English Translation

381/7 Request for an infant card from Sberlandra . in Drag 1O'stubaf.ORR. Dr. Gies.o....... 1) Applicant : Name of the father Name of mother M. Gries.geb.Arombholz.. Address : Place : Prague VII. ....... Street Sommerbers......No. 84.. For the child who had been admitted to the medical certificate in Mt............ First name Age 8 2) Explanation a) It is the first,sweiterydritte-.......................... .....child. b)-since-ter-teburt-of-ten-kindes-bie-to-birth of the above-named-tiegt-a-twisherroum-ven..... ..years / months. ) Food cards are continuously obtained from the issuing office at the. Amt.des.... ....Reichsprotectors.. . . . 4) Up to now, subscription notes for textile goods (also for the expected child) have been shown : yes /noeh for linens At the issuing office:... o.s I am aware that information, dié dert truth, are punishable. 8 please apply Prague , on ..7. Y.!!!. 1942. Signature . The above information has been checked by the applicant's department. ofe gate seal of service . Confirmation of the higher office. (Not to be completed by the applicant) The application is subject to an infant card with .....................points.For the so far issued subscriptions for children's laundry other than bed linen ) .. .Separate points and the special sections . . . Points Acceptance confirmed .......... Signature. Prague, on.7..rs............1942.