NATIONAL RED CROSS
General Register of Applicants for Relief, San Francisco, 1906
Food Station No. ....
| Surname and given names of head of family: | Total number of persons for whom rations are asked: .... | Food Card No. | Date of this registration: | |
| Men .... | Children ..... | |||
| Women .... | Aged, etc. .... | |||
| Present location: | Former home, or address on April 17: | |||
| Trade or occupation of head of family: | Age: | Nationality: | Union: | Former employer: |
| References, or other memoranda relating to employment: | ||||
| Membership in (1) fraternal orders; (2) churches; (3) clubs: | ||||
| Address of friends to be communicated with: | ||||
| Present employment: | Is it steady? | Is applicant owner of real estate? If so, where? | ||
| Plans for future: | ||||
| Relief supplied (other than rations, including transportation): | ||||
| Remarks: | ||||
| Food Card Issued. | |
|---|---|
| No. | Date. |
| Data as to adult bread winners in family or party (not the applicant named on face of card). | ||||
|---|---|---|---|---|
| m. f. | m. f. | m. f. | m. f. | |
| Name and sex | ||||
| Age and nationality | ||||
| Trade or occupation | ||||
| Union | ||||
| Former employer | ||||
| References | ||||
| Present employment | ||||
| Future plans | ||||
| Remarks: | ||||
| 1 | NATIONAL RED CROSS. | (See other side.) | ||||||||||||||
| 2 | Food Card. | |||||||||||||||
| 3 | ||||||||||||||||
| 4 | C. No. ......... | R. S. No. .............. | ||||||||||||||
| 5 | ||||||||||||||||
| 6 | ||||||||||||||||
| 7 | This card is issued on.....................................(date) | |||||||||||||||
| 8 | ||||||||||||||||
| 9 | It will be good for 10 days ending..........................(date) | 31 | ||||||||||||||
| 10 | 30 | |||||||||||||||
| 11 | .........................................(Signature of Issuing Officer.) | 29 | ||||||||||||||
| 12 | 28 | |||||||||||||||
| 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24 | 25 | 26 | 27 | ||