General Register of Applicants for Relief, Food Station No. .... San Francisco, 1906 ==================+==============================+======+============== Surname and | Total number of persons for | Food | Date given names of | whom rations are asked: .... | Card | of this head of family: | | No. | registration: | Men .... Children .... | | | Women .... Aged, etc. .... | | ------------------+------------------------------+------+-------------- Present location: | Former home, or address on April 17: | ------------------+-------+---------------+------------+--------------- Trade or | Age: | Nationality: | Union: | Former occupation of | | | | employer: head of family: | | | | | | | | ------------------+-------+---------------+------------+--------------- 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. -----+----------------------------------------------------------------- | | |