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Form 1045
NATIONAL OFFICERS
CENTRAL COMMITTEE
CALVIN COOLIDGE. PRESIDENT
JOHN BARTON PAYNE CHAIRMAN
ROBERT w. DE FOREST, VICE PRESIDENT
MRS. AUGUST BELMONT
WILLIAM HOWARD TAFT. VICE PRESIDENT
WILLIAM D. MITCHELL, COUNSELOR
THE AMERICAN RED CROSS
CORNELIUS N. BLISS
MABEL T. BOARDMAN
MRS, HENRY P. DAVISON
GARDARD B. WINSTON, TREASURER
NATIONAL HEADQUARTERS
E,B. DOUGLAS
M
MABEL T. BOARDMAN. SECRETARY
JOSEPH c. GREW
WASHINGTON, D.C.
MRS. FRANK v. HAMMAR
HERBERT HOOVER
NATIONAL EXECUTIVE OFFICERS
MAJ. GEN. M, w. IRELAND
WILLIAM D. MITCHELL
JOHN BARTON PAYNE, CHAIRMAN
ERNEST P. BICKNELL, VICE CHAIRMAN
10
w.w. MORROW
GUSTAVUS D. POPE
:-
ar
JAMES L. FIESER, VICE CHAIRMAN
MRS HENRY R. REA
JOHN D. RYAN
June 21.1926
GEORGE E. SCOTT
C
REAR ADMIRAL E, R. STITT
GARRARD B. WINSTON
F
Dear Madam:
As you undoubtedly know, 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 latest addresses. We know that you are very busy, but 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 the enclosed envelope, at the earliest possible date.
Yours sincerely,
Julia Hinki Chairman Secretary.
or
San Francisco
Local Committee.
Civic Audi torium, San Francisco
Name in full mane J. Calauia
-
If married, give husband's name
Permanent address
838 1 ty de St. San Francisco
Probable address for the next year some
Telephone No. Frouble 745 6
Calif
Name and address of nearest relative mrs Reeps Peters,
(State relationship) Sister .
Underline the type of work
Woodbradge New ferry
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? no
Have you ever been?
no
Indicate present physical condition fair
Would you respond to an emergency call in event of epidemic, disaster, war, etc ? yas
Badge No. 5535
Current date august 14-1926
of
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": "C\na\n+\nForm 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE CHAIRMAN\nROBERT w. DE FOREST, VICE PRESIDENT\nMRS. AUGUST BELMONT\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nWILLIAM D. MITCHELL, COUNSELOR\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nMRS, HENRY P. DAVISON\nGARDARD B. WINSTON, TREASURER\nNATIONAL HEADQUARTERS\nE,B. DOUGLAS\nM\nMABEL T. BOARDMAN. SECRETARY\nJOSEPH c. GREW\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nNATIONAL EXECUTIVE OFFICERS\nMAJ. GEN. M, w. IRELAND\nWILLIAM D. MITCHELL\nJOHN BARTON PAYNE, CHAIRMAN\nERNEST P. BICKNELL, VICE CHAIRMAN\n10\nw.w. MORROW\nGUSTAVUS D. POPE\n:-\nar\nJAMES L. FIESER, VICE CHAIRMAN\nMRS HENRY R. REA\nJOHN D. RYAN\nJune 21.1926\nGEORGE E. SCOTT\nC\nREAR ADMIRAL E, R. STITT\nGARRARD B. WINSTON\nF\nDear Madam:\nAs you undoubtedly know, the National Committee on Red Cross Nursing Service\nrequires us to submit, annually, a list of all the Red Cross Nurses enrolled with our\nCommittee, with their latest addresses. We know that you are very busy, but we are\nextremely anxious to make a very complete report to National Headquarters and ask for\nyour cooperation. Please answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\nYours sincerely,\nJulia Hinki Chairman Secretary.\nor\nSan Francisco\nLocal Committee.\nCivic Audi torium, San Francisco\nName in full mane J. Calauia\n-\nIf married, give husband's name\nPermanent address\n838 1 ty de St. San Francisco\nProbable address for the next year some\nTelephone No. Frouble 745 6\nCalif\nName and address of nearest relative mrs Reeps Peters,\n(State relationship) Sister .\nUnderline the type of work\nWoodbradge New ferry\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\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no\nHave you ever been?\nno\nIndicate present physical condition fair\nWould you respond to an emergency call in event of epidemic, disaster, war, etc ? yas\nBadge No. 5535\nCurrent date august 14-1926\nof\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}