“am continuously employed in the above department or agency. Inronano CEN CKENING THK BrNEICIRY on BKNSFclB: Type er print Bret name, mikile initial and inet name Type or print address of each beneficlary fihare to be wild to of each benedelary Relationship each he nefiovary ”
“Cted-CAjmderficilniinelonerun. 2CL1-1 AfW . MIALTN SEMESITS Association Benefit Plan High 422 —MAM.n «1 2. In spore.below listiell elnible fiml], members without exception yjon your-wdo » o or, ewarones eymn Grot; fimi yoorvnmarrist chyen-undee iideen -4. oge.19, including”
“CONFIDENTIAL (Sten Filt.n fhl 5. VOLUNTARY ENTRIES "eperienco in the handling of employee emergencies shown that the absence of certain son el dets o ft en de • laya and complicates the settlement of estate RN d financial matters. The information requested ; this section we”
“__ ___________ - Pit in nos I. t elect not 17 enroll xrry sins 3 The reuson for my election is (Plouce un "X ‘ in proper bos) PART I/ vou under the Megi Benufio Act. tal / am rovcied by o plon under the ro-alth Benefits Act through the enroll, won NOT 10 men of my husband, wi”
“CF SA9*5 with waici 700 88/8 ACCOUNTS n - - Accent with the Chang National Bank (Sartiold Branch) MIG MAg clpad 26 March and will be transferred to my wife’s account with the sank OF 2SS a,/ HAVE YOU EVER BEEN IX BANKRUPTSFS <f 5[ "3 00111 A90WE9 is "YES", GIVE PARTICULARS: ”
“his doelcration Is basca on oll Information of vhicli ho has any tinsizlodgo. EDWARD L. LAMBERT P 0 SA D D •TAX.CONSULIANT Your signature—? Cling jointly, B07W must sign Dato E n 598919 VienrrOfAthnLVn.fongrr : clou O ENCINO, CALLE.91316 Spouso’s olgnatero Dato T227213) 88”
“Above NAuF of S"CUst ADDRESS (No., S City, Zone, State) TELEPHONE NUMBER - NAMES OF CHILDREN ADDRESS SEX AGE James Same M 12 Sally NAME OF FATHER (Or malo guardian) F 18 MO. Decensed ADDRESS TELEPHONE NUMBER ndiana polis, Ine L2519 NAME Of wo TwER (9r SARA K. HARVEY”
“-wave vou ExECutso * POWER of ArromuKy?: Yes m No. (If “Yea", who possess the power of.attornoy?). 4LLJ- 26019734 ADDITIONAL DATA AND/OR CONTINUATION OF PRECEDING ITEMS nNoterMg brother-in-law, Wohn Waishihas been named executor in both ■ | the will of my wife and my will. ”
“14-00000 'th' % ¥* grangdig on 0 co R10-49 ocrurvemir roam’ -71. yausruro or 1aet DATEL • • TO HAVE ACCESS TO AND CONTROL OF THE CONTENTS or SAFE NO.. -NOW RENTED DY LI TM MULT OFFIRST NATIONAL CITY BANK,sAfs m DEPOSIT DEPARTMENT AT. _NEW YORK, EXCHANGE SAID MFC FO”
“CANCELS ».$ 104 +ot mp JrCtiviNt PART 8 * WayaxzEr •^^^^.^ se en I authorise deduce belgy hom bod poge of be - • veidrv, compensation, of unnoaty to cover my share of the ros > o’ the plan you select ) Tilt IN THS | CUE Or RAN OPiON (MGH or IOw) tomoument core Numsin PARE.”
“Wifeonly________________________________ 4. PERSON TO BE NOTIFIED IN CASE OF EMERGENCY NAME (Mr., Meo.. Mioo; RE EATIONSHIP " Lynch, Herbert A. (Lest-Pirst-MiJdio) Hrs Jone Mtso K-feuch Wafsbrother HOME TELEPHONE NUMBER Box 46-9, Victoria, TEXAS HOME ADDRE ss (De. Lae ”
“IC‘DE%*‘50 469 PPDVIDE DA , EISI OF OCCURRENCE ON SEPARATE SHEET IN AC- CCGDANCE RTTM SPECIAL INSTRUCTIONS ABovE. NO J EAVRSOusiburat SECTION XXV PERSON TO BE NOT IF ED IN CASE OF EMERGENCY 1 1. NAME F ast-3-ddle-Leath 2. RELATIONSHIP Bella Amron wife 260. a-shal. court”
“good faith. Date. Signature ol apphoant ______ .... (Sign your name in NK tone given non. n male and surname), it lemala pro is Miss or • Ono 0-10 47700 % / . Mas and d marne I use four own atve ** Mary L Doe.") . abannviliw-a-wADG-tetA.”
“14-00000 CONF IDENTIAL : (whin Pilled.3e).. 5. (CONTINUED) G is most Nalttoo she THE AccOUNts Listrprm WAVE DAVID A. PHILLIPS, SPECAmIAL ACCOUNT A LAST BILL anD TESTAMERV? no. se “res”, aw’at is oocuwinT LOCATED? wAvE LAW BUILDION BANKOFFICES T TOOHTIP NG,ENDON FO”
“14400000 PITS0L s Y* mottez d*te*gdkawyo zgigt./es - ::: on employed in full: Ricardo Anibal HCUALFS Navarrette ra %o be notified in case of emergency: 1a:e Magda Morales .. Relatlonshriwit:_ 0rcso . . 535 Soutj "cs 7th St., -t. 2 Mhiadicorida . celeghes 371 5141 . o”
“name, midlie Jocitinl and Innt neciai-sa Relationship Share to ba paid to of rack tononiclary ‘, . • a Type or print address of each Lenedelnry each bonefolary.‘ John M. Parrish, if living.— 810 West 180th Stroot, New York, H. Y. Father All Otherwise to: Susan A.' Tarrish 810”
“IGADE DEPENDENTS. JMWAVE PLANS TO HAVE • AMT IK I-1 PROVIDE MRS. MOL INA WITH THE NAME OF THE OR IG INAL • TRUSTEE AND THE AMOUNT PA ID TO HIM W IT H REGRETS T HAT HE CANNOT . ASSIST HER IN THIS MATTER. WE ALSO PALN TO HAVE AMT IK-I EXPLA IN THE METHOD OF COMPUT ING THE $13,1”
“FatHIN (or nole guardian) a06agss (Number) (Street) (City) (Nhdto) ELlPHONE NAME or woTstN {or female duardien) *000535 (Number) (Sieoot) (Cl »?) (Sente) TtlEPwONE :. PER304 TO % NOTIFIED IS CASE OF EMERGENCY NAME PAtionsai? ADOREGS (Number) (Street) (Caty) (State) TELEPHO”
“menaton, cor nnnody ol the yyhar yvo roloct J Fill in DIS PART If ToU NAME or MAN OptiOre (20 o* 12 wBSCOXNE wiSl to (i- RUN IN A HEALTH BENEFITS ASSOCIATION BENEFIT PLAN____ HIGH 4:2 LI PLAN. 2 In space below List eslt •: gible fescvily members without o,/lieon t.ct your”
“1 4-00000 6 — CONFIDENTIAL Ty R June SE (When Fillet (n) 2 I. NAME Bagley Tennent H. THE FOLLOWING ACLECy SCONSO9TO INSURANCE PROGRAMS HAVE DF:N EPLAINED 10 ME 0A8 acunci RMPlovees NTECtevt association (WAEPA) (Middle) J. THIS n- PDNGao DIBEADs CO osour BOPITALIZ”
“or until such time ds I become insure d as a retired employee, in which erent this Designation of Beneficiary shall terminate. INFORMATION CONCERNING THE BENEFICIARY OR BENEFICIARIES: • or print first name, middle initial, and last name Type or print address of cash beneficiar”
“T SECRET REQUEST FOR INSURANCE RICARDO I $15,000 A. MORALES NAVARRET quest insurance in the amount of dollars as specified in the Memorandum of Agreement signed by me on 9/24/64 Hamet RICARDO ANIBAL MORALES NAVAARETE Date of Births 6/14/39 Beneficiary for Insurance:”
“1 4-00000 SECRET PAGE 2 JMWA VE 5954 SE e RET. AND POOR HEALTH (MR. CERVANTES"1S ILL WITH A CHRONIC HEART CONDITION AND IS UNABL MARN02527M ‘IPs. CERVANTES IS UNABLE TO LEAVE HIM ALONE IN ORDER TO SEE-K-EMPLOYMENT, SINCE THE DAUGHTER-IN-LAW NO LONGER LIVES WITH THEM.) TH”
“14-00000 CONFIDENTIAL (when Fitted 162 5. (CONTINUED) IN whose nAMEtSi ARE fur ACCOUNTS destror ANN L. GOONPATURED HAH YOU COMPLETED A Last WILL AND JESTMENTT 28 vcs •. IF "ves", might is oocuwtht LOCATED? Riggs Bane _eo. 648 WAVE YOU C*ECVTto A POBLR OF ATTORNEY 8-”
“14-00000 CONFIDENTIAL (When Fillet In) - VOLUNTARY ENTRIES Experience in the handling of employee emergencies has shown that the absence of certain personal data often delays and compli- cotes the settlement of estate and financial matters. The information requested in this”
“CONFIDENTIAL (Ten Filled tel ,86. VOLUNTARY ENTRIES Experience in the handling of employee emergencies has/shoun that the absence of, cortata per.con al deta often de - lays and complicates the settlement of estete.md financial matters. Tre information requested in this sect”
“ADOPESSEET X YE S •9 Ing PERSONS NAVCO 1* TEM ? amovE ahe ALSO BE NOTIFIED IN Ca5F of EMERGENCY. IF SUCH NOTIFICATION IS NOT DESIRABLE BECAUSE OF HEALTH 09 OTHER PEAS065, PLLSE so STATE IN ITEM 6 Ore THE REVERSE 5160 OF THIS 10ww. VOLUNTARY ENTRIES InDiCAft ANY BANKING I”
“00 #87 ’FEFSOCAL.0 Na ofcemployeq in /tl.: —An tonio • So to -— Person to be notified i: case of erengency:: .Dolores Soto. fe ----- -—— A-.-379 E-65.Street,Eialeah --- Te leph one 681-8685_ i Designation o BETelse Yncy, Nane_ - -Same as above Fed a Crtemyas -.-, Ad”
“ty) (State) SEX M M ACRES 2th * Clifford E. Randall 2127 Wyoming St Omaha, Nebo, tenont 1 Bernice Randall 08 eaunedy n) %. PERSON TO 81 NOTIFIED IR CASE OF DERGECY ADDAL55 (Number) (Strut) (City) 11 (State) TELEPHONE st Clifford E. Randall naug Father RELATIONS”
“14-00000 CONFIDENTIAL 5 CONTINUED) NEwton S. OMD and Nall S. Miler IN #05E NAU1151 ans, fin accounts LISTON HAVE vou CoMPurttD * LIST • ** ir "ern”. mrer is DOCUMENT LOCATED? SAFE DEPOSIT BOX, CENTRADojLo. NAlioNAL Bank, Mount Union, PA. HAVE *ou r*eCUTED A POUER 0- AT”
“NO. (II "Yoo” give nome( C88 "Yoe" s) and addrose) name’’s) addrose) - Jr accigung Clicker The Nattoned Bank n Washington who presses the power of attorney?) 0 ADDITIONAL DATA AND/OR CONTINUATION OF PRECEDING ITEMS $0000 AT TOAYe SIGNATURE June.28 1967 Olianenth L Busti”
“Share !•! be paid to < : ‘t edict Nanenictary | : each besetciary John. W. Parrish, if living 810 West 180th Street, Now York, N. 7} Father - Alls. Othersise to: Susan A. Parrish 810 West 130th Street, Now York, n. vol Sister. 1 All : How TOCANCEL 4 Iksiasafos or HRSEFICAR”
“14-00000 CONFIDENTIAL when Filtee In) VOLUNTARY ENTRIES ' __ Experience in the handling of employee energen : has shown that the absence of certain sex tongl data often delays and compli- totes the settlement nl estate and financial matters. The information requested in thi”
“14-00000 I CONFIDENTIAL (When Fitted tn) 1. ICONTINUtO) IN #HON NAME(S) ans fur accounts LISTED My name only ________________________ Have you COMPLsIED a Last BILL AND TestAMEErO CXX ”‘" •o. ir "vest, mesne 13 DOCuMENT LOCATSOI With me in my personal papers • wAvivou”
“a 4 £ & t£ u & ^ ^ J IMPORTANT—The fling of thin form will completely cancel any designation you may have presionly failed. Be sure to name in thin form all persons you wish to designate as beneficiaries of any waguid compensation payable at your death. sal EXAMPLES OF DESI”
“information wquesed belev hom inside fover of brochure of the ple you select PART IF rou NAME 0 MAN Grich (MUIGH or low) droitwNt CooNuG WISe-To Bl- POLL IN A ASSOCIATION BENEFIT PLAN HION HEALTH FDIDHIS MIAN, *. in spoco bplow to all eligible family m alal 2 1 embers wit”
“Michael Carolyn Anne M Card StevenMcCord NAMES OF CHILDREN I. 4 4- Nancy Ellen McGork E - 2-2 Conor James W McCord Sr Fan Dedogne SalliePsir reng Xierat • AME OF FATHER (or male guardian) ADDRESS (Number) - (Street) (City) (State) TELEPHONE 1- Margerie Lee McCord gu”
“csicadle initial, last name Type or print addreen of each beneficlary Relationship Bhuse to t-e salt to ed each beneficlery each Lenebesary John M. Parrish. If living ! 810 West 180th Street, New York, N. Y. Father A11___ . Otherwise to: Susan A. Parrish 810 West 180th Street”
“the power of attorney?) wife 6. Re: Item # 4- Contact For, Emuercency Should ADDITIONAL DATA AND/OR CONTINUATION OF PRECEDING ITEMS Follow The Below ander P. Wife (Trem3) B. Bother (Item 4) C. IN-LAWS MR. Norman H. Wy ATT RTE 2 Box 342 B MANASSAS, VA. 22110 Tel: (7”
“14-00000 ence in the handling el personal deta often delin % and rol. *> se’lement of estate 106 mey prove vrty vselv to y fandy they in theeventof yeer int. Welle Fergo Bank, 163 California Street, San FronoInco, Calif. (Account in writer’s name) !ae nee a MTVISIR or rw”
“below from inside cover of Lro.bore of the plon you select) PART: NAME 3 RUN OPTION (HIGH OR LOW) INKMENT COO NUMBER WISH10‘1N- POLL IM A . HEALTH BENEFITS PAL. - * Association Benefit : Lt soa :e s list all eligible for member v.H low 1•! 1 tescephon: List your wile o”
“CONF IDENTIAL (UNen Fiitee te) 5. VOLUNTARY ENTRIES IExperience in the handling ef employs epergencib, has sho’m test the absence of-certeln. por sonal data often de - I lays and complicates the cettlavent of estate and financial matters. The in formation requested in this s”
“14-00000 CONFIDENTIAL (When Filted fey & wiLOfe Jointly 52 (CONTINUED) ■ ‘.’ 1 IN most NAME(S)‘ARE tit accounts LISTED* SelFt Have YOU COMPLETED A LAST WILL AND TESTAMENT »1 - 00, If "vt9",. wiet is occomENT Cocarkor • r HAVE vou EXECUTED A POWER OF ATTORNEY? 0•0.115”
“PERSON TO BE NOTIFIED IN CASE OF EMERGENCY 2. RELATIONSHIP Eileen slicabeth Maksyziee wife 3. MOVE ACONES L.No . Street, City, Zone, State, Country: 4. HOLE PHONE NO. 525 S. Yalle- Dr. Alax. TE 6-8213 $. BUSINESS Dess (No.. Street, City, Zune, Siato, Country) • HOICARE NAME”
“14-00000- CONFIDENTIAL (When-Fiited te) P.___ ____ _3 VOLUNJARY-ENTPIES-.13_290 IE sper lence in the handing of employee emergencies has shown that the absence of certain per sonol data often delays and compli- cates the settlement of estate and financial matters. The infor”
“EADONSHi? Date or vvtn / Mo. du, ye.» examination which will be arranged try the Director uf Prrvomene! at noi eevot to you. • If the tenvn named as having an incurable interest should die Sce VedMADDllD eMPLO1485 untita TItC-BePAtiCte D1OA90010 SURVIVOR hefint wins no change”
“ILALTH BENEFITS /LAW. Association Benefit Plan 11High 4 2 : 2 2 In spruce Le lit off r exception: List you: hurbend first, then your unmarried hdren d.je I?, including legally telopted chideen, and decelldren sed silegtenate ch den who Wise with ,00 ddv a regular pareot-cniid”
“from meide rover of brochure of the plas sov select) I FALL IS THIS PART IF YOU NAME Of M AN OrtiON MIGH or low) LensshwoCGN/huws I wria 19 il- I roll IS A I PFELTH ELDEFITS ) 108 1 2. 2 RAH. 2. In space below list all eligible family members without exception: to jovt wifo”
“kpni-tidhs. 1 SECRETO / PEPICION DS SEOURO YoRICARDO A. MORALES NAVARRETE solicito seguro por 1a cantided de $15,000 dolares segin se especifica en el Memorandum de Acuerdo firmado por mi ea 9/24/64 Nombro:’ RICARDO ANIBAL MORALES NAVARRETE Fecha de Nacimiento:6/14/39”
“1? (6. protecisa person’s children shall include unmarried children under age .7. Alto, any tp-cildien, L-gally avoptid children, and foster children providad wuen cail.r n are depandon. upon .: protected person for support and n.intenence.) NAM DATESCS LIPTH NANE DA’l .•. CF”