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FORM 1045 REV. 1-7-30
NATIONAL OFFICERS
CENTRAL COMMITTEE
HERBERT HOOVER, PRESIDENT
ROBERT w. DE FOREST. VICE PRESIDENT
JOHN BARTON PAYNE, CHAIRMAN
MRS. AUGUST BELMONT
CALVIN COOLIDGE, VICE PRESIDENT
THE AMERICAN RED CROSS
CORNELIUS N. BLISS
THOMAS D. THACHER, COUNSELOR
MABEL T. BOARDMAN
OGDEN L. MILLS, TREASURER
NATIONAL HEADQUARTERS
JOSEPH P. COTTON
MRS, HENRY P. DAVISON
MABEL T. BOARDMAN, SECRETARY
E. B. DOUGLAS
WASHINGTON, D.C.
MRS. FRANK v. HAMMAR
MAJ. GEN. M.W. IRELAND
NATIONAL EXECUTIVE OFFICERS
SAMUEL KNIGHT
3
1931
OGDEN L. MILLS
JOHN BARTON PAYNE, CHAIRMAN
GUSTAVUS D. POPE
JAMES L. FIESER, VICE CHAIRMAN
MRS. HENRY R REA
ERNEST P. BICKNELL, VICE CHAIRMAN
REAR ADMIRAL CHARLES E. RIGGS
JAMES K. MCCLINTOCK. VICE CHAIRMAN
JOHN D. RYAN
GEORGE E, SCOTT
THOMAS D. THACHER
?
s
ELIOT WADSWORTH
5
Mi SS Minnie M.Bethune,
217 S.Millvale Avenue,
Pittsburgh, Pennsylvania.
e
Dear Madam:
M
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a list of all the Red Cross Nurses enrolled with our Committee, with their
at
latest addresses. We are extremely anxious to make a very complete report to National
Headquarters and ask for your cooperation. Please answer the following questions and
+
return this form to me, in enclosed envelope, at the earliest possible date.
IMPORTANT:
In order to render prompt service
Yours sincerely,
in time of disaster, enrolled Red Cross
Chairman or
nurses should report at once to the
Secretary.
Secretary of the Local Committee under
Secretary Local Committee
which they are enrolled. Do not forget
Local Committee.
the address of the Secretary.
Chamber of Commerce Bldg.
PYITSBURGH PA.
Name in full Minnie Marilia Bethune
If married, give husband's name
X
Permanent address
(STREET, 217 ETC.) S. Millvale (CITY) (COUNTY) Our Pittshugh (STATE) Pa
Probable address for the next year Pittsburgh (STREET, Alleganly ETC.) Period
Telephone No. Hi 8463 Rittsbugh (CITY) (COUNTY) Perrica (STATE)
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in an emergency. (State relationship)
Underline
Dr the type Class of work Betherne word St. williassung
you are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet Hospital - Public
Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.
Are
you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? yo
Have you been? yo
ever
Indicate present physical
condition Condition good
Would you respond to an emergency call in event of epidemic, disaster, war, etc.? No
Badge No. 22236
Current date 2-5-31
NOTE. -If the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrolment will be annulled.
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"ocrText": "+\n5\n&\nFORM 1045 REV. 1-7-30\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nHERBERT HOOVER, PRESIDENT\nROBERT w. DE FOREST. VICE PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. AUGUST BELMONT\nCALVIN COOLIDGE, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nTHOMAS D. THACHER, COUNSELOR\nMABEL T. BOARDMAN\nOGDEN L. MILLS, TREASURER\nNATIONAL HEADQUARTERS\nJOSEPH P. COTTON\nMRS, HENRY P. DAVISON\nMABEL T. BOARDMAN, SECRETARY\nE. B. DOUGLAS\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nMAJ. GEN. M.W. IRELAND\nNATIONAL EXECUTIVE OFFICERS\nSAMUEL KNIGHT\n3\n1931\nOGDEN L. MILLS\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R REA\nERNEST P. BICKNELL, VICE CHAIRMAN\nREAR ADMIRAL CHARLES E. RIGGS\nJAMES K. MCCLINTOCK. VICE CHAIRMAN\nJOHN D. RYAN\nGEORGE E, SCOTT\nTHOMAS D. THACHER\n?\ns\nELIOT WADSWORTH\n5\nMi SS Minnie M.Bethune,\n217 S.Millvale Avenue,\nPittsburgh, Pennsylvania.\ne\nDear Madam:\nM\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all the Red Cross Nurses enrolled with our Committee, with their\nat\nlatest addresses. We are extremely anxious to make a very complete report to National\nHeadquarters and ask for your cooperation. Please answer the following questions and\n+\nreturn this form to me, in enclosed envelope, at the earliest possible date.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nChairman or\nnurses should report at once to the\nSecretary.\nSecretary of the Local Committee under\nSecretary Local Committee\nwhich they are enrolled. Do not forget\nLocal Committee.\nthe address of the Secretary.\nChamber of Commerce Bldg.\nPYITSBURGH PA.\nName in full Minnie Marilia Bethune\nIf married, give husband's name\nX\nPermanent address\n(STREET, 217 ETC.) S. Millvale (CITY) (COUNTY) Our Pittshugh (STATE) Pa\nProbable address for the next year Pittsburgh (STREET, Alleganly ETC.) Period\nTelephone No. Hi 8463 Rittsbugh (CITY) (COUNTY) Perrica (STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nUnderline\nDr the type Class of work Betherne word St. williassung\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre\nyou an instructor of Red Cross classes in Home Hygiene and Care of the Sick? yo\nHave you been? yo\never\nIndicate present physical\ncondition Condition good\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.? No\nBadge No. 22236\nCurrent date 2-5-31\nNOTE. -If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be annulled."
}