Show Rf RANDOLPH C 7 n P pa porm form approved ariit no OR a ENTER selmy BELOW PRINT BELOW THE NAME OF EACH PERSON 11 FOP aceal YEA YEARS r s application IS MADE FOR WAR RATION BOOK FOUR b M IF DALE T tills his form may be reproduced without chong chang F IF F F FEMALE C MALE UNITED STATES of AMERICA FIRST NANIE NAME AND INITIAL LAST nawt NAME AGE SEX cr OFFICE FICE OF PRICE administration application FOR 2 YAR WAR RATION BOOK FOUR 3 1 instructions 4 FAMILIES MILIES Fi file a single application for all mern members bers of a group of persons person s who ore related 5 by bleed marriage or adoption and who regularly live in the same household include 6 any family am ay members temporarily away from home buchas such as students travelers or hospital patients who are away nt more than 60 days 7 individuals persons living in the same household 8 h id who are not related by blood marriage or cropton cd opton must tile file separate applications I 1 IF MORE SPACE IS NEEDED USE AND SIGN copf OF THIS FORM may NOT MOT be made for INMATES OF institutions of involuntary confinement such as street and number prisons and mental hospitals or R F D MEMBERS OF ARMED FORCES of the united states or united nations who receive subsistence in kind or who are men members bers of officers city and state messes I 1 CERTIFY that the persons named are members of the same family and are eligible to receive WAR RATION BOOK FOUR and PERSONS who intend to reside inthe united states NOT MORE that I 1 am authorized to make this application THAN 60 days sign here P auw A FUZE FALSE IS A OFFENSE on ENSE I 1 |