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Beauchamp, Linnie

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FORM 1045 REV. 1-2-35 THE AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. c. 7 QUESTIONNAIRES DESTROVED 5 5. e Dear Madam: The National Committee on Red Cross Nursing Service requires us to submit, annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you therefore, please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- oganize the value of filing this information and will return the questionnaire promptly, as we are extremely anxious to make a very complete report to National Headquarters. IMPORTANT: Yours sincerely, In order to render prompt service -Chairman in time of disaster, enrolled Red Cross Nurses should report at once to the Mary agres m Secretary. Secretary of the Local Committee under 1901 N. Jayles St. Local Committee. which they are enrolled. Do not forget Little Rock. ark the address of the Secretary. Name in full Limie Besuchamp - If married, give husband's name Permanent address 2106 N Van Busen St. Luttle Rock. arhausoe (STREET, ETC.) (CITY) (COUNTY) (STATE) Probable address for next year Merrilton ark. 106 East St. or Court Telephone 63-1095.(Res) L.R. House (STREET, ETC.) Little Rock ) no " court House office- 286- (CITY) (COUNTY) (STATE) Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) mother - Mrs mamie Peancharp. 2106 N Vaw Bureww Luite Reuk Ask Underline the type of work you are now doing: Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service - - Institutional - Private Duty - Industrial - Office Nurse - Registrar. Fueld &cperine Center for Health Public heard sucess Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? Have you ever been? yes Indicate present physical condition good Would etc. ? year hew you respond to an emergency call in event of epidemic, disaster, war, am not alletor Badge 281- Current date 2-1-37 personal reasoult located NOTE. within If the complete this quest Jackson ohnaire, active files. and emergency - nurse does not and return two years, her enrolment will be removed from our

Page data

Page
29
Source index
0
Type
photo
Media ID
28001e0718f48ab1
Size
unknown

Document data

ID
2661087
Core
doc
Type
document
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Context sent to Scholar

Document identity 
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Document source extras 
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    "coverageEndDate": {
        "day": 13,
        "logicalDate": "1944-07-13",
        "month": 7,
        "year": 1944
    },
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Page context 
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    "ocrText": "FORM 1045\nREV. 1-2-35\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. c.\n7\nQUESTIONNAIRES DESTROVED\n5\n5.\ne\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\noganize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\n-Chairman\nin time of disaster, enrolled Red Cross\nNurses should report at once to the\nMary agres m\nSecretary.\nSecretary of the Local Committee under\n1901 N. Jayles St.\nLocal Committee.\nwhich they are enrolled. Do not forget\nLittle Rock. ark\nthe address of the Secretary.\nName in full\nLimie Besuchamp\n-\nIf married, give husband's name\nPermanent address 2106 N Van Busen St. Luttle Rock. arhausoe\n(STREET, ETC.)\n(CITY)\n(COUNTY)\n(STATE)\nProbable address for next year Merrilton ark. 106 East St. or Court\nTelephone 63-1095.(Res) L.R.\nHouse\n(STREET, ETC.)\nLittle Rock )\nno\n\"\ncourt House office- 286-\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nmother - Mrs mamie Peancharp. 2106 N Vaw Bureww Luite Reuk Ask\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\n- Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nFueld &cperine Center for Health Public heard sucess\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nHave you ever been? yes\nIndicate present physical condition good\nWould etc. ? year hew\nyou respond to an emergency call in event of epidemic, disaster, war,\nam not alletor\nBadge 281-\nCurrent date 2-1-37 personal reasoult\nlocated NOTE. within If the complete this quest Jackson ohnaire, active files. and\nemergency\n- nurse does not and return\ntwo years, her enrolment will be removed from our"
}