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FORM 843
SOUTHWESTERN
Revised 1-15-21
DIVISION
PUBLIC HEALTH NURSES SERVICE SLIP
Dld Enrol lment
Antoinette Ahlschier
Name
409
Enrollment No.
Appointed to
Kaufman County Chapter
Terrell,
Texas
(Name of service)
Nurses office address
c/o A.R.C.
(City)
(State)
Course taken at
(Length of course)
Loan
National Headquarters
On
paid from
Funds
Scholarship
Chapter
Assigned 9/13/21
Resigned
5/20/22
Transferred
Reason for resignation To take further training.
Dismissed
(Dates)
o.K.
Desirability for future appointment
A
I
-
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+
0
a
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C
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