SECOND REGISTRATION CARD (Face)

NATIONAL RED CROSSSAN FRANCISCO
NO.SECOND REGISTRATION(DATE)1906
SurnameAddressNo. of RoomsRent
At present. (Give exactly)
April 17How long at this address?
First nameAgeTrade or usual occupationEarnings per
wk. ordinarily
Physical conditionBirth place and raceYears in
S. F.
Man
Woman
ChildrenLOSSESDescriptionEstimated value
House (owned)
Business: plant?position?
Furniture and clothing
Injury to health
Others in householdInsurance: amount?RESOURCES
In what companies?
Savings: amount?Which bank?
Real estate: value?
Location?
Anything else?

Above form as [illustration]