Documents

Documents

Social Security Documents and photographs. A: Application for Assistance Form 11" x 8.5" blue copy of form from the Department of Public Assistance printed in black. On the front information is: "King County Social Security 537-18-8973 Name: Mu Chung Chan Birth date 6.27.1890 Applying for Old Age Assistance; Address 519 1/2 7th So. Seattle 4" On the back in writing : "Reason for application 'I am unable to work now' Means of Support for past twelve Months: My assistance from the Welfare Dept. resided in Washington since 1914. The form is dated "September 9 1955" B: Envelope 3.75" x 5.75" the envelope is empty but has writing on the front in black ink: "Age - 24yrs. Chan Mu Chung May 13 1914 Entered at Port of Seattle Washington. No. 31696 - the original -No. 15507" Below this are four Chinese characters which mean 'old paper number'. C: Alien Address Report 1965 3.25" x 7.25" white computer card with black printing Form - 53 Immigration and Naturalization Service gives information on Chan Mu Chung registration No. A 3103055 the information is the same as A except the birth date is 12 Aug. 1890. On the back written in blue ink are three columns of Chinese characters. D: Application for social Security Account Number Card 3.75" x 7.375" form SS - 5 Treasury department information filled out in black ink: Mu Dong Chinn 512 7th Ave. So. Seattle Wash. Age 52 date of birth: June 27 1890 Canton China Male Chinese Married Present employer Sun Lee Dated Oct. 8 1941. The back of the card has printed instructions for filling out the form and a pink date stamp. Ei - iv: Four copies of passport photos 2.5" x 2.25" black and white photo of Chinese man's head and shoulders wearing suit and open collar shirt. High forehead and shirt hair. On the back of Ei in black ink: "Chan Mu Chung 70002/941"

1998.076