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Show Form Approved. Budget Bureau No. 08-R126-42 OPA YOTIXL No. R-1801 v One copy of this Declaration most be filed with the Office of Price Administration by each person applying for War Ration Book llyiTrn tt nit MFBtr- Two 'or the member ot a family unit, and UNITED STATES OF AMERICA by nA per80n who ; not a memoer of a family unit. File at the site designated. OFFICE OF Coupons will be deducted for excess supplies . . . . i of the foods listed below according to the PRICE ADMINISTRATION schedules announced by the Office of Price Administration. CONSUMER DECLARATION Processed Foods and Coffee I RIIKBY CERTIFY that I am authorized to apply for and : e a War Ration Book Two for each person listed below w s a member of my family unit, or the other person or persons for whom I am acting whose War Ration Book One I have submitted to the Board; That the name of each person and number of his or her War Ration Book One are accurately listed below; That none of these persons is confined or resident in an institution, institu-tion, or is a member of the Armed Forces receiving subsistence subsist-ence in kind or eating in separate messes under an officer's command ; That no other application for War Ration Book Two for these persons has been made; That the following inventory statements are true and include all indicated foods owned by all persons included in this Declaration: Cotfee 1. Pounds of coffee owned on November 28, 1942, minus 1 pound for each person included in this Declaration whose age as stated on War Ration Book One is 14 years or older 2. Number of persons included in this Declaration whose age as stated on War Ration Book One is 14 years or older Canned Foods Include all commercially canned fruits (including spiced); canned vegetables; canned fruit and vegetable juices; canned soups, chili sauce, and catsup. Do not include canned olives; canned meat and fis sickles, relish; jellies, jams, and preserves; spaghetti, r " r m noodles ; or home-canned foods. 8. Number of cans, bottles, and jars (8-ounce size or larger) of commercially packed fruits, vegetables, vegeta-bles, juices and soups, chili sauce and catsup owned on February 21, 1943, minus 5 for each person included in this Declaration. . . 4. Number of persons included in this Declaration The name of each person included in this Declaration and the n.inhr of his or her War Ration Book One is: Print Name Number 1. 2 3. : zzzzzzzzzzzz: zrzzzzz j : .zzzzzzzzzzzz : : :: ::::::::::::::: j additional space is needed, attach separate sheet ' . . tSignature of applicant or authorized . NOTICE. Section 35 (A) of the agent) ( United States Criminal Code makes i II a criminal offense, punishable by a maximum of 10 years' imprison- (Address) ment, $10,000 fine, or both, to make ! a fals statement or representation as to any matter within the jurisdic- - . i tion of any department or agency of (City and State) the United States. 0. - SO Ytt NMUfT PSIHTIKC orric 10 3274-1 Ztr ' " ' 3 V'tal V'bee' Po I I in tf7$io3 rands s TWELVE MILLION tons of coal from Colonel nA Utah mines ... dug by home-front workers ?hal 1942 ... r Av Coal is power for mills, production plants, factories. Coal is warmth for homes and army camfand Coal is light- Coal is transportation. Coal', oroducts are made into explosives, chemiCi n medicines and fertilizers. . . all smews of war. Colorado and Utah alone have enough Ln deposits to last the United States two thouak years i" the Rocky Mountain region is thle; fourths of the country's total reserves. j Your Home Railroad ... Rio Grande.., rolling a never-ending procession of coal-M gondolas . . . 4,500,000 tons in 1942 . . .givinj this, as to all war materiel . . . Kignt or Way fortt FSS SE , X |