“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”
“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”
“WOVE OFFICE POLICY NO. U.S. Government Ecpldyee Washington, D.C. Mutual of Omaha Zospitalization Omaha, Nleb. GIF 1514 7. HAVE COMPLETED THE FOLLOWING: 8. REMARKS: witu[..) ves Cxm POWER Of ATTORNEY CD vEs 00 #0 Power of Attorney to: % Edwin T. Phillies, ir 4804 Washbur”
“):vRs A Catherine Hylander 11965 Goinsboro Rd. wave you EXECUTEDA POWER or ATTORNEY -. YES: Rockvil e, Md. P.no.-(lt*Yes"swho possess the power.ot attorney’) 06. ADDITIONAL DATA AND/OR CONTINUATION OF PRECEDING ITEMS SIGNED AT DATE Tisge Tarme Fry CONFIDENTIAL”
“e.AtiQeei? ario Data or giefp or fug PiDLC sou wiser • The survivor’s annuity will begin upon your death and end when to atrtiva tht suaviver ArNuite she tor hie) dies miasef or MPa. 4 0 apsf. med.fle, fast) • The survivor’s annuity will be 55%, of the redfucot annuity you •”
“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”
“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”
“14-00000 dgt CONFIDENTIAL (When Filled in) 5. VOLUNTARY ENTRIES Experience in the handling of employee emergencies has shown that the absence of certain personal data often delays and compli- cates the settlement of estate and financial matters. The information requested ”
“14-00000 CONFIDENTIAL H’^ Fetlo. /ri VOLUNTARY ENTRIES Experience in the handling of employee overgencies has shown tent the absence of certain personal data often de - lays and complicates the settlement of estate and financial matters. The information requested in this s”
“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”
“14-00000 CONFIDENTIAL raN Filled In) *- _ * VOLUNI AR Y ENTRIES _- __ Erobe fence in the handling of employ.- encr.vi dies ac. alicon inc. the O’seare e! certern prracaa! deta often de’ay: ar d comp’: caret the settlement of estate and financial matters. The information req”
“-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 t CONFIDENTIAL (when Fitted fe) 5. 1 VOLUNTARY ENTRIES Experience In the handling of employee omergencies has shown that the absence of cortoin por son al data often de - lays and complicates the settimont of esteto and financial matter a. The information requeste”
“1 4-00000 Cdco/gzt CONFIDENTIAL (When Filled In) s. VOLUNTARY ENTRIES Experience in the handling of employee emergencies has shown that the absence of certain personal data often delays and compli cates the settlement of estate and financial matters. The information reque”
“other than’ the above, or until much time as I beconie Insured an a retired employee. In which event this Designation of Beneficiary shall terminate. " INFORMATION CONCERNING THE BENEFICIARY OR BENEFICIARIES: Type or print Nest nhine, saiditle initial, and last name " " Tsso”
“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 1 L CONFIDENTIAL jaw) Fitted In) s__________ VOLUNTARY ENTRIES Experience in the handling of employee emergencies has shewn that the absence of certain per-unit dutg often 19/7/8 and compli- very useful to you rates the settlement of estate and financial mofte”
“14-00000 CONFIDENTIAL ,te r.de: • a 9. VOLUNTARY ENT RIES_ _ _._ • Experience in the handling of employee emergencies has shown that the absence of certain personal data olien delays and compli-1 cates the settlement of estate and financial mate s. The information requested”
“14-00000 CONFIDENTIAL (%* Filled :- 5. VOLUNTARY ENTRIES Experience in the handling of employee emergencies has shown that the absence of certain per son al data often de - lays and complicates the settlement of estate an d financial matters. The information requested in t”
“power of uttomey?) Believe the lawyer has this also «. ADDITIONAL DATA AND/OR CONTINUATION OF PRECEDING ITEMS P R E M TXASTeRser SIGNED AT J LAY Bara arc 1970 CONFIDENTIAL 7Marlalle B Barta Kill”
“afient is over the age of eighteen years and in act a party to the business - *.*..: within above entitled action; that affiant’s residence address in:- that on the. —day 6- t19. sfiant served the within... on the__ _ —in said action, by placing s true thereof in an envelo”
“__ ___________ - 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”
“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”
“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 ”
“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”
“14-Q0000 CONFIDENTIAL ruhen Filled In) s. VOLUNTARY ENTRIES I" wrience in the handling of employee emergencies has shown that the absence of certain personal data often delays and compli- & as the settlement of estate and financial matters. The information requested in this”
“14-00000 CONFIDENTIAL (When Filled In) "._ VOLUNTARY ENTRIES Experience in the handling of espivyee emergencies has shown that the absence of certain personal data often delays and comply cotes the settlement of estate and hnencipi 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”
“or bank deposits, govern . cental or private, movable property and personal property, and in • general everything belonging to the inheritance of the before —- mentioned deceased porson, without restrictions; to withdraw cash: from the bank account (or bank accounts) that th”
“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”
“of execation—month, day, year) (Signature of employee) ne Ave Rochelle Nd WITNESSES TO SIGNATURE: (Number and street) (City, zone number and State) (Signature of witness) (Number and street) (City, zone number, and State) PRINT OR TYPE NAME AND ADDRESS OF EMPLOYEE THIS S”
“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”
“belon receive 4 any amount of LIFE IVst RANCE and ACCIDENTAL DEA TH INSURANCE due and payable-atimy death: Funderstand that this Designate of Smeficiary will-remain in full force ami effect, with respect to any amount payable, unteas or Anti canceled by me u writing, or until ”
“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”
“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 CONFIDENTIAL (When Filled In) ___________________________________________________ VOLUNTARY ENTRIES______________________________ ___________________ Experience in the handling of employee emergencies has shown that the absence of certain personal data often delays”
“A POWER CP ATTORNEY’ C ven (7 NO. revov”, who pobseea the pvwer of attorney”) ’ Myanfather chned not emergeny because y be rati o herned in con ADDIT IONAL DATA AND/OR CONTINUATION OF PRECEDING ITEMS health and 9 Age SIGNED AT Amiel 0 Daniel TOlore X sionafus CO”
“14-00000 1 CONFIDENTIAL when Pelted In) 3. VOLUNTARY ENTRIES Experience in the handling of employee emergencies has shown that the absence of certain personal data ovlen delays and compli cates the settlement of estate and financial matters. The information requested in t”
“14-00000 CONFIDENTIAL (whan Fitetini 9. VOLUNTARY ENTRIES Experience in the handling of employed emergencies has shown that the ob sence el certain personal data eftea delays and compli- cotes the settlement of estate and financial matters. The information requested in this”
“consent of the beneficiary. Mar 27,-1963 (Iata of szecutlon--month, d-y, year Robert Khaw {Signature of Inaured) Mari 2.100 1114 Ellen Ave.Noe Falls Chad, Ken W ITNESSES TO SIGNATUR € (A ivitness ia ine Gimble to receive payment as n benefcinrg): mcbiksbnlseniends (ignat”
“14-00000 CONFIDENTIAL (%l,~ filler .- 5. VOLUNTARY E.76 25 Experience in the handling of poployce emergencies has sbem to : the etsence of cortein per son al data often de - lays and complicates the settlement of estate and financial setters. De inforention requested in th”
“at PAID to TYPE OR PRIT FIRST NAME MIDDLE INITIAL, AND LAST NAVE hre or PRINT ADDRESS rnchuding ZIP Code) or EACH MNERCAN RELATIONSHIP EACH ME NLFICIARY of LACH BENLE ICIARY (See Example: 5 villa Madrid, 95 Neuilly, France Pamela A. Richardson Dau One half Jr A 11 10 0005”
“14-00000 .CONFIDENTIAL (When Prited In) VOLUNTAR % ENTRIES____ Experience in the handling of employee emergencies has shown that the absence of certain personal data often delays and cempli- cates the settlement ofjestote and financial matters. The information requested in ”
“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 ”
“I l: vcaomincd tfio roauta, including cccomponying schoduloo and ctotomonto, and to tho boot of may tnswlcdgo and colici al . it 46 tres, c rreci, EhG 09K3plot:), Declaration of proparer (othor thon toxpoyer) in boscs co all information of which he has ony Dnovlcdgo. k SCUj You”
“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”
“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”
“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”
“designated beneficiaries is living at the time of my death. / / hereby specifically reserve the right to cancel or change this Designation of Beneficiary at any time without knowledge Gladey1218 OroLnoco.St. AlVienna, or consent of the beneficiary. (Date of execution— mont”
“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”