Medical Service Form [306]
| Nº 1102 | HERBERT GUNN, M. D. Supt. Bureau Special Relief | |||||||||||
| BUREAU OF SPECIAL RELIEF | ||||||||||||
| Geary and Gough Streets | ||||||||||||
| San Francisco, | 1906 | |||||||||||
| Section | ||||||||||||
| Please call on | ||||||||||||
| Address | ||||||||||||
| Relief required | ||||||||||||
| Remarks | ||||||||||||
| Kindly return this paper with your report. | ||||||||||||
| Reported by letter or in person | ||||||||||||
| Refer to | ||||||||||||
Above form as illustration
[306] Printed with duplicate on yellow paper beneath for carbon copy.