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A
5
D
5
+
0
-
5
c.
11
Midwestern
Branch
Form 843 A
Rev. 3-1-22
PUBLIC HEALTH NURSES RESIGNATION SLIP
Antoinette Ahlschier, I. N.
Name
409
Enrol. No.
Resigned from
Walker County Ch. Huntstille, Texas
(Name of Chapter or Service)
(City)
(State)
DATES
Assigned
4/1/29
Salary at resignation
$150
above service)
6/29/29
Service finished and
Resigned
Reason for resignation
Transferred
nurse on leave balance of summer
Dismissed
Desirability for future appointment
(This should be accompanied by Form 852)
I
-
S
+
0
1
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