Birth Certificate - Martin, Robert J_4/20/1999L�
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APPL.ICATIOI�t : C32 TIIi. CvRI"tf:C1'ION Oi� l�.C:F.ItTIi�1CA'D��?. OF E31F7TH
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City of Iv*ew York. on 1--_JUne_..��...i.9.5..l,............, 19........_, whusc b;rtli catificatc, Nwnber.{
ou file in 4�e Burenu of I:ccords aud SwusGcs of tLc De��rtment of IIralth, de{wnent,`>.._ desire_.... ro corrat.
(2) Dc}�pnenL.s.. furih!r sa)'...... tI1F� Ilti� ;;;�ill CCfliltillC JI F)It'IL COiI!:q115 the (ullowiug crrcvs (and/orl �i�uissions
and that the indicaleJ i��(urn�ation r'ati}�e to cad� itcm is corrat:
ITY.M IN ERROR
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(3) Pocumentary evidcur.c, sub�nit;cd herc�vieh in ,upport of �hi� h��plicetii�n, includcs:
Cert'i.ficete of •Rtri;h iJc,:...
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dua applieation ar.�� 'o n�.v,� :lu a�pcopriate c6auges, a< afore+n[d, eu tlie oribinal ccrnfitnte of Lirtl�,
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-- MEDICARE ��('�� HEALTH INSURANCE !
HEALTH CARE FINANCING ADMINISTRATION �
' . NAME OF BENEFICIARY
?.: � ROBERT J MARTIN
;i-��M ylEGWMNUMBER SE% �
MALE
�:';ISENTI7LE0 0 EFFECTNEDAiE
:.;: HOSPITAL ART A 0401-1977 ',
`'`'`! BENE�i NLY n
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•;** REC 0099083 0153556�9D1FE0 dhz9 CIPQYA3 PQA� (F-dh0 )***
SOCIAL SECURITY ADMINISTRATION
Date: March 29, 1999
Claim Number: 090-48-2606A
�
ROBERT J MARTIN
203 N SMITH
PRINCETON IN 97670-1937
Name: ROBERT MARTIN
You asked us for information from your record. The information that you
requested is shown below. If you want anyone else to have this information, you
may send them this letter.
Information About Current Social Security Benefits
�e�g }n,�ing December 1998, the full monthly
g8°c�4" Security benefit before any deductions is......$ 566.10
We deduct $0.00 for medical insurance premiums each month.
The regular monthly Social Security payment is........$ 566.00
(We must round down to the whole.dollar.)
Social Security benefits for a given month are paid the following month. (FOr
example, Social Security benefits for March are paid in April.)
Your Social Security benefits are paid on or about the third of each month.
Other Important Information
L22
If ,You Have Any Questions •
�
Zf• you have any questions, you may call us at 1-800-772-1213, or call your
local Social Security office at.812-421-1303. We can answer most questions
over the phone. You can also write or visit any Social Security office. The
office that serves your area is located at:
SOCIAL SECURITY
1708 NORTH SPRING ST
'` EVANSVILLE, IN 97711
If you do call or visit an office, please have this letter with you. It will
help us answer your questions.
OFFICE MANAGER
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