CONDITIONS 
This authority card is valid only for the privileges specifically stated on the 
face hereof, and may be withdrawn at any time. It may be used only as stated 
below, is subject to cancellation if presented by an unauthorized person, and 
is void upon termination of service. 
The person to whom this card is issued may authorize wholly dependent 
members of his immediate family residing with him, such as his wife and 
minor children, to make purchases in his name by designating them and their 
relationship below his own signature. 
If the holder is a resident of the Canal Zone at the time of issuance 
and later removes to the Republic of Panama, or if his employment 
status changes in any way, the question of continuing the privilege 
must be immediately taken up with the Executive Office (Telephone 
Balboa 3108). 
This card is to be presented to commissary cashiers each time coupons are 
purchased and to commissary inspectors upon request. 
I accept the above conditions and will otherwise comply with the provisions 
of the commissary regulations. 
/ 
m 
{Signature of Holder) 
( Name) 
{Relationship) 
{Name) 
{Relationship) 
MR 21149—Panama Canal—3-18~47—-8,000 
A 
