FORM 194-1M-4-36 YOSEMITE VALLEY RAILWAY COMPANY MERCED, CALIFORNIA__________________, 19_____ I hereby authorize the Yosemite Valley Railway Company as agent for Drs. Lilley and Parker, to deduct 75 cents from my wages for the first day's work of each 15-day period, said deduction to cover hospital dues and it is understood that same entitles me to medical services in cases of sickness or injuries received while not on duty of the above mentioned company, excepting, however, treat- ment for venereal diseases or for injuries received while under the influence of alcohol.