| 1. | Location: | ||||
| a. | April 18, 1906 | ||||
| b. | Proposed location | ||||
| Schedule of prior location per month | Schedule of proposed location per month | ||
| 2. | Number of rooms | ||
| Number available for subletting | |||
| 3. | Rent | $ | $ |
| (or) lease for year ; monthly payment | $ | $ | |
| 4. | Water | $ | $ |
| 5. | Light | $ | $ |
| 6. | Labor | $ | $ |
| 7. | Laundry | $ | $ |
| 8. | Insurance | $ | $ |
| 9. | Instalments on additional furniture | $ | $ |
| 10. | Miscellaneous, not included above | $ | $ |
| 11. | Total monthly expense of house | $ | $ |
| 12. | Total monthly income of house | $ | $ |
| 13. | Net monthly income of house | $ | $ |
| 14. | Average monthly income of family from other sources | ||
| $ | $ | ||
| 15. | Total income of family from all sources | $ | $ |
| 16. | Total monthly living expenses of family, aside from expenses of house | ||
| $ | $ | ||
| 17. | Margin of profit | $ | $ |
| 18. | Can repay to Relief and Red Cross Fund, monthly | $ | |
Above form as [illustration]
APPLICATION FOR BONUS
| CIRCULAR 2-B. | FILE NO. | ||
| APPLICATION FOR BONUS | |||
| Thomas Magee, Chairman Land and Building Department, San Francisco Relief and Red Cross Funds, Union Square, San Francisco. | |||
Dear Sir:—
Having been burned out of my home, situated on the land described in the diagram below, by the fire which commenced April 18, 1906, I hereby apply for a bonus from Relief and Red Cross Funds at your disposal to assist in rebuilding.
(Mark on plat description by streets,
location in block, and size of lot.)
| I am a citizen of San Francisco and was a resident thereof at the time of the fire. |
| At the time of the fire I was in possession of said property, and was and am now the holder of the record title, free of any incumbrance except as follows: |