Second Registration Card ( Face )
| NATIONAL RED CROSS | SAN FRANCISCO |
| NO. | SECOND REGISTRATION | (DATE)1906 |
| Surname | Address | No. of Rooms | Rent |
| At present. (Give exactly) | | |
| April 17 | How long at this address? | | |
First name Age Trade or usual occupation Earnings per
wk. ordinarily Physical condition Birth place and race Years in
S. F.
Man
Woman
| Children | LOSSES | Description | Estimated value |
| House (owned) |
| Business: plant? | position? |
| Furniture and clothing |
| Injury to health |
| Others in household | Insurance: amount? | RESOURCES |
| In what companies? |
| Savings: amount?Which bank? |
| Real estate: value? |
| Location? |
| Anything else? |
Above form as illustration