ALABAMA-Continued

County; Place for filing; Beginning date Jefferson: (1) Bessemer-Post Office Building, North 19th Street, January 24, 1966; (2) Birmingham-Post Office and Courthouse Building, 18th at 5th Avenue, North; January 24, 1966; (3) Fairfield-4412 Gary Avenue; January 24, 1966; (4) North 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) Wylamtrailer at Post Office, 4221 7th Avenue (Wylam), Birmingham; February 21, 1966; (7) Crestwood Boulevard; February 26, 1966; (8) Homewood-1820 28th Avenue; February 26, 1966; (9) Tarrant1322 Main Street; March 18, 1966.

Irondale-7949-A

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.

Office

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

Montgomery: (1) 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.

Sumter; Livingston-Post Office; May 3,

1966.

LOUISIANA

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.

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) JacksonTrailer parked on Post Office grounds; February 14, 1966; (4) Slaughter-Post Office Building; February 14, 1966.

Madison; Tallulah-Post Office; August 13,

1966.

Office

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 Building, August 10, 1965, through November 17, 1965, reopened August 31, 1967; (2) Belle Chasse-Post Office Building; November 18, 1965.

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, (2) second floor; April 3, 1967; 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 Carrollton-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.

MISSISSIPPI-Continued

County; Place for filing; Beginning date 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.

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) GrenadaU.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.

Humphreys;

(1) Belzoni-Post Office Building: October 1, 1965; (2) Louise-Post Office Building; June 21, 1966.

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.

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

Canton-285 Peace Street;

Marshall; Holly Springs-Post Office Building; August 8, 1967.

Neshoba; Philadelphia-U.S. Post Office; November 8, 1965.

Newton; (1) Newton-Post Office Building; January 4, 1966; (2) Decatur-building 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.

MISSISSIPPI-Continued

County; Place for filing; Beginning date Oktibbeha; Starkville--Post Office Building, 302 University Drive; April 3, 1967.

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; (3) Pelahatchie-trailer on lot at Church Service Station, Highway 80 West; July 29, 1967.

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

Office

Simpson (1) Mendenhall-Post 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,

Walthall; Tylertown-US. Post Office; November 8, 1965.

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.

I do solemnly swear (or amrm) 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...

United States Civil Service Commission

CSC Form 805-A

† August 1965

ALABAMA

Back

Do not write on this side-for use by

examiner

ADDITIONAL INFORMATION ITEMS

2. If applicant shows his age to be under 21, write in his date of birth

GEORGIA Continued

Back

Do not write on this sidefor use by the Examiner ADDITIONAL INFORMATION ITEMS

2. If applicant shows his
age to be under 18, will
he be 18 by the date of
the next election?------
Write in his date of birth__
4. If applicant shows that
he has not lived in Geor-
gia for one year, will he
have lived in Georgia for
one year by the date of
the next election?___---
If yes, write in date resi-
dence 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 elec-
tion?

If yes, write in the date
residence began----
Former address---

7. If applicant answers yes,
is his residence in Geor-
gia and in his county
for temporary purposes
only?

8. (a) If applicant shows
that he is now regis-
tered 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 num-
ber if available..

10. If applicant answers yes,
name the crime___.

Where and when con-
victed?

Was the conviction for a
disqualifying crime?____
If a disqualifying crime,
has applicant been par-
doned?

If so pardoned, where and
when?

Yes No

Yes No

Yes No

Yes No

Yes No

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 I will faithfully and fully abide by all of the laws of the State of Louisiana, that I am well disposed to the good order and happiness of the State of Louisiana and of the United States, and that the information I have provided is true to the best of my knowledge and belief. Signature (or mark) of applicant----Sworn to (or affirmed) and subscribed before me this date Examiner

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