Application for Social Security and Tax Account Number for Elmer E. Roloff

Name: Elmer Eugene Roloff

Date of Birth: April 11, 1924

Father: Ewald Roloff

Mother: Bertha Suko

Address: 225 Pine St., Othello, Washington

Place of Birth: Warden, Washington (Grant County)

Date of Application: November 2, 1956

Social Security Number: 537-36-8043

Last Update November 10, 2001