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NATIONAL OFFICERS
CENTRAL COMMITTEE
HERBERT HOOVER, PRESIDENT
JOHN BARTON PAYNE, CHAIRMAN
ROBERT w. DE FOREST. VICE PRESIDENT
MRS. AUGUST BELMONT
WILLIAM HOWARD TAFT. VICE PRESIDENT
THE AMERICAN RED CROSS
CORNELIUS N. BLISS
MABEL T. BOARDMAN
CALVIN COOLIDGE, VICE PRESIDENT
JOSEPH P. COTTON
CHARLES EVANS HUGHES. JR, COUNSELOR
MIDWESTERN BRANCH
MRS. HENRY P DAVISON
OGDEN L. MILLS, TREASURER
E.B. DOUGLAS
MABEL T. BOARDMAN, SECRETARY
1709 WASHINGTON AVE.
MRS. FRANK v. HAMMAR
CHARLES EVANS HUGHES, JR.
ST. LOUIS, MO.
MAJ. GEN. M. w. IRELAND
SAMUEL KNIGHT
NATIONAL EXECUTIVE OFFICERS
OGDEN L. MILLS
JOHN BARTON PAYNE, CHAIRMAN
GUSTAVUS D. POPE
WM. M. BAXTER, JR,
MRS HENRY R. REA
-
JAMES L. FIESER, VICE CHAIRMAN
REAR ADMIRAL CHARLES E. RIGGS
ERNEST P. BICKNELL, VICE CHAIRMAN
ASSISTANT TO THE VICE CHAIRMAN
JOHN D. RYAN
JAMES K. McCLINTOCK. VICE CHAIRMAN
GEORGE E. SCOTT
ELIOT WADSWORTH
Dear Madam:
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 are extremely anxious to make a very complete report to Nation-
al 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.
Yours sincerely,
IMPORTANT:
Mrs. W. I. SGOTT,
Chairman or
In order to render prompt ser-
900* East 8th Street Secretary
vice in time of disaster, enrolled
LITTLE ROGK, ARK,
Red Cross nurses should report at
Local Committee.
once to the Secretary of the Local
Committee under which they are en-
rolled. Do not forget the address
of the Secretary.
Name in full. E.1.8
Age 66
If married, give husband's name
Permanent address (Street, 2615 etc.) Beneficiary (City) Twlaski (County) Lette Roch (state)
Address for the next year
.!
83.70
(Street, etc.)
lint
Telephone No.
(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)
Underline
the type Earona of work 2.6.6.5. Brandona L.R. Each
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?
Have you ever been?
Indicate present physical condition
Good
Would you respond to an emergency call in event of epidemic, disaster, war, etc. ?
Badge No. 5948
Current date yalk 1930
5
NOTE - If the nurse does not complete and return this questionnaire, and can not be
located within two years, her enrollment will be annulled.
Form 1045.
D=653
8
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"ocrText": "NATIONAL OFFICERS\nCENTRAL COMMITTEE\nHERBERT HOOVER, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT w. DE FOREST. VICE PRESIDENT\nMRS. AUGUST BELMONT\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nCALVIN COOLIDGE, VICE PRESIDENT\nJOSEPH P. COTTON\nCHARLES EVANS HUGHES. JR, COUNSELOR\nMIDWESTERN BRANCH\nMRS. HENRY P DAVISON\nOGDEN L. MILLS, TREASURER\nE.B. DOUGLAS\nMABEL T. BOARDMAN, SECRETARY\n1709 WASHINGTON AVE.\nMRS. FRANK v. HAMMAR\nCHARLES EVANS HUGHES, JR.\nST. LOUIS, MO.\nMAJ. GEN. M. w. IRELAND\nSAMUEL KNIGHT\nNATIONAL EXECUTIVE OFFICERS\nOGDEN L. MILLS\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D. POPE\nWM. M. BAXTER, JR,\nMRS HENRY R. REA\n-\nJAMES L. FIESER, VICE CHAIRMAN\nREAR ADMIRAL CHARLES E. RIGGS\nERNEST P. BICKNELL, VICE CHAIRMAN\nASSISTANT TO THE VICE CHAIRMAN\nJOHN D. RYAN\nJAMES K. McCLINTOCK. VICE CHAIRMAN\nGEORGE E. SCOTT\nELIOT WADSWORTH\nDear Madam:\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\nlatest addresses. We are extremely anxious to make a very complete report to Nation-\nal Headquarters and ask for your cooperation. Please answer the following questions\nand return this form to me, in enclosed envelope, at the earliest possible date.\nYours sincerely,\nIMPORTANT:\nMrs. W. I. SGOTT,\nChairman or\nIn order to render prompt ser-\n900* East 8th Street Secretary\nvice in time of disaster, enrolled\nLITTLE ROGK, ARK,\nRed Cross nurses should report at\nLocal Committee.\nonce to the Secretary of the Local\nCommittee under which they are en-\nrolled. Do not forget the address\nof the Secretary.\nName in full. E.1.8\nAge 66\nIf married, give husband's name\nPermanent address (Street, 2615 etc.) Beneficiary (City) Twlaski (County) Lette Roch (state)\nAddress for the next year\n.!\n83.70\n(Street, etc.)\nlint\nTelephone No.\n(City)\n(County)\n(State)\nName and address of nearest relative or friend, in United States, through whom you\nmay be communicated with in an emergency. (State relationship)\nUnderline\nthe type Earona of work 2.6.6.5. Brandona L.R. Each\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U. S. Vet. Hospital -\nPublic Health - institutional - Private Duty - Industrial - Office Nurse - Registrar\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nHave you ever been?\nIndicate present physical condition\nGood\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ?\nBadge No. 5948\nCurrent date yalk 1930\n5\nNOTE - If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled.\nForm 1045.\nD=653\n8"
}