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A
5
-
S
thief,
FORM 1045-B
1
THE AMERICAN RED CROSS
NATIONAL HEADQUARTERS
D
WASHINGTON, D.C.
5
JAN 5 1938
+
01
-
RC. MAIL ROOM
RECEIVED
5
e
JAN2 4 1938
Dear Madam:
to
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a list of all enrolled Red Cross Nurses with their latest addresses. We are
extremely anxious to make a very complete report and ask for your cooperation. Will
you kindly answer the following questions and return this form to me, in the enclosed
envelope, at the earliest possible date?
Yours sincerely,
Ida 7. Butter
National Director,
Red Cross Nursing Service
Name in full (.Miss) Antoinette Ahlschier
If married, give husband's name
Permanent address Apartado #8625, Mexico, D.E.
Probable address for the next year
same
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in an emergency. (State relationship)
Mrs M.A. fortman- 4601 Tafaye Street, New Orleans, La..
Indicate the type of work
you are now doing:
Teaching Home Hygiene in the American School.
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? yes
Have you ever been?
I
Indicate present physical condition very..good
Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes
S
+
Badge No.
409
Current date
January 19.1938
0
NOTE. -If the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrolment will be removed from our active files.
Page data
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Document data
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"ocrText": "A\n5\n-\nS\nthief,\nFORM 1045-B\n1\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nD\nWASHINGTON, D.C.\n5\nJAN 5 1938\n+\n01\n-\nRC. MAIL ROOM\nRECEIVED\n5\ne\nJAN2 4 1938\nDear Madam:\nto\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all enrolled Red Cross Nurses with their latest addresses. We are\nextremely anxious to make a very complete report and ask for your cooperation. Will\nyou kindly answer the following questions and return this form to me, in the enclosed\nenvelope, at the earliest possible date?\nYours sincerely,\nIda 7. Butter\nNational Director,\nRed Cross Nursing Service\nName in full (.Miss) Antoinette Ahlschier\nIf married, give husband's name\nPermanent address Apartado #8625, Mexico, D.E.\nProbable address for the next year\nsame\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nMrs M.A. fortman- 4601 Tafaye Street, New Orleans, La..\nIndicate the type of work\nyou are now doing:\nTeaching Home Hygiene in the American School.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? yes\nHave you ever been?\nI\nIndicate present physical condition very..good\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.? yes\nS\n+\nBadge No.\n409\nCurrent date\nJanuary 19.1938\n0\nNOTE. -If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}