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N & a L I FORM 1045--REV. 2-24-27 in e. NATIONAL OFFICERS CENTRAL COMMITTEE L JOHN BARTON PAYNE, CHAIRMAN CALVIN COOLIDGE. PRESIDENT P. 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 aN WILLIAM D. MITCHELL, COUNSELOR 9 NATIONAL HEADQUARTERS CHARLES s. DEWEY CHARLES s. DEWEY, TREASURER E. B. DOUGLAS MABEL T. BOARDMAN. SECRETARY WASHINGTON. D. C. JOSEPH c. GREW + MRS. FRANK v. HAMMAR HERBERT HOOVER NATIONAL EXECUTIVE OFFICERS MAJ. GEN. M. w. IRELAND WILLIAM D. MITCHELL w.w. MORROW JOHN BARTON PAYNE, CHAIRMAN GUSTAVUS D. POPE JAMES L. FIESER, VICE CHAIRMAN MRS. HENRY R. REA ERNEST P. BICKNELL. VICE CHAIRMAN JOHN D. RYAN GEORGE E. SCOTT REAR ADMIRAL E, R. STITT Mr. H 7 < L Dear Madam: P 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 National B (b 5 Headquarters and ask for your cooperation. Please answer the following questions and e return this form to me, in the enclosed envelope, at the earliest possible date. C a IMPORTANT: ! Yours sincerely, In order to render prompt service in time of disaster, enrolled Red Cross Hanniette gonkeys Chairman or Secretary nurses should report at once to the Secretary of the Local Committee under Although. g stanling LocaT Un Committee. which they are enrolled. Do not forget the address of the Secretary Name in full Beek Luvenic brene If married, give husband's name Permanent address morning Seen, lowe Saratoga Springs Probable address for the next year Skidmore Colleys/furstory Spring) Telephone No. 1880 n.y. Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency, (State relationship) Mrs. Henry Buth Morning Seen lown ( mattern 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. Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? no Have you ever been? yes Indicate present physical condition good Would you respond to an emergency call in event of epidemic, disaster, war, etc. yes Badge No. 37892 Current date the 1. 1927 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": "N\n&\na\nL\nI\nFORM 1045--REV. 2-24-27\nin\ne.\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nL\nJOHN BARTON PAYNE, CHAIRMAN\nCALVIN COOLIDGE. PRESIDENT\nP.\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\naN\nWILLIAM D. MITCHELL, COUNSELOR\n9\nNATIONAL HEADQUARTERS\nCHARLES s. DEWEY\nCHARLES s. DEWEY, TREASURER\nE. B. DOUGLAS\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON. D. C.\nJOSEPH c. GREW\n+\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nNATIONAL EXECUTIVE OFFICERS\nMAJ. GEN. M. w. IRELAND\nWILLIAM D. MITCHELL\nw.w. MORROW\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nERNEST P. BICKNELL. VICE CHAIRMAN\nJOHN D. RYAN\nGEORGE E. SCOTT\nREAR ADMIRAL E, R. STITT\nMr.\nH\n7\n<\nL\nDear Madam:\nP\nThe National Committee on Red Cross Nursing Service requires us to submit,\n<\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 National\nB\n(b\n5\nHeadquarters and ask for your cooperation. Please answer the following questions and\ne\nreturn this form to me, in the enclosed envelope, at the earliest possible date.\nC\na\nIMPORTANT:\n!\nYours sincerely,\nIn order to render prompt service\nin time of disaster, enrolled Red Cross\nHanniette gonkeys\nChairman or\nSecretary\nnurses should report at once to the\nSecretary of the Local Committee under\nAlthough. g stanling LocaT Un\nCommittee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary\nName in full\nBeek Luvenic brene\nIf married, give husband's name\nPermanent\naddress morning Seen, lowe\nSaratoga Springs\nProbable address for the next year Skidmore Colleys/furstory Spring)\nTelephone No. 1880\nn.y.\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency, (State relationship)\nMrs. Henry Buth Morning Seen lown ( mattern\nUnderline the type of work\nyou are now doing: - 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? yes\nIndicate present physical condition good\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. yes\nBadge No. 37892\nCurrent date the 1. 1927\nNOTE. -- If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
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