“- Case #87: (201-300082) Monthly payment reduced by: 50.00 Case #89; (201-297752) ir Monthly payment terminated on basis of First dependent's statement to survey case worker that she was fiancee and engaged to be married following return of 201-297752. Total amount ter”
“INDICATE GE064*WIC AREAS OVERSEAS IN WH iCh YOU BILL NOT servE awD CIPLAIN REASONS t Do not desire to take family into excessively unhealthy conditions. 1 -t INDICATE THAT 1040s ir asp .st or EACH PENBENT to at uqs to evASeas Vife-27 Son2-3 Son--18 mos. &D:CARE inteq DI”
“14-00000 --1---9j--,-7m %,gt • ’ % P. P ‘9 !‘;e* Separate Cover Attachment to HKHS-114 Source ofIncome for Tax fora 1099 Donald M. Turner Associates 1615 Court Square Building Baltimore, Maryland .-TX^^^-^^ *S41”
“Department of Form OA-C107 (5-64) DETERMINATION OF Health, Education, and Welfare Form Approved by Comptroller General, U.S. 9% Social Security Administration January 28, 1955 ; k RESUMPTION OF AWARD de DISTRICT OFFICE ACCOUNT NUMBER 433-54-3937 E THE FOLLOWING DETERMINAT”
“action described in paragraph 2 above.. Case 0123: (201-293105) Monthly payment reduced by; 50.00 Case *132; (201-300027) Monthly payment reduced by: 25.00 4. Station took action in terminating the payment for Case #82 (201-300091) effective with the January 1967 payment”
“NIC 0099 1099 ' IQ99 . LNREAD LNGOLD- DEVISED TACIUTY X W-2 w-2. W-2 SUBHICT is uNDtA NONONNCIAL COVER CONSULTATION wma his COVERT TAX COMMITTEE is RIQUIRO Ber comoletion by Covo Covne Staff A TAX-ASSESSENT - Not Applicable Witt wat NOT 8 AssioNr ar THS COVERT TAX commi”
“Mexico City 1 €) I L0 iInde-tite ALL INFOFMALEO CONTAINED 03 S TSCokvw74. 5010-108-02 Buy U.S. OP onthe Bi HEREDAIS SIFIED Payroll Sa ings Plan S N NW 50953 DocId: 32292820 Page 2”
“14-00000 El Medicare Vithe" WRUL Jurrica # Conering Amountt #2,733.75 Carlin Clark # -3-69784 1344 1-3100 -.?7 . * 7. 1-15 Nov 1389 16 - 30 Nor $ 667.0 376168 9 316.25 ) is Arcreent 1399 1-31 hlec. $1 $1,923.75 382709 B1 316.25 1419 1-31 Jun SELT ooks Check”
“XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX OFFICE USE ONLY1 LER accepted as an Additional Claim (Earnings exceed eligibility amount.) Date of Claim Office ‘Representative N ‘NW 88326 Docld:32243329 Page 6”
“(GS-14/4 eq.) Attached is Standard Forms 175 and 1150, There i» no record of Standard Forms 2809 and 2810. Perhaps his military retirement obliviated the seed for health insurance. Cl Jr.4 Leeiieet -----.* Sincerely, ed • ‘ no, i fe e Roger Fowler Personnel Officer A”
“PART If 100 Want 10 MONTH DAT TEAR D.ANG tout LRO MINT PART E Feb } WANING. —Any Ialantianal telse tutement • All WHO - sis appliance or walitul miss epresuntation saludive 20 El sto:STER , the 9to is a vlotullon of the Inw gunishable by'a ithee » * not more than $1”
“Form OA-C526 (1-61) D BENEFIT SUMMARY 6 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 CLASS OF ACTION ACCOUNT NUMBER MONTHLY BENEFIT AC”
“Camera Dept. 4. BUSINESS NAME OF EMPLOYER (Type or print) Jaggars-Chiles-Stovall, Inc. 5.STREET ADDRESS OF EMPLOYER 522 Browder St. Secretary-Treasurer 6. CITY STATE 10. EMPLOYER’S FEDERAL 11. DATE THIS STATEMENT FILLED OUT IDENTIFICATION NO. Dallas, Texas 75 0359250 1-”
“Department of Form OA-C107 (2-64) fe Health, Education, and Welfare DETERMINATION OF Form Approved by Comptroller General, U.S. Social Security Administration January 28, 1955• RESUMPTION OF AWARD DISTRICT OFFICE CLAIM NUMBER 3716 Rawlins St. Dallas, Tex. 75219 433-54-3937”
“14-00000 --eroaiv-eotys,, Grayston Seroy .77 2686 PARI I COMPENSATION AND WITHHOLDING Data sour s nr COVr *. A r% PA $• S wouantr pt <: 4. OvreNSatio PAYMENTS Dy Cavy * AMOUNT sunsrtto TAG !N V. 15 uac e rep- vIX Pete) ,9500 1 9500 MAV*S" PEieis Iri AMOUNT AN, TOTAL BY G”
“ccounting facilitice. **Dependent payments - Wife 100, cad, child and adels Capentent $50 each. AC/H Aichael J. King AUTHENTICATING OFFICES Copy Ma i SEARET REPRODUCTION BY OTHER THAN THE ISSUING OFFICE IS PRONEBITED. NW 65990 Docld:32383590 Page 1”
“Form OA-C-101 Form approved by Comptroller Genera’s.____ January 23, 1958 1. INSURED INDIVIDUAL Determination of Award W N DATE OF BIRTH “Tutor DATE OF DEA TH DATE CLAIM FILED Lee H Oswald RACE X 10/19/39 11/24/63 2. REQUIRED QTRS. HAS AT LEAST CURRENT QTRS. 3. First Ba”
“SRCREP cater of Station, Mixed City office of Fiminse j. Tox Assessment - Hiurt Q. rcavd - 000535 RRF: wDr - 6611 dated 6 May 1966 -A 1 trenmaitted herewith in t/e 00-0273 dated 2 Aucust 66 in the emount of $147.35, which represents tax withholding adjustment for Nuare C.: PIC”
“14-00000 26. C\)NfIN: D Ditve -9 en soph**, year: 01d,4 tv-* •* your $99/0 ••» Myh cm I.‘" Hoce • w,eym oil trity and State): I Final $ ■ pm - -Ciratn,................... Dweertption • your work o ". . "invert’ st. Some .n.J ad I’oas of •mil yer thrm. onjartpsten or pe”
“medical expenses not normally commented wth hospitalization such as doctors’ office visits, doctors’ home visits, prescrip- tions, injections and medications given by doctors, Z-raya and other laboratory work done in connection with diagnosis or treatment, etc. The insured pay”
“Samuel Phyllis Ruby *% **W*N03999 NAME CALENDAR YEAR 19 74 :ADDRESS 322-12-7997 SOC. SEC. NO. DEDUCTION SCHEDULE 'MEDICAL STATE FEDERAL CONTRIBUTIONS STATE FEDERAL 2 MEDICINE/DRUGS 21 PARTNERSHIP SHARE - 3 LESS 1% A.G.I. (Line 18 -1040) GIRL/BOY SCOUTS 4NET MED/DRUGS HEA”
“14-00000 Keyri-tay, >.,.„.: 2009 F II BENEFITS REGISTRATION For C5lAV 1) " 1:9 I P M. Gt.A’) yrh) AptOrIfS stALh nerotrsts /CI of 1957 (2 wed loshrvetons eit bO<» oof last poge U;n ***, ether of til’s." *) 089059 AA31) (8531) P’R-A: wet’Ati 1 Dat! For ***** 10741 J. Am y”
“NO 1 V re n e 1g substantial services in s e lf-e m p lo y m e n t," ” the e ---------------- -------------- 4. D— ----------- r SIGNATURE - SOCIAL SECURITY CLAIM NUMBER DATE AND SIGN HERE X 1 433-54-3937E u 0 MisMarin s eOw ald N . (taiajajjig§|]jisii^!^jilS$i§j32”
“14-00000 %. p Standard Form N. ;p<hj HEALTH BENEFITS REGISTRATION FORM vafcrnidte <HAI118 I-s FPM 9GAD 9co Uerv 8 Vek a dost poor. AtMI arret#17s AC: Of 1939 l/se only lypewnalar or b 153281 1 MaNE ,147) /Pt S All 2 Datt ii *-T JAte or Neva fvjr-sar)? pod PART A A”
“NCY FEGO __ DUES a DUOSCRIPTIONS . •00020.0)_ INCOME TAX PREPARATION AUTO LAN 100 0 CHILD CARE THERS: SRTAX 2 68600 63020 TOTAL MISC. DEDUCTIONS T - AGGve vANIct . CASUALTY LOSSES (EXPLAIN) FEDEQL 6 STATE ClTAX, K n n Jn n 4s) EAL. 0,0) Je €. 105 00 10.500 SUB TOTAL ”
“Department of Form OA-C107 (5-64) ’ Health, Education, and Welfare Form Approved by Comptroller General, U.S. DETERMINATION OF Social Security Administration January 28, 1955 RESUMPTION OF AWARD RAWLINS ST, DISTRICT OFFICE ACCOUNT NUMBER 3716 DACCAS ITEX / 0 H 433-54-393”
“4-00000 fis % CLASSIFICATION DiShA rew SYMTALL AND NURT D) CONTINUATION OF DISPATCH S E C R E J. UFGA-25261 PAGE 2 3. AFTER CAREFUL CONSIDERATION OF VARIOUS FACTORS INVOLVED STATION DECIDED IT PREFERABLE FOR STATION TO MAKE FINAL JUDGMENT1 AND THAT IT NOT NECESSARY TO ”
“14-00000 IMVRANCH APPLICATION IICLICY No. (CCenor live) FECTIVE NAME CP wozorez (2) 1 Ct Mee PAID. 0• ..0 20 Vos’ bsz ‘Date of Insurance • 411 vs /., J Premium *- iSalary : 77>": : Class CVes Veekask iRooN zzo. P(ccx APPRCPRLA2 BLOCK) Malo 0 Full-time employee iimo”
“9 Forss OA -C589 JS DEPARTMENT OF W HEALTH, EDUCATION, AND WELFARE Always give SOCIAL SECURITY ADMINISTRATION Claim No. 433-54-3937-E when writing about your claim 10-14-64 nowledged of the following: DESCRIPTION OF REMITTANCE AMOUNT SCHEDULE NO. sonal check dated 10-6-”
“i^m^w^nK'M2**21988917 F * PYXESCN NBV %*2LNC*--*hwSAtatgxtehXo BYXS4 34 CNS3MP09,*3*51,0.42 W#36ToldACEThiANAly NAME ADDRESS Samuel RPayllis Ruby322-12-7997 SOC. SEC. NO. CALENDAR YEAR .19 74 DEDUCTION SCHEDULE MEDICAL STATE FEDERAL CONTRIBUTIONS STATE FEDERAL 2 MEDICINE”
“fo r wages of o v e r $125 a m o n th OR (0 ] NO - re n d e rin g s u b s ta n tia l s e rv ic e s in s e lf-e m p lo y m e n t? a [ YET NO IDAIL SIGNATURE SOCIAL SECURITY CLAIMNUMBER D ALN D o Sly GRE 7 4-5- 66 < 467 82 4034 -***/ +., MrsMarina*N * .*P- orter *2 . nuf”
“14-00000 z.i TIE TFOM for OHlV Abizini i adzllv L asiLtus USE UNLT -2- 3, The Agency has an an aim: legislatively to secure the Civil Service option, 1. e., credit for periods of non-deductions service without prior payment therefor, but with reduction of the basic annui”
“Reference copy, JFK Collection: HSCA (RG 233) **AXABLE ,CALIFORNIA SCHEDULE 10 73 130.41 04D PROFIT (07 LOSS) FRO.] CUSNESS OR PROFESSI00 YEAR (Solo Prcprictorshlps) ptr. ootat 3, Purr: C.0 cP C00N3 Ponteorehipa, (olno Vo ores, ct, mull Co CD Ce DC. int Social Socu.”
“NAME ADDRESS S.t.P. Ruby SOC. SEC. NO. 76 CALENDAR YEAR 322-12-799 9 194. DEDUCTION SCHEDULE !MEDICAL STATE FEDERAL CONTRIBUTIONS STATE FEDERAL 2MEDICINE/DRUGS 21a CASH CONTRIBUTIONS 3 LESS 1% A.G.I. (Line 18 - 1040) 216 PARTNERSHIP SHARE 4NET MED/DRUGS GIRL/BOY SCO”
“should herse w a deduction of $14.70 fu the month Pay, which would give TICHBYS saxderm credits (4277-20) for 106. Tomrefore, 1t is requested that ths Station refund Junject sury FICA that was withheld after a deduction or $14.70 for Moy, and pleons note this odlontment in the wo”
“NAME - ADDRESS SAMUEL & PHYLLIS RUBY 322-12-7997 CALENDAR YEAR 19. SOC. SEC. NO. 73 DEDUCTION SCHEDULE MEDICAL FEDERAL STATE CONTRIBUTIONS FEDERAL STATE MEDICINE/DRUGS PARTNERSHIP SHARE LESS 1% A.G.I. (Line 18 - 1040) GIRL/BOY SCOUTS NET MED/DRUGS HEART FUND/CANCER FUN”
“14-00000 0»at? beer us vicom (P) /6 MENT OF CLAIM f. ; Mlm*A s RUMBEe 1 SEX 1 CODE I COuhen AMBER I DLlNGNT RELATONsHp TLA E CLAINTIGEORREO 35’121 902 DOlf 5-16-85 AUDIT BREAKDOWN MOUNTS 1AOUat5. ACCUMULATION OF DEDUCude I Kentt. Ado soon Date — 5-1C-65 .ie ACTUAL I”
“14-00000 1 5-cENGG ACTION 3_ DISPAuCh infiJ for A: % CINEr 0: Imne N) index.nS 812.220 CNLY caunu Cea SIGSBIES* dief, CAN sol INGIN Pdar or Cta-ion, "exies cits 1MISFOF LBS "Ke g-kodintuvelen - - FLO RUUPNAS 1.. Co-mittce representative seventeen in vidanis wa”
“14-0000. CLASSInab MESSAGE geemrets ROUTING Ret P ■ - M/3-3u4s8 1 4 2 5 TO : DIRECTOR 3 6 IFROM : JMWAVE la a M M ffiM ^ m iiK O * ACTION: SAS 8 INFO :FD 2, DDP, OP 2, S/C 2 OC D L IN57726 S ECRET112344Z F DIR CITE WAVE 9623 TYPIC FINANCE 12 JUN 1963 REF UF”
“Allowance rate $4, 700 ($4, 100 plus $000 for dependents) minus the rate being paid, $4,128. 06 represents an increase of $571. 04 per year or $47. 58 per month.. -*/. (continued) Distribution: 2-COS, Mexico City CMCAS an to -T .Draalen $1*90 US hesicis pan 2‘Fe - NMS-6”
“14-00000 rzo o,NGTON, ov 40tvo s May 2972 Mr. Toward X.22 12120 River Road Potomac, Maryland 20854 Dear Howard: CCS. I have taken so .0 Ve-ted / V • 5th because of the careful cons .given to your requeut by 411 concerned, particv larly as we have not a 6 6 I am so”
“•15 Add Asy Acromulation-cf Deductible Apple’s Fallowing Cale adar Yeur I6 Tp’es bre I. and tire 15 -307,07 17 If line ic Eeceeda Dedocitie ($100, Ft.s Any Private Fo n Charge Exceeding $23 u Day MAJOR MEDICAL MAXI/AUM J PAID CONTROL 4 inter Arout of Excess 207,07 18 PAYAB”
“OSTENSIBLE EmpLBvrR I 10.’ DECLAVATION OF ESTIMATED INCOME TAX (Check one) HAS DECN FILED A HAS Nor BEEN FILfO NOT APPLICABLE PART II DEPENDENCY DATA 11. NO. or DEPENDENTS. INCLUDING SELF. Clatudo =1Ta covta tr. NO. or DEPENDENTS, INCLUDING SELP, CLAIMED ON FACILITY. NA F”
“! NAME.. 'ADDRESS PHYLLIS RUBY SAMUEL &322-12-7997 CALENDAR SOC. SEC. NO. YEAR 19 75 DEDUCTION SCHEDULE ;MEDICAL STATE FEDERAL CONTRIBUTIONS STATE FEDERAL * . 2 MEDICINE/DRUGS 21a CASH CONTRIBUTIONS - 3 LESS 1% A.G.I. (Line 18 - 1040) 21b PARTNERSHIP SHARE 4NET MED/DRU”
“14-00000 H°ALTH EKRtFITS REGISTRATION FOR: 7 ZS/L. *-** P.ore, No 1409 HAPTIPLSTPM 4536490 SIDCPA: (9 ‘ea*% +41A.’ •fNfMn AC: 4 1959 (9 on. In. • > on ‘Jie 1 riajat IAS’ it»* recit P, "IN : ©*‘ ‘,2 FtPle* 1 Are Foo or FLONCE iM'1 PART A 1-• / No i 27 so • roue PARS ”
“14-00000 Gssy motoed **c-**-*l9u3t6*t**,X7*******WLAC1ukaAaSSMeS WH yaz N+: Harold S. Nouinays Crac N’t. Noemayr:___ 7A3 r comrati with ihe United S ment. efertvel June 1957 bflertve 26 November 1960_ . ward f. ant 7 act :o 30) s addins thererp the following tajr a”
“* . fe te age 4 . olp,c *9ts e rte rw Form OA-C669 Form Approved. (11-60) 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 433-54-39”
“-hiev-stt wchtniddstiniitntici. Mr -'.’-.r ronst uiar or 1 i OnGs Si- s "Nr i UNm _SECRET___ i,i "i a i Pare: • CALLE StCRLtAmAf DISSEMINATION [] melx jto INDEX 3RCrnN 10 BRANCH FILE RIO fir PtR__________ r. FILE it Cs FILE NO. CoNri 5 FILE, va. (classification) ”
“DEDUCTIONS PMT. BEN. NET PERIOD EFFECTIVE R W IDEN. IDEN. BEGIN. MONTHLY AMOUNT AMOUNT AMOUNT F I CODE CODE DATE RATE DUE FROM TO FROM TO D C E 37.60 9/64 9/64 37.60 E 37.50 AA 37.50 E 10/64 31.40 9/64 9/64 31.40 2 31.30 REMARKS PIA 71.00 AA-Excess refund received o”
“t IS V& 5 8 % I # b 1 is ith e 4 3 3 -5 4 -3 9 3 7 E. r 2d Answer only if you an swered item on other side. SOCIAL SMMin ADMINISTRATION BFuodrgmeAtpBpurroevaeud 4 Show whose work you did in connection with your business ANNUAL REPORT ARNINGS - 1964 He.72-R524.”