Cora Chastain's Social Security Application

Cora Chastain's Social Security Application

Cora Sherman Chastain
ssn: 319-24-2545
???:7403 Waukegan Road, Niles Illinois
Employer:Hartmann House
Age at last Birthday: 65
birthday: Feb 4, 1879
???:Indiana Illinois
father: Charles Dudley Sherman
mother: Melinda Jane Chastain
sex:Female
color: white

Entries with "???:" are ones I couldn't read the fine print on the application.