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Form 1045
NATIONAL OFFICERS
CENTRAL COMMITTEE
JOHN BARTON PAYNE, CHAIRMAN
CALVIN COOLIDGE. PRESIDENT
MRS. AUGUST BELMONT
ROBERT w. DE FOREST, VICE PRESIDENT
CORNELIUS N. BLISS
WILLIAM HOWARD TAFT. VICE PRESIDENT
THE AMERICAN RED CROSS
MABEL T. BOARDMAN
MRS, HENRY P. DAVISON
WILLIAM D. MITCHELL, COUNSELOR
GARRARD B. WINSTON, TREASURER
NATIONAL HEADQUARTERS
E.B. DOUGLAS
JOSEPH c. GREW
MABEL T. BOARDMAN. SECRETARY
WASHINGTON, D.C.
MRS. FRANK v. HAMMAR
HERBERT HOOVER
MAJ. GEN. M. w. IRELAND
NATIONAL EXECUTIVE OFFICERS
WILLIAM D. MITCHELL
w. w. MORROW
GUSTAVUS D. POPE
JOHN BARTON PAYNE, CHAIRMAN
MRS. HENRY R. REA
JAMES L. FIESER, VICE CHAIRMAN
JOHN D. RYAN
FEB 1 1927
?
5
ERNEST P. BICKNELL, VICE CHAIRMAN
GEORGE E. SCOTT
REAR ADMIRAL E, R. STITT
5
GARRARD B. WINSTON
Miss Minnie I.Bethune,
365 Gross St.,
Pittsburgh, Pa.
e
Dear Madam:
As you undoubtedly know, the National Committee on Red Cross Nursing Service
Committee, with their latest addresses, We know that you are very busy, but we are
Mast
M
requires us to submit, annually a list of all the Red Cross Nurses enrolled with our
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 the enclosed envelope, at the earliest possible date.
a
Yours sincerely,
IMPORTANT:
LEIGH A. THOMPSON R.N.
Chairman or
In order to render prompt service
Secretary Nursing Service
Secretary
in time of disaster, enrolled Red Cross
AMERICAN RED CROSS
nurses should report at once to the
Chamber-of.Commerce. Bldg. Local Committee.
Secretary of the Local Committee under
PITTSBURGH, (PA.
which they are enrolled. Do not forget
it 113
the address of the Secretary.
Name in full Minnie Marilia Betheune
If married, give husband's name
Permanent address
365 - gross St. - -Pittslungle -Pa
Probable address for the next year
Same
Telephone No. Fish 15-89
Name
and address of nearest relative Mrs P. P. Helligant Sister)
(State relationship)
Suiserate -Pa
Underline the type of work
you are now doing:
- Army - Navy - U.S.P.H.Hospital - U.S. Vet .Hospital - Public
Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.
2
Are
you an instructor of Red Cross classes in Home Hygiene and care of the Sick? No
Have you ever been? 40
a
Indicate present physical condition Good
N
Would you respond emergency call epidemic, disaster, etc. ? No
W
to an in event of war
Badge No 22236
Current date feet 4 th 1917
NOTE. --If the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrollment will be annulled.
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"ocrText": "-to\ne\nForm 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nJOHN BARTON PAYNE, CHAIRMAN\nCALVIN COOLIDGE. PRESIDENT\nMRS. AUGUST BELMONT\nROBERT w. DE FOREST, VICE PRESIDENT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nMRS, HENRY P. DAVISON\nWILLIAM D. MITCHELL, COUNSELOR\nGARRARD B. WINSTON, TREASURER\nNATIONAL HEADQUARTERS\nE.B. DOUGLAS\nJOSEPH c. GREW\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nMAJ. GEN. M. w. IRELAND\nNATIONAL EXECUTIVE OFFICERS\nWILLIAM D. MITCHELL\nw. w. MORROW\nGUSTAVUS D. POPE\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. HENRY R. REA\nJAMES L. FIESER, VICE CHAIRMAN\nJOHN D. RYAN\nFEB 1 1927\n?\n5\nERNEST P. BICKNELL, VICE CHAIRMAN\nGEORGE E. SCOTT\nREAR ADMIRAL E, R. STITT\n5\nGARRARD B. WINSTON\nMiss Minnie I.Bethune,\n365 Gross St.,\nPittsburgh, Pa.\ne\nDear Madam:\nAs you undoubtedly know, the National Committee on Red Cross Nursing Service\nCommittee, with their latest addresses, We know that you are very busy, but we are\nMast\nM\nrequires us to submit, annually a list of all the Red Cross Nurses enrolled with our\nextremely anxious to make a very complete report to National Headquarters and ask for\n+\nyour cooperation. Please answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\na\nYours sincerely,\nIMPORTANT:\nLEIGH A. THOMPSON R.N.\nChairman or\nIn order to render prompt service\nSecretary Nursing Service\nSecretary\nin time of disaster, enrolled Red Cross\nAMERICAN RED CROSS\nnurses should report at once to the\nChamber-of.Commerce. Bldg. Local Committee.\nSecretary of the Local Committee under\nPITTSBURGH, (PA.\nwhich they are enrolled. Do not forget\nit 113\nthe address of the Secretary.\nName in full Minnie Marilia Betheune\nIf married, give husband's name\nPermanent address\n365 - gross St. - -Pittslungle -Pa\nProbable address for the next year\nSame\nTelephone No. Fish 15-89\nName\nand address of nearest relative Mrs P. P. Helligant Sister)\n(State relationship)\nSuiserate -Pa\nUnderline the type of work\nyou are now doing:\n- Army - Navy - U.S.P.H.Hospital - U.S. Vet .Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\n2\nAre\nyou an instructor of Red Cross classes in Home Hygiene and care of the Sick? No\nHave you ever been? 40\na\nIndicate present physical condition Good\nN\nWould you respond emergency call epidemic, disaster, etc. ? No\nW\nto an in event of war\nBadge No 22236\nCurrent date feet 4 th 1917\nNOTE. --If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}