kA inate Kien ce ice eR a are dar atten Ne = Nata ene art RnR in it BRE i actin ES Pmt em aii arta Near haw enn ae am oon i. : ’ we ! - so Z ; 7 a & Zz . . fre NU | a“ i aa Cer bag ee ey + N R DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE.” Jp Fee, SOCIAL SECURITY ADMINISTRATION . ye fe fore 17 OFFICE - 2 WAGE EARNER: oat | 37 16 Rawlins Street - When writing about your claim F.O. Fox E556 always give Claim No. Dellas, Texes 75219 733 Lb ep abate fritarhdocrd At 75780 - This will acknowledge your inquiry regarding the check(s) for the _ ay month(s) of Vat /G 6 9 Ls be nee oe Ata, 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. ¥e8— f may_use—the—enelesed post card to notify us. After sending in this noti- fo 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 j Enclosures: Envelope Post—CardOA-C12%7 DO NOT WRITE BELOW THIS LINE Check Number Date i i i Vee bis ORM SSA-L788 (10766) IN a erey t i 94 ORMERLY. OA-€1735) WwW 55923 Docld:32245128 Page 49
Form Approved. Budget Bureau No. 72-R417.7 Boe * A PROMPT REPLY WILL EXPEDITE ACTIOK QUESTIONNAIRE 1. Have you received the check described on the other side of this sheet?............ss000 (-] Yes " ead 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? WA * : (If your answer is ‘'No,’’ this should be OME.) cescssssecectssssuasccbssssessrousesesesssscessaseesenaneee’ (i7¥es [_] 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. ).........sccssssscsesseeessseessesenens Seease Aires {_] No 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 “ander “Remarks.” )..ssssssssssssssssesssssessssseesesscesssnssessssscssenseessssesssssesesssecsessesenssneeseeseeelerseesaeens (J Yes CaKo o™ De 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 , CaNo 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 State¢ 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 residence. (Number and cs eh (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) 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): ...sssssssssessssessssserssrsssesssesesssssssnssncenensenssseeatthy * eee eee rere errr ere rrr errr rrr er tirr rire rere rerrrerrrrerrrr rrr rrr rrrrerrrrrrrr rrr irririririri iri errr iriri ir rirrrrri rrr rrrrrrriririrrrtrrrtitirrriryy eee errr re rrr rere rere rrrrisiririrerrri rere irre ii er irre irre rrr ris iirirrrrrsrirrrinis CP eee reer er ree rier reer rirtriririrrrrri rrr rir irri eri rrr irrrrrrisrrerrririy . . . SIGNATURE OF PAYEE OR CLAIMANT 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 CO- ft (Both husband and wife must sign if co- ADDRESS (Street number, City, State and ZIP Code) . payees of a combined check 2. NAME = RESIDENCE NUMBER_AND STREET ADDRESS (Street number, City, State and ZIP Code) CITY, STATE AND ZIP CODE AND ZIP CODE © DATE (Mo., Day, and Year) TELEPHONE NUMBER U.S. GOVERNMENT PRINTING OFFICE : 1966 O—238-966 °
DEPARTMENT OF: HEARTIAY EDUGA OFFICE 3716 Ravlins Street P,O, Box 6556 Dellas, Texes 75219 “¢ leo borter 933 ctodal ni lgeF \ ) SOCIAL SECURITY ADMINISTRATION This will acknowledge your inquiry regarding the check(s) for the month of WAGE EARNER: Lee Onrevold When writing about your ¢ olways give Claim No. JFK Act 6 (3) 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. i On a notice, such as you have furnished us, the Treasury Department Oe must necessarily search its payment records from the date of issuance of is we) the check until the date that a substitute check will be issued. Because 2 a of the large volume of payments, the searching operation entails a heavy a 2 expense for each item » ry S A ELAVED PrV ge Ed PROCES fication, you may cash the check 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 After sending in this noti- 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, G Enclosures: Envelope —Post Card OA-CiaL7. DO NOT WRITE BELOW THIS LINE Date Ah, Check Number TT 02 NW 55923 Docid: 32245128 Page 51 District Manager Amount FORM SSA-L735 (10-66) (FORMERLY OA-CL735)
Form Approved Budget Bureau No. 72-R417.7 o~ =>, A PROMPT REPLY WILL EXPEDITE ACTION QUESTIONNAIRE 1. Have you received the check described on the other side of this sheet? a Es “ C4 Yes EN No If your answer is “Yes” destroy this form; fill out and mail the enclosed post card. [No 2. If your answer is "*No,’’ have you asked your local post office about the check? ial Yes (If your answer is ''No,” this should be done.).. lene PT veneer eee ve _ If you recently changed your mailing address, have you tried to find out whether Id there for you at your old address or was retumed to the "No,’? this should be done.) the check is being he post office? (If your answer is {_] Yes [>< No mation which you think might assist the Treasury Department please give such information . Have you any info in locating the check? (If your answer is ‘tYes,”’ [2] No []Yes No this check was i‘!egaily cashed, you will be entitled to payment of the amount of the check; however, be issued until the case has been fully investigated by the United States under ‘‘Remarks.”’) [ ]Yes thinking it was issued **Remarks.’’) . Is it possible that you received the check and cashed it, ‘tyes,’’ please explain under for another purpore: (If your answer is “nother check in place of it will not 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 residence. my = (Number and Street) LIZ HW 55923 7. If the check was mailed to a different address than shown below, please furnish that, addiess. - : x i (Number and Street) (City, State and ZI¥F -, 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 is suance 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 y. NAME ADDRESS (Street number, City, State and ZIP Code) 2. NAME ADDRESS (Street number, City, State and ZIP Code) # U. S, GOVERNMENT Docld: 32245128 Page 52 (X), two witnesses who know the person must sign below, giving their full addresses. Pod SA eee OF PAYEE OR CLAIMANT SIGNATURE OF CO-PAYEE/Both husband and wife must sign if co payees of a combined check) RESIDENCE NUMBER AND STREET (XG §$ Lore le og oud PSOE 0 City, STATE AND ZIP CODE TELEPHONE NUMBER AD -/-~ C720 DAY (Mo., Day, and Year) PRINTING OFFICE : 1967 O - 265-973
oie Oe” a NRRL eA ED db y Comptroller General, U.S. . : Department of Fore Beer eee) = DETERMINATION OF be, _ Health, Education, and Welfare January 28, 1955 Social Security Administration RESUMPTION OF AWARD DISTRICT. OFFICE RAWL ws | FOR MINOR CHILDREN OF aR A WV, Boe TER RICHARASON , TX 750630 GUARDIAN OF CJ 1. TEMPORARY DEDUCTIONS. EMPLOYED at V4 / “af Kl 2. ‘PERMANENT “ee Eo a au T “d TOTAL (excess 3 ( S 6) EXCESS ve 1G MONTHLY O S EARNINGS $ ARNINGS $ EARNINGS $_ >, BENEFIT(S) $s ’ CHARGEABLE | C MOTHER HAS A CHILD IN 3.000 EMPLOYED OUTSIDE THE U.S. 4. HER CARE BEGINNING tr HAS BEEN DETERMINED THAT THE ABOVE AGE 65 TO CORRECT NAME OR SOCIA CJ s. PERSON Is Now THE PROPER PAYEE. CT 6. RECOMP. CT 7 SECURITY ACCOUNT NO. L CJ 8. NEW ADDRESS i, W/ 202 (T) Exc ATTAINED TO COMBINE Lo ee ee 10. A & 8 BENEFITS 11. OTHER - TE} AG- (= (| oom CONDITIONA E CHECK LA 1 [-] awaro ADJUSTMENT L] SUPP L/S r eoreae in ONLY ADJUSTMENT REFERENCE ACCRUED BENEFIT DEDUCTIONS PMT. BEN, BEGIN, MONTHLY “ ) esas / ” oS oS | 1G () NET AMOUNT DUE goose W fe oS iu Oo lo lo ‘Cas j ‘oy UH | “A & [ W
Department of Heolth, Ed: cation, and Welfore Social Security Administration DETERMINATION OF Form OA-C107 (2-64) RESUMPTION OF AWARD Form Approved by Comptroller General, U.S. January 28, 1955 , DISTRICT OFFICE 3716 Rawlins St. Dallas, Tex. 75219 « THE FOLLOWING DETERMINATION IS BASED ON SUPPORTING EVIDENCE ON FILE AND CERTIFICATION OF PAYMENT IS RECOMMENDED AS FOLLOWS: FOR MINOR CHILDREN OF CLAIM NUMBER 433-54=3937 NAME AND ADDRESS FOR Marina N, Oswald Richardson, Tex. 75080 9/6 ON (Partial) 1. TEMPORARY DEDUCTIONS E EMPLOYED CJ 2. PERMANENT DEDUCTIONS EMPLOYED TOTAL CHARGEABLE TOTAL TOTAL EXCESS EXCESS ° MONTE. ¢ EARNINGS $ EARNINGS $ EARNINGS $ _ BENEF: tt 3, MOTHER HAS A CHILD IN 3. EMPLOYED OUTSIDE THE U. S. 4. HER CARE BEGINNING | IT HAS BEEN DETERMINED THAT THE ABOVE L] AGE 65, TO CORRECT NAME OR SOCIAL 5S. PERSON IS NOW THE PROPER PAYEE. 6. RECOMP. 7. SECURITY ACCOUNT NO. 8. NEW ADDRESS —— 202 (T) Exc TO COMBINE 10. A&B BENEFITS [] A- C] ‘AWARD [ ] SUPP L/S BENEFICIARY NOTICE: ngir T ATTAINED AGE 72 Cs). orner [x] ADJUSTMENT LJ ». ONE CHECK ONLY CONDITIONAL FOLDER ADJUSTMENT REFERENCE put. | BEN. MONTHLY BENEFIT ACCRUED BENEFIT DEDUCTIONS ~ | NET IDEN. IDEN. BEGIN. MONTHLY ce = AMOUNT ie — AMOUNT e | ‘oe E __| 37.60 9/64 | 9/64 | 37.60 | E 37.50 | aK | 37.50 | | E 10/6h | 31.40 | 9/6) | 9/64 | 3140 | 2 | 31.30 | jo I an a | | TT rT tT REMARKS 4. tt J a 4 "6 71.00 AA-Excess refund received on MAX. 106,60 Schedule #7, dtd. 10/15/6l | 3 5KCQ C2 37.60 Cl1-37.60 PREPARED BY-EXAMINER OX AAL fe BW. ssof3 $dealardovasize Page 54
hha meen eet te teehee ne acetic salacated ote, Meet Larenee oectanena nnn inicAr etd nema nt imeadiiniacdeyh ant ona mmr neramnre ee cam hea nehiearee tentetESN  Aatte ata titi ele ait «Bales 2 Mabey tS eB acer beets ony tos : . moe . “oe — Department of Form OA-C107 (5-64) ; DETERMINATION OF ; a : Health, Education, and Welfare Form Approved by Comptroller General, U.S. @ & RESUMPTION OF AWARD. omeer ane , ' " Socié! Security Administration January 28, 1955 i LIE ¢—- SF I7L THE FOLLOWING DETERMINATION IS [BASED ON SUPPORTING EVIDENCE ON FILE AND CERTIFICATION OF PAYMENT 1S RECOMMENDED AS FOLLOWS: FOR MINOR CHILDREN OF NAME ANO ADDRESS IVA RIA WV OSAOALD , GUARDIAN OF ms 1, TEMPORARY DEDUCTIONS yi ; EMPLOYED Yo SS On/ C PAK +: 4h.) 2. PERMANENT DEDUCTIONS E: EMPLOYED We Y— (Yow ( pad uth TOTAL ror G TOTAL i7 "-*RGEABLE ce . AL aq ; 4 EXCESS “CEES MONTHLY “7, EARNINGS $ 779 o EARNINGS S , OL -ARNINGS $ a of. J © BENEFITIS) $ ‘ GO MOTHER HAS A CHILD IN 4. HER CARE BEGINNING C] 3. EMPLOYED OUTSIDE THE U. S. ] IT HAS BEEN DETERMINED THAT THE ABOVE AGE 65, TO CORRECT NAME OR SOCIAL C] 5. PERSON IS NOW THE PROPER PAYEE. 6. RECOMP. 7. SECURITY ACCOUNT NO. . 8. NEW ADDRESS ATTAINED TO COMBINE ____. 202 (T) EXC 9. AGE 72 10. A&B BENEFITS 11. OTHER CONDITIONAL FOLDER REFERENCE CJ ADJUSTMENT | SUPP L/S ADJUSTMENT ONE CHECK ONLY } A- Cl AWARD A Lpf : DEDUCTIONS NET ACCRUED BENEFIT MONTHLY BENEFIT PMT.| BEN. IDEN.|IDEN. PERIOD AMOUNT cope |coDE Dare. | RATE. AMOUNT FROM TO HW 55923 Docld:32245128 Page 35
we BRR Lge Toe eee ek ine catia aetna tele SRE alee LR ene Clerc gem ewe ee FORM OA-C528b (4-64) KC DISTRICT OFFICE Q DETERMINATION OF : TERMINATION OF ENTITLEMENT OR SUSPENSION OF PAYMENTS BASED ON SUPPORTING EVIDENCE ON FILE @ Marina NH. Oswald @ ® ADJMT. CODING SHOULD HAVE BEEN (SHOULD BE) STOPPED At mee ee Na cae te ccd Latte tate a 8S ae CLAIM NO, Pic e) 433-5) -2937-E E | BQ 2.08 WN 65 KC DATE OF BIRTH ; INITIALS PAYEE FILE DIARY FILE wey cLe MONTHLY RATE ks 31.40 6/65 E SPA LAST SCHED. NO. TREASURY REQUESTED TO DISCONTINUE PAYMENT CROSS-REF. 9A 6/65 ACCOUNT NO. CI o. Investigation pending determ. of cont. disability 8 (-] 1. Worked outside the United States (] 2. Worked and expects net earnings to exceed $1200 S [J 3. OAIB worked and expects net earnings to exceed $1200 B Benefits payable by some other agency Death of beneficiary . Rkessoodtersisar Remarriage 4C. Attained age 18 and not disabled 4, Child attained age 18 and not disabled 5. Beneficiary entitled to other benefits Ad OOOOO#OOO 2 6C. Child no longer disabled : 9. MOTTE 8 eRe Tem manenngets Ber nme ECT apeeem ohpr + A peat Map tea AT oe NW 55923 Docld:32245128 Page 56 (] 4. Failure to have a child entitled to benefits in your care ("] 5. OAIB worked outside the United States 0 1 2. Dependent terminated due to death of insured individual 3 me en we (CJ 7. Refused VR Services Cs. Payee not determined Ls. (Clerk) (Date) (Reviewer) (Date) (] 6. Death Marriage of child (] 7C. Adoption [_] 7. Adoption of child ] (_] 8H. DIB no longer disabled Mother terminated- Child no longer disabled . DIB attained age 65 . Claim withdrawn @ © @® © @ ® @e @ ®@ ee) wee Leewate reho sets | eau Ae NER <p kee Dileep as ore nea
. FORM OA-C528b (4-64) KC pistRIcT OFFICE CLAIM NO. Pic we “ . css DETERMINATION OF © 33-5039 37 Ez TERMINATION OF ENTITLEMENT OR SUSPENSION OF PAYMENTS BASED ON SUPPORTING EVIDENCE ON FILE ADJMT. CODING DATE AS 10/16/61, Marina N. Oswald * ry we a lec che MONTHLY RATE SHOULD HAVE BEEN (SHOULD BE) STOPPED ; DIARY FILE ${ 200 SPA LAST SCHED. NO. TREASURY REQUESTED TO DISCONTINUE PAYMENT CROSS-REF. 7. ACCOUNT NO. 0 o. Investigation pending determ. of cont. disability 1] 4. Failure to have a child entitled (-] 7. Refused VR Services CL) 1. Worked outside the United States to benefits in your care Oe. Payee not determined . (1 2. Worked and expects net earnings to exceed {1} 5. OAIB worked outside the Ds. $1200 United States : (1) 3. OAIB worked and expects net earnings to exceed $1200 S .. ; {Clerk} ate LJ 0. Benefits payable by some other agency [[] 6 Death Marriage of child C1 1. Death of beneficiary oO 2. Dependent terminated due to death of insured individual ‘ [| 7C. Adoption [] 3. Divorce Marriage Remarriage {_] 7, Adoption of child LG 4C. Attained age 18 and not disabled t ] [ 4. Child attained age 18 and not disabled ] [_] 8H. DIB no longer disabled (] 5. Beneficiary entitled to other benefits [] 8. Mother terminated- am 6C. Child no longer disabled Child no longer disabled . Ds. ((] X. DIB attained age 65 (] R. Claim withdrawn NN mugs ne er Re rhea cone eae te ne a re WW 55923 Déold: 32245128 Page 57 . Aah ae a Peet te ee Sn we albatnat i ett fy TRAST ag tn ae TEs aN el ae app ata SHS aie De ttt eee a rm
cee ee ee Re ht eet in ttoed PREVIOUS DISTRICT OFFICE DEPARTMENT OF ‘ HEALTH. EDUCATION, AND WELFARE 1 : SOCIAL SECURITY ADMINISTRATION @ PAYEE, ADDRESS CHANGE, OR HOLD CHECK REQUEST WAGE EARNER . " SPA : ow | Marina N Oswald - 433 54 3937 E 1245 Donna Dr Richardson Tex 75080 DATE FLOA ~ LLOA TR FILE CODE ¢ ADDRESS CHANGE CT] HOLD CK DATED. PAYEE CHANGE REPLACE CK DATED 6/3/65 x DRAWN PAYABLE TO Mariana N Oswald FORM OA-C610 (2-64) FILE COPY mv) NW 55923 Docld:322451268 Page 55 .
4 NEW DISTRICT OFFICE DEPARTMENT OF PREVIOUS DISTRICT OFFICE ‘ . . HEALTH, EDUCATION, AND WELFARE : ; qT SOCIAL SECURITY ADMINISTRATION S229 PAYEE, ADDRESS CHANGE, OR HOLD CHECK REQUEST DATE WAGE EARNER . : Pic — J CLAIM NO. w - ak GO5/05/65 06 FLOA LLOA MBA SPA >| 3 23.0 MARI WA 433 54 3937 E cS & C CODE MAR-LARA N OSWALD GHA |\s WS790 17 1245 DONNA DR [[] ADDRESS CHANGE RICHARDSON TEX —————— 75080 i OO . ¢ s\¥ TR FILE CODE [_] HOLD cK DATED PAYEE CHANGE REPLACE CK DATED DRAWN PAYABLE TO Marinada MN Oswate REDIRECTED FILE COPY FORM OA-C610B (6-64) NW 55923 Doclid:32245128 Page 59
US DISTRICT OFFICE DEPARTMENT OF HEALTH, EDUCATION, AND WELFARE ” SOCIAL SECURITY ADMINISTRATION ss : PAYEE, ADDRESS CHANGE, OR HOLD CHECK REQUEST ‘<% WAGE EARNER NEW DISTRICT OFFICE Marins N Oswald 433 54 3937 z 629 Belt Line Richardson Tex 75080 03760 cLe [: & C CODE SRESS CHANGE -D CK DATED "EE CHANGE *LACE CK DATED AWN PAYABLE TO 4-C610 (6.63) FILE COPY NW 55923 Docld: 32245128 Page 60
Form OA-C526 (1-61) >» rn mn, ll BENEFIT $S UMMAR Y - Department of Health, Education, and Welfare —— ———— Form approved by Social Security Administration Comptroller General, U. S., October 25, 1950 Bureau of Old-Age and Survivors Insurance ACCOUNT NUMBER $33 -LYA- B37 MONTHLY BENEFIT ACCRUED BENEFIT DEDUCTIONS CLASS OF ACTION IDEN EN . NET r .| IDEN. PERIOD EFFECTIVE R w AMOUN CODE| cope; BEGIN. |MONTHLY AMOUNT AMOUNT F i DUE DATE RATE FROM FROM To D [re Yeu 3760| "53 | VoF | 112.86 | 219,00 AS: 2/3, 60 | 326: fo L Ci CLK AWEEL “e3 Vg 2ATbO 225: 60 Wh REMARKS era) 127 P74KCFEB DATE REVIEWER DATE 4/3fey 7? (Le cet 2-47-67 vv U. S. GOVERNMENT PRINTING OFFICE: 1962-666121 NW 35923 Doold:322451278 Page 61
Fic Of, -CVO/ Deverrr' sateen Go Atard ~" Form approved by Comptroner Generar wen — eee a ee peeeennneeen ene . January 23, 1958 er Terrence meme tent Serer ane | D DU WIN] O| OATEOF BIRTH | DATE OF DEATH DATE CLAIM FILED Lee H Oswald RACE ete \10/19/39 | 11/2h/63 2 REQUIRED QTRS. HAS AT LEAST CURRENT QTRS. 3. First Base Yr. Or Starting Date LAST BASE YR. OR CLOSING DATE|4. LUMP SUM AMOUNT 6 6 1951 1963 213.00 5. TOTAL EARNINGS DISABILITY PERIOD EXCLUDED ELAPSED RED DIVISOR INCREMENTS PRIMARY AMOUNT 3306.85 61-62 2 71.00 & NAME DATE OF DATE CLAIM ORIGINAL ANY OTHER ADJUSTED RELATIVE’S ACCT. SYMBOL BIRTH FILED BENEFIT BENEFITS BENEFIT NUMBER (IF ANY) Gl 7/17/ul | 1/9/64 EB " C2 | June L . | 2/15/62 Cl | Audrey M 10/20/63 | | REMAINS UNPAID 7. MAXIMUM PAYABLE 8. REIMBURSABLE F. H. EXPENSES ARE PAID AS FOLLOWS 112.80 11. REMARKS | 0.0, CODE 3716 Rawlins St By Dallas Tex 75219 87 P7AKCFEB 12. CERTIFICATION OF PAYMENT DATE OF LUMP-SUM ENTITLEMENT MONTHLY OEATH N J BENEFIT PAYMENT BENEFITS Symbol Name and address of payee as *» slaimant or as representative of the claimant E | Marina N Oswald Bx 1,07 o Grand Prairie Tex 75050 Marina N Oswald for minor children of L H Oswald | certify that pursuant to lawfully detegated authority | have verified the Pursuant to lawfully delegated authority, ! certify that, on application by y or on behalf of the claimant(s) named above as payee(s) and the supporting above statements with the supporting evidence on file in this office; that | evidence forwarded herewith, the foregoing statements are my determination hava computed alt stow and that same are provision shown: ang that au wes ‘ . as . iti c! i isions 1 of the of fact a as tg-the benefit(s) to be paid as indicated. Social a Aa . By { ’ Approved of. ‘ . 2 ttn” (Claims Representative) / (Claims Authorizer) 4 - pate 16/64 . Date ~*7 CY HW 5532 Hoey: 2245128 Page 62 wGPo 1962-636876
2 a 3 + ae _ en heey Sven GMB is ed Be BT PEER re lS AER TET S, eR CE TE Ta Rea ek ee A Se ES . arn a eo | . 1958 1965 FAMILY cane - ACCOUNT NUMB rca . TRANSCRIP . MAXIMUM | ae ve pw : \ ; “435 54 3937. 71. 00 114, 00 7 A \¢ on a RETROACTIVE AMOUNT PAID a . | REMARKS © ed BENEFICIARY'S NAME MONTHLY, RATE 9  €@ oswarp AUDREY M om C4 7 Cc 24.60 57.009 01 37,60 O01 37.68 O04 37.60 04 37.60) 01 37.60 01 53.30 @ Pop 2,70 Pp 2.78 Pp 2,70 PD 2.70) Pp 2.70 PD 3.70 @ 40,30 40,386 40,30 - 40,30 40,35 “ 57.00 € 01 53,30 01 53.30 ® PD 3.70 PD 3,70 57,00 57,00 e | 8 OSWALD JUNE L C1 Ce Cc 24.60 57.00 e 01 37,60 O01 37.60|° Of 37.60 Of 37.60 01 37.60 04 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 60.30 57.00 }@ ® 014 53.30 O01 53.30 PD 3.70 PD 3270 : e 57,00 57,00 © TOTAL PAYMENT AMOUNT 49.20 114.00 @ ‘OSWALD MARINA N & ce T3 10.00 33.40 @ 24 1.49 21 34640 24 340406 21 34-40 24 34-40 70 31.40 @ Pp 2.00 Pp 2,00 Pp 2.00 PD 2.00 Pp 2.60 NP 2.00 33.40 33.48 33.40 33.40 33.40 33.40 @ © e @ @ @ € @ re R | wis OLD MBA riwie OLD MBA r {wis oLD MBA R | wile OLD MBA wi{B OLD MBA refwie OLD MBA é ; ofc , New ne 4 _ . New moa F i} P t{NCREASE F | P INCREASE F i} P INCREASE F 1 Pp INCREASE € MBA W MBA a Cc D NEW MBA Db Cc io) NEW MBA c ia} NEW MBA D c D NEW MBA 7 ren OA-C596 is-es) 1965 CONVERSION OF BENEFIT RATES _ Page 63 "Nw 55923 _Bpocia: 32245128 ©
! fe. DEPARTMENT OF HEALTH, EDUCATION, AND WEL FARE SOCIAL SECURITY ADMINISTRATION APPOINTMENT OF REPRESENTATIVE Llelis sentative) sentative with respect to my claim under the Social Security Act, based on the eamings record of I appoint ates tO ACt aS My repre- Lee Harvey Oswald secssssnseseesessesety tenes 433-534-3937 7 “(Wame. of Wage earner or ‘pelf- “employed ‘individual) (Social security account number) The above-named representative is authorized to obtain from the Administration informa tion conceming my claim; and it is understood that any notice -: ‘“squest sent to him shall have the same force and effect as if sent to me. Ms. an Lan waste MC OSireabee rs (Signature) & ACCEPTANCE OF APPOINTMENT 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. (Address) La LOL ICY Dalles, LkhAA. (Date) (SEE REVERSE SIDE FOR REGULATIONS AS TO FEES OF REPRESENTATIVES FOR SERVICES TOA PARTY AND INFORMATION ON CONFLICT OF INTEREST) Form AC-512 (3-60) NW 35923 Docld:32245128 Page 64
Form OAC-5002 (1-64) /-10- Fo b TF Se Phe aey boasnatd "L33-SK-3937 NAME AND ADDRESS OF PERSON(S) CONTACTED: a ce. SL Gin lw — Pounc;,. ue , ant: aaa an Dre , 74 IV ; ee neten - * cevemvone pg nll, ve Lee y CEE” , 168 Geld CONTACT MADE BY >> A Fe 4 Cc“ —) ‘os (SIGNATURE) (TITLE) Z U/L (FOR CONTINUATION OF THIS REPORT. TURN PAGE. KEEP MARGINAL SPACE AT RIGHT FOR BINDING) U, 8. GOVERNMENT PRINTING OFFICE : 1958 O -486513 MW 55923 Doeld: 32245120. -Pagertion ry eer serra rere
Form OAC-5002 (1-64) REPORT OF CONTACT orice: (USE INK OR TYPEWRITER) DATE: W/E OR $/E PERSON AIN NAME AND ADDRESS OF PERSON(S) CONTACTED: eee TELEPHONE C] CONTACT MADE: IN PERSON CL ‘Cte GO Le flea! a Ee LZ ott J Kh evr Tt LE, sessttnne CONTACT MADE BY > IGNATURE) ~~ (TITLE) (FOR CONTINUATION OF THIS REPORT. TURN PAGE. KEEP MARGINAL SPACE AT RIGHT FOR BINDING) vu. S. GOVERNMENT PRINTING OFFICE: 1958 O.- 486513 NW 55923 DocId:32245128 Page 66 40, FRR ee er ite carn Bn ee rte er mete ee es ne eR RC A ER RE OA i tn ae