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A
5
S
e
5
D
5
+
01
5
not end
14
C.
Midwestern
Branch
Form 843 A
Rev. 3-1-22
PUBLIC HEALTH NURSES RESIGNATION SLIP
Antoinette Ahlschier(Tr.) itinerant nurse
409
Name
Enrol. No.
Transferred
from
Grimes County Ch. Navasota, Texas.
(Name of Chapter or Service)
(CIty)
(State)
DATES
Assigned
1/2/29
Salary at resignation
$150
(to,above service)
Resigned
3/30/29
Reason for resignation Service
finished
Transferred
4/1/29
Dismissed
Desirability for future appointment
(This should be accompanied by Form 852)
I
-
S
+
0
0
6
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