Chapter XVII: Appendix: II

SPECIMEN WAY-TICKETS.

I.--WAY-TICKET USED IN GLOUCESTERSHIRE.

_Front of Ticket._

==========================================================================
_Counterfoil._
COUNTY OF GLOUCESTER.

PASS NO. . PASS NO.-------CHELTENHAM UNION-------day of--------190
.
Name . Name---------------- Occupation-------------------------
.
Occupation . Age-----Height-----Hair-----Eyes-----Complexion----------
.
Age . Other distinguishing marks-------------------------------
.
Height . Came from-----------------Final Destination--------------
.==========================================================
Hair . | Arrival. | Departure. |
. Unions | | |
Eyes . on Road.| Date. Hour.| Date. Hour.| Signature of Master.
.---------+-----+------+-----+------+----------------------
Complexion . | | | | |
.---------+-----+------+-----+------+----------------------
Other . | | | | |
distinguishing.---------+-----+------+-----+------+----------------------
marks . | | | | |
.---------+-----+------+-----+------+----------------------
. | | | | |
.---------+-----+------+-----+------+----------------------
. | | | | |
.==========================================================
Date of . Date.| Bread Station | Bread | Hour.| Signature
Arrival . | for the Day. | given.| | of Constable.
.------+---------------+-------+------+--------------------
Date of . | | | |
Departure .------+---------------+-------+------+--------------------
. | | | |
Going from .------+---------------+-------+------+--------------------
. | | | |
Final .------+---------------+-------+------+--------------------
Destination . | | | |
==========================================================================

_Back of Ticket._

+=======================================================================+
| . |
| . CASUAL WARD ADMISSION TICKET. |
| . |
| . NO OF PASS_________________ |
| . Admit__________________________ as described on the other |
| . side as being examined and registered by me. |
| .-----------+--------------------------+---------+---------------|
| . Unions. | Relieving Officer's | Hour of |Date and Place.|
| . | Signature. | Issue. | |
| .-----------+--------------------------+---------+---------------|
| .CHELTENHAM.| | | |
| .-----------+--------------------------+---------+---------------|
| . | | | |
| .-----------+--------------------------+---------+---------------|
| . | | | |
| .-----------+--------------------------+---------+---------------|
| . | | | |
| .-----------+--------------------------+---------+---------------|
| . | | | |
| .-----------+--------------------------+---------+---------------|
| . | | | |
| .-----------+--------------------------+---------+---------------|
| . | | | |
| .-----------+--------------------------+---------+---------------|
| . | | | |
| .----------------------------------------------------------------|
| . This ticket must be kept, and must be presented to and signed |
| . by the Relieving Officer of Vagrants for each Union at which |
| . shelter is required. |
+=======================================================================+

II.--WAY-TICKET OF THE GERMAN TRAVELLERS' HOSTEL ASSOCIATION (ISSUED IN THE FORM OF A BOOK).

Surname of Owner ............................................

Christian Name .............................................

Born........................ 19......

at.......................... District ...................

Trade....................... Religious Confession........

Description--

Height...................... Hair........................

Eyes........................ Shape of face...............

Special characteristics .....................................
-------------------------------------------------------------
OWNER'S AUTOGRAPH SIGNATURE
AND PLEDGE.

The undersigned pledges himself by his signature to
use this way-ticket according to the regulations, and
when using the Stations to observe the travelling and
labour regulations printed at the close of this book.

(_Signed_)...........................................
-------------------------------------------------------------
Observations of the Relief Station or Police Authorities
regarding papers of identification, extra task
work, etc. ..................................................

............................................................
-------------------------------------------------------------
Issued after production of the following papers of
identification:--Removal certificate, insurance receipt
card, labour certificate.

(Officer to strike out the words which do not apply).

Issued in the absence of papers of identification as
above, after the fulfilment of regulation 3 _d_, and _e_.
(Travelling and Labour Regulations).

Place of issue................. District ...............

Date ..........................
+---------+
| |
| | Signature of Officer.
| Stamp. |
| | ............................................
| |
+---------+

Observations of the Station or Police Authorities............

.............................................................

.............................................................

CERTIFICATES OF WORK OR SICKNESS.

The periods and places of employment or of sickness may be briefly noted here on the production of reliable evidence.

------------+------------+------------+----------------
| | | Remarks or
From. | To | At | Stamp.
------------+------------+------------+----------------
| | |
| | |
| | |
| | |
------------+------------+------------+----------------

TRAVELLING STAMP.

To be entered in the order of the numbers with the date of departure. Where the sojourn was for more than one day, a stamp to be recorded for each day.

--------------------------+--------+------------------
Stamp of the Station | (Hour) | Departure for
of Issue. | ...... | .............
+--------+------------------
|
|
|
|
1. | 2.
-------+------------------+--------+------------------
(Hour) | Departure for | (Hour) | Departure for
...... | ............... | ...... | ..............
-------+------------------+--------+------------------
|
|
|
|
3. | 4.
--------------------------+---------------------------