Page images
PDF
EPUB

Birmingham-Post Office Building; 2003 41st Avenue (Sayreton), Birmingham; February 14, 1966; (5) Powderly-Library Building, Birmingham Baptist College, 630 Ishkooda Road, Birmingham; February 14, 1966; (6) Wylam-trailer at Post Office, 4221 7th Avenue (Wylam), Birmingham; February 21, 1966; (7) Irondale-7949-A Crestwood Boulevard; February 26, 1966; (8) Homewood-1820 28th Avenue; February 26, 1966; (9) Tarant-1322 Main Street; March 18, 1966.

Lowndes; (1) Fort Deposit-Post Office Building; August 10, 1965; (2) Haynevilletrailer at U.S. Post Office; January 3, 1966. Madison; (1) Canton-285 Peace Street; August 10, 1965; (2) Flora-Segrist Building opposite post office; July 20, 1966.

Marengo: (1) Demopolis-Post Office Building; August 10, 1965; (2) Putnamtrailer adjacent to Post Office; State Highway 69; March 18, 1966.

(1)

Montgomery: Montgomery-Post Office and Courthouse Building, corner of Church, Lee, and Moulton Streets, Rooms 332, 334, 336; October 6, 1965, to November 6, 1969; (2) Montgomery-Aronov Building, 474 South Court Street, Room 132; November 7, 1969; (3) Mount Meigs-trailer at U.S. Post Office, intersection of U.S. Highway 80 and Pike Road; February 26, 1966.

Perry; (1) Marion-Post Office Building, Room 3; August 20, 1965; (2) Uniontowntrailer at corner of West and Front Streets; March 5, 1966.

Carrollton-U.S.

Post Office,

Pickens; Room 200, Courthouse Square, Highway 86; September 5, 1978.

Russell; Phoenix City-U.S. Post Office, 1310 Ninth Avenue; September 26, 1978. Sumter; Livingston-Post Office; May 3, 1966.

Wilcox; (1) Camden-Federal Building, Room 202-204; August 20, 1965; (2) Alberta-trailer at intersection of State Highway 5 and County Highway 29; March 5, 1966; (3) Pine Apple-trailer at U.S. Post Office, County Highway 59; March 5, 1966.

GEORGIA

County; Place for filing; Beginning date Baker; Newton-U.S. Post Office Building; Nov. 5, 1968.

Bulloch; Statesboro-Federal Building, Conference Room 208, 52 North Main Street; August 5, 1980.

Calhoun; Morgan-Soil Conservation Service, Main Street, P.O. Box 113; August 5, 1980.

Early; Blakely-Qual Motel, Room 26, U.S. 27 South; August 5, 1980.

Hancock; Sparta-Post Office Building, Broad Street; November 8, 1966.

Johnson; Wrightsville-U.S. Post Office, Basement Office 1, 151 South Marcus; August 5, 1980.

[blocks in formation]

Office

Peach; Fort Valley-U.S. Post Building; 300 West Church Street; November 7, 1972.

Screven; Sylvania-Post Office Building, Main and East Telephone Streets; April 3, 1967.

Stewart; Lumpkin-U.S. Department of Agriculture, Agricultural Stabilization Conservation Service Office, Meeting Room, Court House, Second Floor; August 10, 1976.

Sumter; Americus-Federal Building and Court House, Basement Conference Room 128, East Forsyth Street; August 5, 1980. Taliaferro; Crawfordville-Post November 5, 1968.

Office;

[blocks in formation]

Parish; Place for filing; Beginning date

Bossier; (1) Benton-trailer at Post Office; April 3, 1967; (2) Bossier City-Lodge Hall, 1708 Scott Street; April 5, 1967 through March 17, 1969; (3) Bossier City-Post Office, 150 Benton Road, March 18, 1969.

Caddo; (1) Shreveport-Post Office and Courthouse Building, 424 Texas Street; April 3, 1967; (2) Shreveport-Terry Building, 2643 Cooper Road; April 3, 1967; (3) Shreveport; Hollywood Baptist Church; 5305 Roberts Street; April 3, 1967.

De Soto; Mansfield-trailer, at Post Office; April 3, 1967.

East Carroll; (1) Lake Providence-Post Office Building; August 10, 1965; (2) Sondheimer-trailer at Post Office Building; February 14, 1966; (3) Lake Providence-ASCS Office, 205 North Hood; October 19, 1979.

East Feliciana; (1) Clinton-Kline Building, St. Helena Street; August 10, 1965, to February 8, 1966; (2) Clinton-Trailer at U.S. Post Office; February 19, 1966; (3) Jackson-Trailer parked on Post Office

grounds; February 14, 1966; (4) SlaughterPost Office Building; February 14, 1966.

Madison; Tallulah-Post Office; August 13, 1966.

Ouachita; (1) Monroe-Post Office Building, Room 301; August 20, 1965; (2) West Monroe-I. B. Haynes Building, Cypress and Young Streets, February 14, 1966. Plaquemines; (1) Buras-Post Office Building, August 10, 1965, through November 17, 1965, reopened August 31, 1967; (2) Belle Chasse-Post Office Building; November 18, 1965; (3) Belle Chasse-US Naval Air Station, Administration Building, Room 46, Office of the Senior Chief of Command; October 19, 1979.

Sabine; Many-U.S. Post Office Building; 525 San Antonia Avenue; September 27, 1974.

St. Helena; Greensburg-(1) Trailer at Post Office; College and Main Streets; August 19, 1972; (2) ASCS Office, Burrell Carter Building, Street Floor, South Main Street; October 19, 1979.

St. Landry; Opelousas-Chattau Motor Inn, 400 East Landry, the Bayou Room; December 5, 1979.

West Feliciana; (1) Saint Francisvilletrailer at Post Office; November 3, 1965, through January 7, 1966; (2) Saint Francisville-Post Office Building; January 8, 1966; (3) Weyanoke-trailer located on State Highway 66 approximately 0.3 mile South of Weyanoke; February 14, 1966.

MISSISSIPPI

County; Place for filing; Beginning date Amite; (1) Liberty-Walsh Building, Main Street, second floor; April 3, 1967; (2) Gloster-Ivey Building, First Street; July 29, 1967.

Benton; Ashland-Post Office Building; October 1, 1965.

Bolivar; Cleveland-Post Office Building; October 1, 1965.

Carroll; (1) Carrollton-Post Office Building, Main Street, January 4, 1966, through March 22, 1968; (2) North Carollton-Van Meter Lumber Co. Building, George Street, March 23, 1968.

Claiborne; (1) Port Gibson-McFatters Drug Store, Second Floor, 618 Main Street; April 16, 1966, through October 9, 1969; (2) Port Gibson-Federal Building, Room 111; October 10, 1969.

Clay; (1) West Point-Post Office Building; October 1, 1965; (2) Pheba-rear of Champion Grocery Store; July 21, 1967. Coahoma; Clarksdale-Post Office Building; October 1, 1965.

Covington; Collins-McLauren Building, FHA Conference Room; August 10, 1979.

De Soto; (1) Walls-U.S. Post Office; November 8, 1965, through January 4, 1966; (2) Hernando-U.S. Post Office; January 5,

1966; (3) Olive Branch-second floor above Post Office; July 22, 1967.

Forrest: (1) Hattiesburg-U.S. Courthouse, corner of Pine and Forrest Streets, Room 6; June 8, 1967; (2) Petal-108 Ninth Avenue; September 16, 1967.

Franklin; Meadville-Old Halford Building, Highway 84 East, one block from city square; April 3, 1967.

Greene; Leakesville-FHA Conference Room, New Bank Annex, Main and Lafayette Street; August 10, 1979.

Grenada; (1) Grenada-Post Office Building; July 22, 1966, through August 7, 1966; (2) Grenada-639 Union Street; August 8, 1966, through October 9, 1969; (3) Grenada-U.S. Post Office, basement, October 10, 1969; (4) Tie Plant-trailer at site of Horseshoe Store two blocks west of Tie Plant School on dirt road; September 9, 1966.

Hinds; (1) Jackson-301 Building, 301 North Lamar Street; November 8, 1965, through January 2, 1966; (2) Jackson-Post Office Building, 245 East Capitol Street; January 3, 1966; (3) Jackson-848 Lynch Street; June 22, 1966; (4) Raymond-U.S. Post Office; November 8, 1965.

Holmes; (1) Lexington-U.S. Post Office; November 8, 1965; (2) Cruger-U.S. Post Office; July 29, 1967.

Office

Humphreys; (1) Belzoni-Post Building; October 1, 1965; (2) Louise-Post Office Building; June 21, 1966; (3) Isolatrailer at Post Office, August 23, 1971.

Issaquena; Mayersville-trailer at Post Office; June 15, 1967.

Jasper; Bay Springs-trailer at New Post Office; April 16, 1966.

Jefferson Davis; (1) Prentiss-Magnolia Courts, intersection of U.S. Highway 84 and State Highway 42, Units 21 through 24; August 25, 1965, through August 26, 1965; (2) Prentiss-Post Office Building; August 27, 1965.

Jefferson;

Fayette-Ball Drug Store Building, Main Street; November 8, 1965.

Jones; (1) Laurel-Federal Building, Room B-8; August 20, 1965; (2) Ellisville-102 Jasmine Street; September 16, 1967.

Kemper; DeKalb-U.S. Post Office; Lobby; Seventh Street and Eighth Avenue; November 4, 1974.

Leflore; (1) Greenwood-Post Office Building; August 10, 1965; (2) Minter Citytrailer on lot on northwest side of Post Office; June 6, 1967.

Madison; Canton-285 August 10, 1965.

Peace Street;

[blocks in formation]

on Fourth Avenue across street from U.S. Post Office; July 29, 1967.

Noxubee; (1) Macon-Post Office Building, Basement, Room 1; April 16, 1966; (2) Brooksville-Jourdan Building, Front Street; July 29, 1967.

Oktibbeha; Starkville-Post Office Building, 302 University Drive; April 3, 1967.

Pearl River; Picayune-Community Recreation Center; Library; Rosa and Beech Streets; June 8, 1974.

Quitman; Marks-Corp of Engineers, Rogers Road; October 29, 1980.

Rankin; (1) Brandon-Rankin Building, intersection of U.S. Highway 80 and State Highway 18; April 16, 1966, through August 4, 1966; (2) Brandon-Nettles Drug Store Building, East Government Street; August 5, 1966 through January 31, 1971; (3) Brandon-280 Government Street; February 1, 1971.

Sharkey; Rolling Fork-102 Elm Street; June 14, 1967.

Simpson (1) Mendenhall-Post Office Building; January 4, 1966; (2) Magee-Post Office Building, Ninth Avenue (between Eighth and Ninth Streets); January 10, 1966.

Sunflower; Indianola-Post Office Building; May 2, 1967.

Tallahatchie; (1) Charleston-103 Market Street; August 23, 1971; (2) Sumner-Abbey Building, East Court Square; August 23, 1971.

Tunica; Tunica-Department of Agriculture Building, Agricultural Conservation and Stabilization Service; South Side, Court Square; November 3, 1975.

Warren; Vicksburg-Post Office and Courthouse Building, Crawford and Monroe Streets; January 4, 1966.

Wilkinson; (1) Woodville-Post Office Building; August 8, 1967, to August 24, 1967; (2) Woodville-Odd Fellows Building; August 24, 1967.

Winston; Louisville-Post Office Building; Basement, Room 6; April 16, 1966.

Yazoo; Yazoo City, 100 South Main Street; November 2, 1971.

TEXAS

County; Place for filing; Beginning date Atascosa; Pleasanton-Office of USDA, 803 North Bryant; October 29, 1980

Bee; Beeville-Agriculture Plant and Animal Inspection Service; Basement, U.S. Post Office, 111 N. St. Mary's Street; November 2, 1976.

Crockett; Ozona-Agricultural Stabilization and Conservation Office, 801 Avenue E; August 12, 1978.

El Paso; El Paso-2211 East Missouri Avenue, Suite N300; November 7, 1978.

Fort Bend; Richmond-Agricultural Stabilization Conservation Office; May 1, 1976.

[blocks in formation]
[blocks in formation]

11. Have you ever been declared legally insane by a court? Yes No

Any willful false statement on this application is a Federal crime punishable by fine or imprisonment.

STOP HERE. TAKE THE FORM TO THE
EXAMINER

I do solemnly swear (or affirm) that the information I have provided is true and correct to the best of my knowledge, information, and belief. I do further personally swear (or affirm) that I will support and defend the Constitution of the United States and the Constitution of the State of Alabama; and that I do not believe in nor am I affiliated with any group or party which advocated or advocates the overthrow of the Government of the United States or of the State of Alabama by unlawful means. Signature (or mark) of Applicant

Sworn to (or affirmed) and subscribed before me on this date

Examiner

U.S. Office of Personnel Management CSC Form 805-A

7. If applicant answers yes, is his residence in Alabama and in his county for temporary purposes only? Yes No

If yes, write in his occupation

[blocks in formation]

† August 1965

No.

[blocks in formation]
[blocks in formation]

2. If applicant shows his age to be under 18, will he be 18 by the date of the next election? Yes No

Write in his date of birth

4. If applicant shows that he has not lived in Georgia for one year, will he have lived in Georgia for one year by the date of the next election? Yes No If yes, write in date residence began

Former address

5. If applicant shows that he has not lived at his present address for six months, will he have lived within the same county for six months by the date of the next election? -Yes O No

If yes, write in the date residence began

Former address

7. If applicant answers yes, is his residence in Georgia and in his county for temporary purposes only? -Yes No

8. (a) If applicant shows that he is now registered to vote in Georgia, write in the county where he is registered

(b) If applicant shows that he is now listed under the Voting Rights Act, write in the county where he is listed and certificate number if available

10. If applicant answers yes, name the crime Where and when

4. How long have you lived in Louisiana? —

5. How long have you lived at the above address?

6. What is your precinct and ward?

7. Are you now (1) on active duty in the Armed Forces of the United States or the Louisiana National Guard, (2) an employee of the United States or the State of Louisiana, or (3) a seaman or college student? Yes No

8. (a) Are you now registered to vote in Louisiana? Yes No

(b) Are you now listed under the Voting Rights Act? Yes No

9. Are you a citizen of the United States and of the State of Louisiana? Yes

No

[ocr errors]

10. Have you ever been convicted of a crime other than a traffic or game violation? Yes No

11. Have you ever been dishonorably discharged from or are you a deserter from the Louisiana National Guard or militia or the military service of the United States?

Yes No

12. Have you ever been declared legally insane or incompetent by a court? Yes No

13. Are you now living in a charitable home or institution? Yes No 14. What is your political party preference?

« PreviousContinue »