
$
Current remittance
$
OOT 15 109
Current balance
Next date for payment
Form OAC-5002
(1-64)
REPORT OF CONTACT
(USE INK OR TYPEWRITER)
OFFICE:
Dallas, Texas
DATE:
1/16/64
W/E OR S/E PERSON
Lee Harvey Oswald
NAME AND ADDRESS OF PERSON(S) CONTACTED:
A/N
433-54-3937
CONTACT MADE:
IN PERSON
TELEPHONE
PLACE OF CONTACT:
The have requested scouting of the
who's unposted 12/62 earnings from
Jaggers - Chiles - Stovall, Inc. The have
a 1001 showing whs's correct e.
earnings
this period, & eve have also verified
that these earnings were reported
under an incorrect AIN. The are
for
forwarding claim
claim 
for adjudication
without waiting for the a :couting
which ve
requested. As soon as
it is received, we will forward
it to PC for association with whis
file. He presume that these carnings
will be located through scouting.
However, if not, we will prepare
7010's. Results of this development
will be forwarded for association
with it's file. The will also
10 3/63+ carnings from this is since
They
CONTACT MADE BY
are
alzb
gore-lag.
SIGNATURE)
(over)
Claims Rep.
(TITLE)
(FOR CONTINUATION OF THIS REPORT, TURN PAGE. KEEP MARGINAL SPACE AT RIGHT FOR BINDING)
U. S. GOVERNMENT PRINTING OFFICE: 03 - 674592
NW 88326 Docid:32245128 Page 43
NW 88326 Docid:32245128 Page 44
DATE
PRIMARY
MOS
ADDITIONAL
MOS
25Jum57
6741
MILITARY OCCUPATIONAL SPECIALTIES
TITLE OF MOS
AvnElectronics Oper
AUTHORITY
CMC Spd 1tr DFI-nad-12 of 27May57
Office Boy
EDUCATION
CIVILIAN
CIVILIAN OCCUPATIONS
JOB TITLE (Main ocen pallon)
NUM.
GRAD
YEAR
TYPE SCHOOL
BAJOR SUCLECT
BER
LEST
YEARS IT'S NO
SCHOOL
DOT NO.
YEARS EXPERIENCE
GRAMMAR SCHOOL
8
✗ 1955
NIGH SCHOOL
Acad
1
COLLEGE-UNIVERSITY
TRADE-BUSINESS
1-23.02
4/12
I 195 DUTIES PERFORMED Performed various clerical duties
such as distributing mail, delivering 
mes-
☐ sages & answering telephone. Helped file
records & operated ditto, letter opening &
ealing machines.
MUSTART
HUM
YEAR
COMPLETED
IMCOM.
PLETE
WKS.
6 1957
6/1957
SCHOOL ATTENDED AND COURST
AynFundScol JAX
ACHWOperCrse Ecosler AFB.
205 TITLE (Screndery occupation
DOT NO.
TEARS EXPERIENCE
DUTIES PERFORMED
TESTING AND SPECIAL QUALIFICATIONS
FOREIGN LANGUAGE
LANGUAGE
FORDI
UNDERSTANDS
COMPREHENSION
PEADS
RATING
DATE
WRITES
TOTAL SCORE
ADJ RATING
Russian
OPERATES (Name of machine, vehicle, equipment, str.)
DA AGO FER-1575
-5 (p) 4 (P)
3(P)
2(P)
25 Feb59
:
TITLE
FORM
DATE
GCT 38
CLASSIFICATION. APTITUDE, AND TRADE TESTS
GRADE-SCORE
AUTHENTICATION
(Name end rank)
III-105 Irans from old page.
RY За
II-125
AC За
III-108
LAR 33
III-90
IPA
39
III-94
RCT
SR-2
300ct56 III-92
RECOMMEHOLD DUTY ASSIGNMENT
PREFERENCE OF DUTY
Aircraft Maintenance and Repaix
HARKS AND MISCELLANEOUS QUALIFICATIONS
1.
Completed ES level GXDF-
Aircraft Maintenance and Repair
23 Har59 sat passed USAFI HS GRD PT. 1-46, 2-57, 3-55, 4-58, 5-52
JULE
(Lex).
05HALD
(Fire)
Les
(Miele)
Harvey
HAVING IN (2)-PD (KEY. -1) (SUPERSES AT 11-PD (TV) WHICH WILL BE USED, AND MY OTHER FICTIONS OF MAC 11 (4)-PS AND NEVICC 118 (14)-
NOT BE U
FOLSOM EXHIBIT No. 1-Continued (p. 7)
SERVICE NO
1653230
1-0-25810
e. The Marine has no firm offer of employment he has
indicated that his former employer will entertain offering
employment with a suitable salary to provide the necessary
support of his mother.
3. In evalation of all facts available, it is the opinion
of the Board that Private First Class OSWALD meets the
requirements of paragraph 10273 MOM for release from
active duty.
4. The Board recommends that Private First Class Lee H.
CSWALD be released from active duty with the Marine Corps
for reasons of dependency.
31:|ཀླུབ།
B. J. KOZ AK
Lieutenant Colonel, U. S. Marine Corps
FOLSOM EXHIBIT No. 1-Continued (p. 80)
10:GCK:wdp
26 Aug 1959
THIRD ENDORSEMENT on Pfc OSWALD's lir of 17 Aug 1959
From:
To:
Subj:
Ref:
1.
Commanding General, 3d Marine Aircraft Wing
Senior Member, 3d Marine Aircraft Wing Hardship/
Dependency Discharge Board.
Dependency Discharge; request for; case of Private
First Class Lee H. OSWALD 1653230/6741 USMC
(b) Para 10273 MarCorMan
(c) CG 3d MAW 1tr to LtCol KOZAK 10:RH:din of 30
Jul 1959
Delivered.
2. In accordance with the provisions of subparagraph 9c of
reference (b), you will convene the 3d Marine Aircraft Wing
Hardship/Dependency Discharge Board, as designated by ref-
erence (c), as soon as practicable for the purpose of con-
sidering the subject case.
3. The recommendations of the Board will be returned to this
Headquarters by endorsement hereon as expeditiously as possible.
726
NW 88326 Docld:32245128 Page 45
W. A. CLOMAN, JR.
By direction
FOLSOM EXHIBIT No. 1-Continued (p. 81)
.
50:EJA:mwh
1918
AUG 28 1859
FOURTH ENDORSEMENT on Pfc OSWALD's ltr of 17 Aug 1959
From: Senior Member, 3d Marine Aircraft Wing Hardship or
Dependency Discharge Board
To:
Commanding General, 3d marine Aircraft Wing
Subj: Discharge by reason of dependency; request for case of
Private First Class Lee H. OSWALD 1653230/6741 USMC
1. Guided by the provisions of reference (a) and in compli-
ance with Third Endorsement hereto, the Hardship or Dependency
Discharge Board met at 1530, 27 August 1959 to consider the
case of Private First Class Lee H. OSWALD 1653230/6741 US.C.
The Marine had submitted an official request for a dependency
The following
discharge in accordance with reference (a).
members were present:
Lieutenant Colonel Bolish J. KOZAK 07108 USMC (MWHG-3)
Major George E. MC CLANE 016430/7335 USMC (MAG-36)
major Eugene T. CARD 035129/7304 USMC (MWHĠ-3)
2. Upon examination of the basic request, supporting encl-
osures and Service record, Private First Class 
Lee H. 
OSWALD
was interviewed by the Board. The following facts were
then considered:
a.
Private First Class Lee H. OSWALD, not married, on
his initial three (3) year enlistment in the Marine Corps
is obligated to serve on active duty until 7 December 1959.
b. The Marine submitted his request for a dependency
discharge in order that he may provide physical and
financial assistance to his invalid mother residing in
Fort Worth, Texas.
C. The home situation of Private First Class OSWALD nas
been aggravated subsequent to his enlistment date through
incapacitation of his mother as a result of an industrial
accident. The mother is no longer gainfully employed due
to her physical condition and has no source of income. The
presence of her son, Private First Class OSWALD, is required
for physical and financial assistance.
d. One son, married and residing in Fort Worth is
unable to provide either financial or physical assistance
to the Marines mother due to his marital responsibilities
and the inability of the two families to maintain a common
Another son, married, with the U. S. Air Force on
active duty in Japan, cannot furnish financial support.
•
FOLSOM EXHIBIT No. 1-Continued (p. 79)
NW 88326 Docld:32245128 Page 46
DISTRICT OFFICE
DALLAS TEX
NAME OF A/N HOLDER
OSWALD LEE H
MULTIPLE AN
MULTIPLE A/N
PAYMENT CENTER
PLEASE ADVISE CURRENT DISTRICT OFFICE
OF CLAIMS STATUS (PREPARE OA.C556)
CODE
REQUEST DATE
TYPE ACTION
PRIOR CERTIFICATION
(SEE OVER)
BLOCK NUMBER
ACCOUNT NUMBER
814 01 17 64 B-SOAG 74962 433-54-3937
TYPE
CLAIM
DATE OF DEATH
1|24|63
01 09 64 D 11 24 63
SEX
DATE OF BIRTH
P
DATE OF APPL.
M 10 19 39
MILITARY SERVICE
V
DATE OF ONSET
FROM
THRU
MO. ELECT. RR SERVICE
LAG INFORMATION FURNISHED BY DISTRICT OFFICE
PERIOD
TYPE
TYPE
PERIOD
AMOUNT
EIN
LAG NP
DED.
DATA
REMARKS
FAMILY COMPOSITION PRIOR CERTIFICATION FORM
AMOUNT
EIN
805
S
SEX
AUXILIARY OR SURVIVOR DATA
DATE OF BIRTH
SEP
P MO. ELECT.
CHK
F
N
IDENTIFYING INFORMATION - ACCOUNT NUMBER UNKNOWN
FORM OA-C790 (IDP) 1.62
SS-5 REMOVED BY
6 0 5 7 0 1 2 0 6 1
REQUEST FOR E/R ACTION
NW 88326 Docid:32245128 Page 47
ΤΟ
FROM :
SUBJECT:
OPTIONAL FORM NO. 10
MAY 1962 EDITION
GSA GEN. REG. NO. 27
5010-107
UNITED STATES GOVERNMENT
Memorandum
Kansas City Payment Center
Jess C. Carter, Assistant Manager
Dallas, Texas
Lee Harvey Oswald A/N 433 54 3937
-
CONFIDENTIAL
-
ADMINISTRATIVE
DATE: June 3, 1965
Our newspaper has reported the re-marriage of the wage earner's
widow. Since the language barrier is still a problem with her
it is possible she will overlook making a proper report.
Reportedly the marriage took place on Tuesday June 1, 1965.
деловать
(2) 510's, 101, 526
R681
V. Daugherty
Loz
6/7/65
Buy U.S. Savings Bonds Regularly on the Payroll Savings Plan
NW 88326 Docld:32245128 Page 48
HEALTH
DEPART
EDUCATION
WELFARE
NKOFFICE
NR
DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
3716 Rawlins Street
F.O. Fox 6556
Dallas, Texas 75219
Mrs. Marina Porter
733Scottsdale
Richardson 2x 75080
•
R
affits, office
Lee H.
WAGE EARNER:
dewald
When writing about your claim
always give Claim No.
433
33-54-3937 C
This will acknowledge your inquiry regarding the check(s) for the
month(s) of
be red in aug.
July 1969
to
The Treasury Department desires that each person promptly receive the
amount due him but wishes to avoid unnecessary expense in record search-
ing which results in many instances in finding the check was correctly
paid. On a notice, such as you have furnished us, the Treasury Department
must necessarily search its payment records from the date of issuance of
Because
the check until the date that a substitute check will be issued.
of the large volume of payments, the searching operation entails a heavy
expense for each item. Accordingly, it is requested that you fill out
the questionnaire on the reverse of this notice and RETURN IT IN THE
ENCLOSED ENVELOPE. UNLESS THIS QUESTIONNAIRE IS RETURNED NO FURTHER
ACTION WILL BE TAKEN.
If you receive the check before hearing from the Treasury Department
You-
you should notify the social security district office shown above.
may use the enclosed post card to notify us. After sending in this noti-
fication, you may cash the check.
Upon receipt of this questionnaire, action if necessary, will be taken
by the Treasury Department to place a stop payment on the check and to
refer the case to the United States Secret Service for investigation and
clearance so a duplicate check can be sent to you. The Treasury Depart-
ment will get in touch with you if it needs further information.
Sincerely yours,
District Manager
DALLAS, TEXAS
Enclosures:
Envelope
Post Card OA-61247
Check Number
DO NOT WRITE BELOW THIS LINE
Date
NW 88326 Docld:32245128 Page 49
AUG 19 1939
Amount
71014
SSA FORM SSA-L785 (10-66)
4FORMERLY. OA-CL735)
A PROMPT REPLY WILL EXPEDITE ACTION
QUESTIONNAIRE
1. Have you received the check described on the other side of this sheet?.
If your answer is "Yes" destroy this form; fill out and mail the enclosed post card.
2. If your answer is "No," have you asked your local post office about the check?
(If your answer is "No," this should be done.).
3. If you recently changed your mailing address, have you tried to find out whether
the check is being held there for you at your old address or was returned to the post
office? (If your answer is "No," this should be done.)
4. Have you any information which you think might assist the Treasury Department
in locating the check? (If your answer is "Yes," please give such information
under "Remarks.”).......
* it possible that you received the check and cashed it, thinking it was issued
for another purpose? (If your answer is "Yes," please explain under "Remarks.")
Form Approved.
Budget Bureau No. 72-R417.7
Yes
✓ ✓ No
✓ Yes
No
No
Yes
No
Yes
6. If this check was illegally cashed, you will be entitled to payment of the amount of the check; however,
another check in place of it will not be issued until the case has been fully investigated by the United States
Secret Service. As it may be necessary to contact you for further information, please fumish on the line below
the address at which you may be reached during the daytime, if such place is different from your residence.
SAME
(Number and Street)
as
Residence.
(City, State and ZIP Code)
7. If the check was mailed to a different address than shown below, please fumish that address.
(Number and Street)
(City, State and ZIP Code)
8. After reviewing all circumstances, I/we wish to make formal claim to the Treasury Department for stoppage of
payment of this check and the issuance of a substitute check.
Yes
9. REMARKS (State any other facts which may aid in locating the check):
If this questionnaire has been signed by mark (X), two witnesses
who know the person must sign below, giving their full addresses.
1. NAME
SIGNATURE OF PAYEE OR CLAIMANT
ADDRESS (Street number, City, State and ZIP Code)
Mrs. Kenneth Porter.
SIGNATURE OF CO-PAYEE (Both husband and wife must sign if co-
payees of a combined check)
2. NAME
ADDRESS (Street number, City, State and ZIP Code)
NW 88326-Docld:32245128-Page-50-
RESIDENCE NUMBER AND STREET
733 Scottsdale Ne
CITY, STATE AND ZIP CODE
Richardson
DATE (Mo., Day, and Year)
Aug 12, 1969
U.S. GOVERNMENT PRINTING OFFICE 1966 0-238-966
له له
Дек
TELEPHONE NUMBER
ADI-0720

VR
HEALTH
DEPARTMENT
こん
EDUCATION
USA
AND WELFARE
OFFICE
DELAYED PAYMENT
PROCESS AS SSA-555
DEPARTMENT OF HEALTH EDUCATIONS AND WELFARE
SOCIAL SECURITY ADMINISTRATION
3716 Rawlins Street
P.O. Box 6556
Dallas, Texas 75219
..
tak
.3631
WAGE EARNER: Lee Oswald
When writing about your claim
always give Claim No. 467-82-40341
уно
Porter
733 Scottsdale
Richardson, Sex 75080
This will acknowledge your inquiry regarding the check(s) for the month((___)
of
June 1969
The Treasury Department desires that each person promptly receive the
amount due him but wishes to avoid unnecessary expense in record search-
ing which results in many instances in finding the check was correctly
paid. On a notice, such as you have furnished us, the Treasury Department
must necessarily search its payment records from the date of issuance of
the check until the date that a substitute check will be issued. Because
of the large volume of payments, the searching operation entails a heavy
expense for each item. Accordingly, it is requested that you fill out
the questionnaire on the reverse of this notice and RETURN IT IN THE
ENCLOSED ENVELOPE. UNLESS THIS QUESTIONNAIRE IS RETURNED NO FURTHER
ACTION WILL BE TAKEN.
If you receive the check before hearing from the Treasury Department
you should notify the social security district office shown above. You
may use the enclosed post card to notify us. After sending in this noti-
fication, you may cash the check.
Upon receipt of this questionnaire, action if necessary, will be taken
by the Treasury Department to place a stop payment on the check and to
refer the case to the United States Secret Service for investigation and
clearance so a duplicate check can be sent to you. The Treasury Depart-
ment will get in touch with you if it needs further information.
Sincerely yours,
7/69
Clarence MVaden
District Manager
Enclosures:
Envelope
Post Card OA C1247
Check Number
DO NOT WRITE BELOW THIS LINE
75080
NW 88326 Docid:32245128 Page 51
Date
7/3/69
VALLAS DO JUL 1995
Amount
FORM SSA-L735 (10-66)
(FORMERLY OA-CL735)
A PROMPT REPLY WILL EXPEDITE ACTION
QUESTIONNAIRE
1. Have you received the check described on the other side of this sheet?
Form Approved
Budget Bureau No. 72-R417.7
Yes
No
If your answer is "Yes" destroy this form; fill out and mail the enclosed post card.
2. If your answer is "No," have you asked your local post office about the check
?
(If your answer is "No," this should be 
done.)..
Yes
No
3. If you recently changed your mailing address, have you tried to find out whether
the check is being held there for you at your 
old address or was returned to the
post office? (If your answer is "No," this should 
be done.)
4. Have you any information which you think might assist the Treasury Department
in locating the check? (If your answer is "Yes,
" please give such information
under "Remarks.")..
Yes
☑ No
Yes
✓ No
5. Is it possible that you received the check and cashed it, thinking it was issued
for another purpose? (If your answer is "Yes
," please explain under "Remarks
.")
Yes
No
6.
this check was Megally cashed, you will be entitled to payment of the amount of the check; however,
another check in place of it will not be issued until 
the case has been fully investigated by the United 
States
residence.
Secret Service. As it may be necessary to contact you for 
further information, please furnish on the line below
the address at which you may be reached during the 
daytime, if such place is different from
your
3
753 Scottsdale dr.
(Number and Street)
40
ACMIC
Richardson
&
Texas 75080
(City, State and ZIP Code)
7. If the check was mailed to a different address than shown below, please furnish that address.
(Number and Street)
(City, State and ZIP Code)
4 12 35 PH*69
WER NEEDED:
8. After reviewing all circumstances, I/we wish to make formal claim to the Treasury Department for stoppage of
payment of this check and the issuance of a 
substitute check.
9. REMARKS (State any other facts which may aid in locating the check):
If this questionnaire has been signed by mark (X), two witnesses
who know the person must sign below, giving 
their full addresses
.
1. NAME
SIGNATURE OF PAYEE OR CLAIMANT
ADDRESS (Street number, City, State and ZIP Code)
2. NAME
ADDRESS (Street number, City, State and ZIP Code)
Mrs. Kenneth Porter
SIGNATURE OF CO-PAYEE (Both husband and wife must sign if co-
payees of a combined check)
733 Buttsdated.
RESIDENCE NUMBER AND STREET
Richardson
CITY STATE AND ZIP CODE
Taxes
75080
NW 88326 Docld:32245128 Page 52
DATE (Mo., Day, and Year)
July 18
U. S. GOVERNMENT PRINTING OFFICE: 1967 O-265-973
1969
TELEPHONE NUMBER
AD-1-0720
Form OA-C107 (5-64)
Form Approved by Comptroller General, U.S.
January 28, 1955
DISTRICT OFFICE
3716
DETERMINATION OF
RESUMPTION OF AWARD
RAWLINS ST,
DACCAS, TEX
ACCOUNT NUMBER
Department of
Health, Education, and Welfare
Social Security Administration
433-54-3937
THE FOLLOWING DETERMINATION IS BASED ON SUPPORTING EVIDENCE ON FILE AND CERTIFICATION OF PAYMENT IS RECOMMENDED AS FOLLOWS:
NAME AND ADDRESS
MARINA
1245
PORTERI
DONNA DR.
N.
TX
RICHARDSON,
75080
FOR MINOR CHILDREN OF
FOR
GUARDIAN OF
ப
1. TEMPORARY DEDUCTIONS
☑ 2. PERMANENT
2. PERMANENT DEDUCTIONS,
EMPLOYED ___
"E",
EMPLOYED.
TOTAL
EARNINGS $
TOTAL
EXCESS
5130,40 XENINGS S.
3.
EMPLOYED OUTSIDE THE U. S..
1/65-2/65
CHARGEABLE
EXCESS
EARNINGS $ _
TOTAL
F.A.
1.60 40.30
MONTHLY
BENEFIT(S) $.
3680
MOTHER HAS A CHILD IN
4. HER CARE BEGINNING
AGE 65,
RECOMP..
5.
IT HAS BEEN DETERMINED THAT THE ABOVE
PERSON Is Now THE PROPER PAYEE.
6.
ATTAINED
9.
AGE 72
TO COMBINE
10. A & B BENEFITS
11. OTHER
ONE CHECK
ONLY
BENEFICIARY NOTICE:
AWARD
7.
TO CORRECT NAME OR SOCIAL
SECURITY ACCOUNT NO.
8. NEW ADDRESS
202 (T) EXC_
""E"-TERM - 6/65 REMARRIAGE
ADJUSTMENT
SUPP L/S
CONDITIONAL
ADJUSTMENT
FOLDER
REFERENCE
587 (5130,24) (-)(34.50X(34.50) R45 (40.30) (1/65-2/65
PMT. BEN.
IDEN. IDEN.
CODE CODE
MONTHLY BENEFIT
BEGIN.
DATE
MONTHLY
RATE
FROM
ACCRUED BENEFIT
PERIOD
TO
EFFECTIVE
TO
DEDUCTIONS
AMOUNT
AMOUNT
FROM
1/65/5
5/65
5/65/16700
E
EV
3340 -
40,30 165 265 80.60
40,30/1/65/2/65
40.30 3655/65 120.90
NET
AMOUNT
DUE
2
3450
REMARKS
PIA
76.00
PREPARED EXAMINER
R 198
NW 88326282245128 Page 53
A-6J 41 KOMAY
APPROVED BY-REVIEWER
4/23/66 Franklin E-30-13
ABS-C35
SC-3
DATE
4/25/66
Form OA-C107 (2-64)
Form Approved by Comptroller General, U.S.
January 28, 1955'
DISTRICT OFFICE
3716 Rawlins St.
Dallas, Tex. 75219
DETERMINATION OF
RESUMPTION OF AWARD
CLAIM NUMBER
Department of
Health, Education, and Welfore
Social Security Administration
433-54-3937
THE FOLLOWING DETERMINATION IS BASED ON SUPPORTING EVIDENCE ON FILE AND CERTIFICATION OF PAYMENT IS RECOMMENDED AS FOLLOWS:
NAME AND ADDRESS
FOR MINOR CHILDREN OF
Marina N. Oswald
629 Belt Line Rd.
Richardson, Tex. 75080
E
1. TEMPORARY DEDUCTIONS
EMPLOYED
9/64 ON (Partial)
2. PERMANENT DEDUCTIONS
TOTAL
EARNINGS $
3
TOTAL
EXCESS
EARNINGS $
EMPLOYED OUTSIDE THE U. S.
EMPLOYED
FOR
GUARDIAN OF
CHARGEABLE
EXCESS
EARNINGS $
TOTAL
MONTH
BENEF
4.
MOTHER HAS A CHILD IN
HER CARE BEGINNING
IT HAS BEEN DETERMINED THAT THE ABOVE
5. PERSON IS NOW THE PROPER PAYEE.
ATTAINED
9. AGE 72
ONE CHECK
ONLY
BENEFICIARY NOTICE:
A-
AGE 65,
6. RECOMP.
TO CORRECT NAME OR SOCIAL
7. SECURITY ACCOUNT NO.
☑
8.
NEW ADDRESS
202 (T) EXC
TO COMBINE
10. A & B BENEFITS
11. OTHER
AWARD
☑ ADJUSTMENT
SUPP L/S
CONDITIONAL
ADJUSTMENT
FOLDER
REFERENCE
"S"
MONTHLY BENEFIT
ACCRUED BENEFIT
PMT.
BEN.
IDEN. DEN.
PERIOD
CODE CODE
BEGIN.
DATE
MONTHLY
RATE
FROM
TO
DEDUCTIONS
EFFECTIVE
AMOUNT
FROM
то
E
37.60
E
37.50 AA
37.50
E
10/64
31.40 9/64
9/64
31.40
NET
R
W
AMOUNT
F
AMOUNT
DUE
D
с
9/64 9/64
37.60
REMARKS
PIA
71.00
MAX. 106.60
E 31.40
C2 37.60 C1-37.60
PREPARED BY-EXAMINER
GE
E 
e
NW 88326 Docid:32245128 Page 54
DATE
AA-Excess refund received on
Schedule #74, dtd. 10/15/64
3-0C 35KC OCT
APPROVED BY REVIEWER
10-16-64 9.
.
BLaux
2
31.30
DATE
10/16/64
Form OA-C107 (5-64)
Form Approved by Comptroller General, U.S.
January 28, 1955
DISTRICT OFFICE
DETERMINATION OF
RESUMPTION OF AWARD
ACCOUNT NUMBER
Department of
Health, Education, and Welfare
Social Security Administration
4.33-54-3937
THE FOLLOWING DETERMINATION IS BASED ON SUPPORTING EVIDENCE ON FILE AND CERTIFICATION OF PAYMENT IS RECOMMENDED AS FOLLOWS:
NAME AND ADDRESS
MARINA
N. OSWALD
FOR MINOR CHILDREN OF
FOR
GUARDIAN OF
☑
1. TEMPORARY DEDUCTIONS
E
EMPLOYED
☑2.
2. PERMANENT DEDUCTIONS
E
EMPLOYED
TOTAL
EARNINGS $
3
9999.00
$8549.00
TOTAL
EXCESS
EARNINGS $
EMPLOYED OUTSIDE THE U. S.
1/65 ON (PARTIAL)
9/64- 12/64 (PRATORK)
**RGEABLE
CESS
EARNINGS $
TOTAL
MONTHLY
24.80 BENEFIT(S) $
37.60
MOTHER HAS A CHILD IN
4. HER CARE BEGINNING
IT HAS BEEN DETERMINED THAT THE ABOVE
5. PERSON IS NOW THE PROPER PAYEE.
AGE 65,
6. RECOMP.
TO CORRECT NAME OR SOCIAL
7. SECURITY ACCOUNT NO.
ATTAINED
TO COMBINE
10. A & B BENEFITS
☐
11. OTHER
ADJUSTMENT
SUPP L/S
9. AGE 72
ONE CHECK
ONLY
BENEFICIARY NOTICE:
NL NOTIC
PMT. BEN.
IDEN. IDEN.
CODE CODE
A-
MONTHLY BENEFIT
AWARD
ACCRUED BENEFIT
PERIOD
BEGIN.
DATE
MONTHLY
RATE
FROM
TO
CONDITIONAL
ADJUSTMENT
8. NEW ADDRESS
202 (T) EXC.
FOLDER
REFERENCE
DEDUCTIONS
NET
R
W
AMOUNT
AMOUNT
F
1
DUE
D
C
EFFECTIVE
AMOUNT
FROM
TO
REMARKS
PIA 71.00
PREPARED
EXAMINER
DATE
APPROVED BY -REVIEWER
Saltellford Wilks 202 2/27/65 ks 065 2/27/65
NW 88326 Docld:32245128 Page 55
FORM OA-C528b (4-64) KC
DISTRICT OFFICE
Marina N. Oswald
DETERMINATION OF
TERMINATION OF ENTITLEMENT
OR SUSPENSION OF PAYMENTS
BASED ON SUPPORTING EVIDENCE ON FILE
ADJMT. CODING
CR. BLOCK NO.
CLAIM NO.
433-54-3937-E
W. E.
DATE
6/7/65
0208 JUN '65 KC
PIC
E
INITIALS
DATE OF BIRTH
CLC
45
SPA
MONTHLY RATE
31.40
LAST SCHED. NO.
9A
PAYEE FILE
SHOULD HAVE BEEN (SHOULD BE) STOPPED
DIARY FILE
TREASURY REQUESTED TO DISCONTINUE PAYMENT
CROSS-REF.
ACCOUNT NO.
6/65
6/65
0. Investigation pending determ. of cont. disability
1. Worked outside the United States
2. Worked and expects net earnings to exceed
$1200
3. OAIB worked and expects net earnings to exceed
$1200
4. Failure to have a child entitled
to benefits in your care
5. OAIB worked outside the
United States
mjb
my
7. Refused VR Services
8. Payee not determined
9.
32 6/7/65
трно
參
0. Benefits payable by some other agency
1. Death of beneficiary
2. Dependent terminated due to death of insured individual
3.
Remarriage
4C. Attained age 18 and not disabled
4. Child attained age 18 and not disabled
5. Beneficiary entitled to other benefits
6C. Child no longer disabled
*N
9.
3. W
NW 88326 Doeld:32245128 Page 56
(Clerk)
(Date)
E
]
]
(Reviewer)
(Date)
☐ 6. Death Marriage of child
[
7C. Adoption
7. Adoption of child
[
8H. DIB no longer disabled
8. Mother terminated-
Child no longer disabled
X. DIB attained age 65
R. Claim withdrawn
FORM OA-C528b (4-64) KC
DISTRICT OFFICE
Marina N. Oswald
DETERMINATION OF
TERMINATION OF ENTITLEMENT
OR SUSPENSION OF PAYMENTS
BASED ON SUPPORTING EVIDENCE ON FILE
ADJMT. CODING
A9
CR. BLOCK NO.
DATE OF BIRTH
PAYEE FILE
MONTHLY RATE
SHOULD HAVE BEEN (SHOULD BE) STOPPED
DIARY FILE
TREASURY REQUESTED TO DISCONTINUE PAYMENT
CROSS-REF.
ACCOUNT NO.
CLAIM NO.
433-54-3937
W. E.
DATE
10/16/64
W-0402 OCT '64 KC
PIC
E
INITIALS
Beade
CLC
SPA
45
37.60
LAST SCHED. NO.
9A
20/64
0. Investigation pending determ. of cont. disability
1. Worked outside the United States
☐ 2. Worked and expects net earnings to exceed
$1200
3. OAIB worked and expects net earnings to exceed
$1200
4. Failure to have a child entitled
to benefits in your care
5. OAIB worked outside the
United States
7. Refused VR Services
8. Payee not determined.
9.
NTN CL. 10/14/6.4.2.
_red_
(Clerk)
E
]
]
(Reviewer)
(Date)
6. Death Marriage of child
[
7C. Adoption
7. Adoption of child
[
8H. DIB no longer disabled
8. Mother terminated-
Child no longer disabled
X. DIB attained age 65
R. Claim withdrawn
0. Benefits payable by some other agency
1. Death of beneficiary
2. Dependent terminated due to death of insured individual
3. Divorce Marriage Remarriage
4C. Attained age 18 and not disabled
4. Child attained age 18 and not disabled
5. Beneficiary entitled to other benefits
6C. Child no longer disabled
9.
NW 88326 Docid:32245128 Page 57
PREVIOUS DISTRICT OFFICE
DATE
NEW DISTRICT OFFICE
PIC
CLAIM NO.
DEPARTMENT OF
HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
PAYEE, ADDRESS CHANGE, OR HOLD CHECK REQUEST
WAGE EARNER
SPA
FLOA
LLOA
5/10/65
MBA
TR FILE CODE
CLC
9A
03140
S & C CODE
45 45390A
ADDRESS CHANGE
HOLD CK DATED.
☑ PAYEE CHANGE
REPLACE CK DATED
DRAWN PAYABLE TO
Mariana N Oswald
FORM OA-C610 (2-64)
mvj
6/3/65
----
Marina N Oswald
1245 Donna Dr
433 54 3937 E
Richardson Tex 75080
FILE COPY
NW 88326 Docid:32245128 Page 58
.
.
PREVIOUS DISTRICT OFFICE
!
DEPARTMENT OF
HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
PAYEE, ADDRESS CHANGE. OR HOLD CHECK REQUEST
WAGE EARNER
PIC
NEW DISTRICT OFFICE
3716 RAWLINS ST
DALLAS TEX 75219-
CLAIM NO.
DATE
05/05/65 06
FLOA
2
LLOA
TR FILE CODE
94
03140
MBA
3
CLC
C & C CODE
SPA
MARINA
MARIANA N OSWALD
45 453904 1245 DONNA DR
ADDRESS CHANGE
HOLD CK DATED
PAYEE CHANGE
REPLACE CK DATED
DRAWN PAYABLE TO
433 54 3937 E
RICHARDSON TEX
75080
MARIANA NOSWALD REDIRECTED
FORM OA-C610B (6.64)
FILE COPY
Reject
15/6/65
же
NW 88326 Docld:32245128 Page 59
7
US DISTRICT OFFICE
4-3-64
LLOA
4
CODE
MBA
03760
CLC
DRESS CHANGE
_D CK DATED
'EE CHANGE
PLACE CK DATED
AWN PAYABLE TO
A-C610 (6-63)
DEPARTMENT OF
HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
PAYEE, ADDRESS CHANGE, OR HOLD CHECK REQUEST
WAGE EARNER
PIC
NEW DISTRICT OFFICE
CLAIM NO.
B
Marina N Oswald 433 54 3937 B
S & C CODE
629 Belt Line
45390
Richardson Tex 75080
NW 88326 Docld:32245128 Page 60
FILE COPY
.
$

Form OA-C526 (1-61)
Form approved by
Comptroller General, U. S., October 25, 1950
CLASS OF ACTION
MONTHLY BENEFIT
PMT. BEN.
IDEN. IDEN.
CODE CODE
BEGIN. MONTHLY
DATE
RATE
FROM
BENEFIT SUMMARY
ACCRUED BENEFIT
PERIOD
TO
EFFECTIVE
AMOUNT
FROM
TO
Department of Health, Education, and Welfare
Social Security Administration
Bureau of Old-Age and Survivors Insurance
ACCOUNT NUMBER
433-54-3937
DEDUCTIONS
AMOUNT
NET
AMOUNT
DUE
E
E
ei
REMARKS
2/64 37.60 11/63 1/64 112.80
213.00 LS.
213.00
2/64 75.20 11/63 1/64 225.60
ei
༡
157 P74KC FEB
CLERK
F. Cordiel
NW 88326 Docid:32245128 Page 61
DATE
REVIEWER
2/3/64 та Ление
U. S. GOVERNMENT PRINTING OFFICE: 1962-666121
DATE
325.80
225.60
2-3-64
Form OA-C-101
Form approved by Comptroller Genera
January 23, 1958
Determination of Award
1. INSURED INDIVIDUAL
Lee H Oswald
2. REQUIRED QTRS.
HAS AT LEAST
6
6
5. TOTAL EARNINGS
6.
3306.85
SYMBOL
W
N
DATE OF BIRTH
DATE OF DEATH
DATE CLAIM FILED
RACE ☑
10/19/39
CURRENT QTRS. 3. First Base Yr. Or Starting Date
DISABILITY PERIOD EXCLUDED
11/24/63
LAST BASE YR. OR CLOSING DATE 4. LUMP SUM AMOUNT
1963
INCREMENTS
213.00
PRIMARY AMOUNT
71.00
1951
ELAPSED YRS. OR
YRS. DROPPED
61-62
DIVISOR
NAME
DATE OF
BIRTH
DATE CLAIM
FILED
ORIGINAL
24
ANY OTHER
ADJUSTED
BENEFIT
BENEFITS
BENEFIT
NUMBER (IF ANY)
RELATIVE'S ACCT.
Gl
7/17/41 1/9/64
E
19
53.30
37.60
917-2-49
23
C2
June L
2/15/62
"
53.30
37.60
Audrey M
10/20/63
11
53.30
37.60
8. REIMBURSABLE F. H. EXPENSES ARE
PAID AS FOLLOWS
REMAINS UNPAID
11. REMARKS
I!?
17 P74KC FEB
3716 Rawlins St
Dallas Tex 75219
7. MAXIMUM PAYABLE
112.80
D.O. CODE
814
12. CERTIFICATION OF PAYMENT
Name and address of payee as t claimant or as representative of the claimant
DATE OF
ENTITLEMENT
TO MONTHLY
BENEFITS
HF -
Symbol
E
" Marina N Oswald
-63
Bx 1407
Grand Prairie Tex 75050
Marina N Oswald for minor children of L H Oswald
Same
MONTHLY
BENEFIT
LUMP-SUM
DEATH
PAYMENT
11/63
37.60
213.00
11/63
75.20
Pursuant to lawfully delegated authority, I certify that, on application by
or on behalf of the claimant(s) named above as 
payee(s) and the supporting
evidence forwarded herewith, the foregoing statements 
are my determination
of fact and decisions as to the benefit(s) to be paid as indicated
.
s
By.
certify that pursuant to lawfully delegated authority I have verified the
above statements with the supporting 
evidence on file in this office; that I
have computed all amounts and that same 
are correct as shown; and that all
indicated benefit(s) are in accordance with the 
provisions of Title II of the
Social Security Act as amended.
Approved.
P.S.
(Claims Representative)
1/16/64
Date
NW 88326 Docid:32245128 Page 62
✰ GPO 1962-636576
(Claims Authorizer)
Date_
2/3/64
0
C
ACCOUNT NUMBER
1958
PIA
1965
PIA
FAMILY
MAXIMUM
REMARKS
TRANSCRIP
433 54 3937
71.00
76.00
114.00
BENEFICIARY'S NAME
09/65R
PIC
BIC
LAF
RETROACTIVE
AMOUNT PAID
NEW
MONTHLY RATE
€ OSWALD
AUDREY
M
01
01
с
24.60
57.00
01
37.60
01 37.68
01
37.60
01
37.60
01
37.60
01
53.30
C
PD
2.70
PD
2.78
PD
2.70
40.30
40.30
40.30
a.
PD
2.70
PD
2.70
PD
3.70
40.30
40.36
57.00
•
01
53.30
01
53.30
PD
3.70 PD
3.70
57.00
57.00
OSWALD
JUNE
L
C1
C2
C
24.60
57.00
01 37.60
01
37.60
01
37.60
01
37.60
01
37.60
01
53.30
PD
2.70 PD
2.70
PD
2.70 PD
2.70 PD
2.70
PD
3.70
40.30
40.30
40.30
40.30
40.30
57.00
01 53.30
01
53.30
PD
3.70 PD
57.00
3.70
57.00
TOTAL PAYMENT AMOUNT
49.20
114.00
OSWALD
MARINA
N
E
E
T3
10.00
33.40
21
31.40
21 31.40
21 31.40
21
31.40
21
31.40 то
31.40
PD
2.00
33.40
PD
2.00
33.40
PD
2.00 PD
33.40
2.00
33.40
PD
2.00
33.40
NP
2.00
33.40
R
B
C
OLD MBA
R
W
B
OLD MBA
F
P
INCREASE
F
1
P
INCREASE
0
C
D
NEW MBA
D
D
NEW MBA
OLD MBA
R
с
D
INCREASE
NEW MBA
F |
D
W B
P
D
OLD MBA
R W
B
OLD MBA
R
W B
INCREASE
F
P
INCREASE
F
P
NEW MBA
D
C
D
NEW MBA
C D
OLD MBA
INCREASE
NEW MBA
FORM OA-C596 (5-65)
NW 88326 Docid:32245128 Page 63
1965 CONVERSION OF BENEFIT RATES
DEPARTMENT OF
HEALTH, EDUCATION, AND WELFARE
SOCIAL SECURITY ADMINISTRATION
I appoint..
APPOINTMENT OF REPRESENTATIVE
James H. Martin
(Name of representative)
to act as my repre-
sentative with respect to my claim under the Social Security Act, based on the earnings record of
Lee Harvey Oswald
(Name of wage earner or self-employed individual)
433-54-3937
(Social security account number)
The above-named representative is authorized to obtain from the Administration informa-
tion concerning my claim; and it is understood that any notice quest sent to him shall have
the same force and effect as if sent to me.
Jan 10, 1964
(Date)
Mrs. Marina N Oswald.
(Signature)
P. O. Box 1407
(Address)
Grand Prairie, Texas
ACCEPTANCE OF APPOINTMENT
1
I accept the above appointment. I am a person in good standing in my community and I am
able to assist and advise the above party in this case.
I am Business advisor
(Union representative, relative, etc.)
Jan 10, 1964
James H. Martin
(Signature)
11611 Farrar St.
(Address)
Dallas, Texas
(SEE REVERSE SIDE FOR REGULATIONS AS TO FEES OF REPRESENTATIVES FOR SERVICES TO A
Form AC-512
(3-60)
PARTY AND INFORMATION ON CONFLICT OF INTEREST)
NW 88326 Docid:32245128 Page 64
620
Form OAC-5002
(1-54)
888506
W/E OR S/E PERSON
REPORT OF CONTACT
(USE INK OR TYPEWRITER)
Lee Harvey Oswald
NAME AND ADDRESS OF PERSON(S) CONT
CONTACTED:
M.
"Dallas, Tex.
DATE:
1-10-64
AM 433-54-3937
A/N
Business
James H. Mart
|
7 Dallas
Manager for Mrs. H. H
CONTACT
IN PERSON
☑
TELEPHONE
PLACE OF CONTACT;
I discussed the amount of earnings
for 1963 with Mr. Martin. He sordu
1001's were correct. He stated th
2600 shown on the theat
application
simply a 
vily
form
quiss
was
accept
we can a
I feel that.
the 100/1 total for
ful
licitancy
1963 without
CONTACT MADE BY
"Je
(SIGNATURE)
Aut mgr.
(TITLE)
(FOR CONTINUATION OF THIS REPORT. TURN PAGE. KEEP MARGINAL SPACE AT RIGHT FOR BINDING)
U. S. GOVERNMENT PRINTING OFFICE: 1958 O-486513
NW 88326 Docld:32245128 Page-65-
Form OAC-5002
(1-64)
W/E OR S/E PERSON
REPORT OF CONTACT
(USE INK OR TYPEWRITER)
OFFICE:
DATE:
NAME AND ADDRESS OF PERSON(S) CONTACTED:
A/N
CONTACT MADE:
IN PERSON
TELEPHONE
ransmittal =
PLACE OF CONTACT:
Since there were general
million quitunges to the shooting
which resulted in Lee H
dirth, we feel it is not
necessary to
from authorities,
Aswald was not.
Stain a statement
Mirs.
CONTACT MADE BY
(SIGNATURE)
austing.
(TITLE)
(FOR CONTINUATION OF THIS REPORT. TURN PAGE. KEEP MARGINAL SPACE AT RIGHT FOR BINDING)
U. S. GOVERNMENT PRINTING OFFICE 1958 O.-486513
NW 88326 Docld:32245128 Page 66
。ཤ༥ནས་