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F
T
FOR USE IN ACCOUNTS ONLY
Rate
Date
AMERICAN RED CROSS
Form 248
a
Rev. Jan. 1942
Insurance Code
5
Job Classification
C
CHANGE IN PAY ROLL
e
National Headquarters
No.
S
(National Headquarters or Area Office)
Affecting
American Red Cross-Harvard Field Hospital Unit
FW GB 3 J A
(Name of Appropriation or Disaster Relief Operation)
(Appropriation Symbol)
A
-
NAME
Bacon, Frances Alice
C
ADDRESS
Butterworth Hospital, Grand Rapids, Michigan
e
For Appointment, *Change in Salary Rate or Transfer
Nature
**Allowance For
Regular
Date
'Actual
Salary Rate
Position
of Change
Travel Time
Travel & Maint.
Reported
Date Salary
per Month
(if Applicable)
(Yes or No)
For Duty
Effective
Present
Proposed
From
To
(1) Travel and maintenance allowed
Method ( ) Train ( ) Plane ( ) Bus ( ) Personal Auto ( ) Boat
FOR USE BY RETIREMENT SYSTEM
ONLY
Remarks:
No.
% Ded.
Semi-Mo.
Amt.
Amt. Ded.
Balance
Provision has been made in the authorized budget
Due
Additional provision needs to be made in the authorized budget
For Resignation or Release Only. (See other side)
Nature
Date Released
*Allowance For
Allowance for
Actual Inclusive
Position
of Change
from Operation
Travel Time
Accrued Annual Leave
Date Effective
Nurse
Release
7/15/42
days
7/29/42 noon
From
To
(1) Travel and maintenance allowed
Method ( ) Train ( ) Plane ( ) Bus ( ) Personal Auto ( ) Boat
Recommended:
Approved
Title Asst. Dir., Nursing Service
Title
Recommended:
Approved
Title
For Central Committee
* In cases of recommended salary adjustments Form 1496 shall be attached.
** Indicate if less than full day.
SEE OTHER SIDE FOR INSTRUCTIONS COVERING PREPARATION
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"ocrText": "F\nT\nFOR USE IN ACCOUNTS ONLY\nRate\nDate\nAMERICAN RED CROSS\nForm 248\na\nRev. Jan. 1942\nInsurance Code\n5\nJob Classification\nC\nCHANGE IN PAY ROLL\ne\nNational Headquarters\nNo.\nS\n(National Headquarters or Area Office)\nAffecting\nAmerican Red Cross-Harvard Field Hospital Unit\nFW GB 3 J A\n(Name of Appropriation or Disaster Relief Operation)\n(Appropriation Symbol)\nA\n-\nNAME\nBacon, Frances Alice\nC\nADDRESS\nButterworth Hospital, Grand Rapids, Michigan\ne\nFor Appointment, *Change in Salary Rate or Transfer\nNature\n**Allowance For\nRegular\nDate\n'Actual\nSalary Rate\nPosition\nof Change\nTravel Time\nTravel & Maint.\nReported\nDate Salary\nper Month\n(if Applicable)\n(Yes or No)\nFor Duty\nEffective\nPresent\nProposed\nFrom\nTo\n(1) Travel and maintenance allowed\nMethod ( ) Train ( ) Plane ( ) Bus ( ) Personal Auto ( ) Boat\nFOR USE BY RETIREMENT SYSTEM\nONLY\nRemarks:\nNo.\n% Ded.\nSemi-Mo.\nAmt.\nAmt. Ded.\nBalance\nProvision has been made in the authorized budget\nDue\nAdditional provision needs to be made in the authorized budget\nFor Resignation or Release Only. (See other side)\nNature\nDate Released\n*Allowance For\nAllowance for\nActual Inclusive\nPosition\nof Change\nfrom Operation\nTravel Time\nAccrued Annual Leave\nDate Effective\nNurse\nRelease\n7/15/42\ndays\n7/29/42 noon\nFrom\nTo\n(1) Travel and maintenance allowed\nMethod ( ) Train ( ) Plane ( ) Bus ( ) Personal Auto ( ) Boat\nRecommended:\nApproved\nTitle Asst. Dir., Nursing Service\nTitle\nRecommended:\nApproved\nTitle\nFor Central Committee\n* In cases of recommended salary adjustments Form 1496 shall be attached.\n** Indicate if less than full day.\nSEE OTHER SIDE FOR INSTRUCTIONS COVERING PREPARATION"
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