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I ammy Mrs. TRY E, Not Employed Date Reserve Present Employment* (Experience) Available futh 1 2 I PH PD o Name of Agency I PH PD o Yes No H. N. h 12-16-42 ashland Co Bound preath year I, 1-19-44 e F OCD HAWAII Unit- 2/4/43 to 912843 or T Date Probable address for the year Telephone No. n 12-16-42 419 Jaylor, R RHI Crestline, ashland khio Ohio 1346Blue - s , 1-19-444 3-17-44 1321 4th st ashland ahnol permid pres.) T *KEY: I-Institutional PH-Public health PD-Private duty O-Other H. N.-Home Nursing, (check if interested) I I J 6

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