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