N. B.—Send reply in enclosed directed envelope.
RECOMMENDATION FORM
| FORM FOR SPECIAL RELIEF | |||
| In duplicate, both copies to be forwarded to the Executive Officer.Issues to be made only to women and children in need; men only when sick and destitute. Following questionsmust be answered in every case. | |||
| CAMP | |||
| DATE | 1907 | ||
| SUPERINTENDENT OF SPECIAL RELIEF, | |||
| SIR: | |||
| I HAVE RECOMMENDED THAT THE FOLLOWING BE SUPPLIED: | |||
| Name of Applicant in full and Age | Wages | ||
| Full Name of Parents or Husband or Wife | If not Working, why? | ||
| Present Address | Means of Support | ||
| Address Prior to April 18th, 1906 | Number in Family | ||
| Occupation | Relief Already Received from the Rehabilitation Committee | ||
| ARTICLES | |||
| Approved: | Approved: | ||
| Executive Officer | Camp Commander | ||
Above form as [illustration]
REPORT FORM
| BUREAU OF SPECIAL RELIEF | HERBERT GUNN, M. D. | ||||||||
| Supt. Bureau Special Relief | |||||||||
| Department of Relief and Rehabilitation San Francisco Relief and Red Cross Funds GEARY AND GOUGH STREETS | |||||||||
| Week Ending | 190 | ||||||||
| REPORT OF SECTION | |||||||||
| NO. ORDERS ISSUED | NEW | ||||||||
| NO. ORDERS ISSUED | REPEAT | TOTAL | |||||||
| NO. ORDERS DISCONTINUED | |||||||||
| Are orders filled promptly and are articles of good quality? | |||||||||
| (SIGNED) | |||||||||
Above form as [illustration]
MEDICAL SERVICE FORM[306]
| Nº 1102 | HERBERT GUNN, M. D. Supt. Bureau Special Relief | |||||||||||
| BUREAU OF SPECIAL RELIEF | ||||||||||||
| Geary and Gough Streets | ||||||||||||
| San Francisco, | 1906 | |||||||||||
| Section | ||||||||||||
| Please call on | ||||||||||||
| Address | ||||||||||||
| Relief required | ||||||||||||
| Remarks | ||||||||||||
| Kindly return this paper with your report. | ||||||||||||
| Reported by letter or in person | ||||||||||||
| Refer to | ||||||||||||
Above form as [illustration]