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B
Autantic Devision
QUESTIONN, IRE.
MAR
31
MAT 27 922
1.
Name.
Burrower, Sarah
1922
2.
Address - Temporary Permanent Peapack, Mountain hew persey
S
30 hith the Montalair,
a
3. Red Cross Bar re, Number
4933
T
of appointment to service (service November 1917 family justic Franch 1916) Hospital began
in American Rishulance
a
4.
Date
5.
Date of discharge from service
July 1919
6.
Service with Army
.
"
"
"
"
Red
Navy Cross March 1918- July 1919
"
"
United States Public Health Service Sanitary Zone loo. 1917-March,1918
"
"
Emergency, Influenza Epidemic, Disaster, etc.
7.
Condition of health on discharge. Nerrous breakdown
8. Condition of health at present time. Nervouse but much improved
9.
Approximate date of illness if any and where.
10. Have you notified the Veterans Bureau or the Red Cross Nursing Service? to
ll. Are you drawing compersation from the Veterans Bureau?
to
Date granted.
Number.
Hospitalization if any.
Name and address of doctor by whom examined.
12. Remarks:
13. Vocational Training. lone.
Number
Where
What kind.
Length of course.
14. Remarks:
15. Are you drawing Insurance from the American Red Cross? so
Date granted.
16. Present Occupation.
kisiting here Association Disiting hore of Someract employed Hilk by
4
2
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Context sent to Scholar
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"ocrText": "B\nAutantic Devision\nQUESTIONN, IRE.\nMAR\n31\nMAT 27 922\n1.\nName.\nBurrower, Sarah\n1922\n2.\nAddress - Temporary Permanent Peapack, Mountain hew persey\nS\n30 hith the Montalair,\na\n3. Red Cross Bar re, Number\n4933\nT\nof appointment to service (service November 1917 family justic Franch 1916) Hospital began\nin American Rishulance\na\n4.\nDate\n5.\nDate of discharge from service\nJuly 1919\n6.\nService with Army\n.\n\"\n\"\n\"\n\"\nRed\nNavy Cross March 1918- July 1919\n\"\n\"\nUnited States Public Health Service Sanitary Zone loo. 1917-March,1918\n\"\n\"\nEmergency, Influenza Epidemic, Disaster, etc.\n7.\nCondition of health on discharge. Nerrous breakdown\n8. Condition of health at present time. Nervouse but much improved\n9.\nApproximate date of illness if any and where.\n10. Have you notified the Veterans Bureau or the Red Cross Nursing Service? to\nll. Are you drawing compersation from the Veterans Bureau?\nto\nDate granted.\nNumber.\nHospitalization if any.\nName and address of doctor by whom examined.\n12. Remarks:\n13. Vocational Training. lone.\nNumber\nWhere\nWhat kind.\nLength of course.\n14. Remarks:\n15. Are you drawing Insurance from the American Red Cross? so\nDate granted.\n16. Present Occupation.\nkisiting here Association Disiting hore of Someract employed Hilk by\n4\n2"
}