San Francisco Relief Survey

Tent Record Sheet

Camp Number.................... TENT RECORD[302] Tent Number....................
OCCUPANTS INVENTORY
No.	NAME and Resi- dence Before Fire	Age Sex	Em- ployed at Earning	Relatives Earning	Unable to Work Cause	Would Work at	Will Support Self if Given	Could Pay Rent	Need Cloth- ing	Cots	Mat- tres- ses	Blan- kets	Bed- ding	Pil- lows	Wash- basins	Crock- ery	Towels	Brooms	Pails	Tubs	Can- dles	Soap
1
2
3
4
5
6

MEAL TICKET RECORD DIET HEALTH
1	Meal Ticket No.
	Date
	Diet
	Health
2	Meal Ticket No.
	Date
	Diet
	Health
3	Meal Ticket No.
	Date
	Diet
	Health
4	Meal Ticket No.
	Date
	Diet
	Health
5	Meal Ticket No.
	Date
	Diet
	Health
6	Meal Ticket No.
	Date
	Diet
	Health

Above form as illustration

[302] Actual size of sheet 16 x 20 inches.