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D
Form No. 469-(2)
THE AMERICAN RED CROSS
ENROLLMENT FORM
M
W
5
46
Gulf Division Voyage number
To
THE DIVISION OF TRANSPORTATION,
From Nursing Depar tment
BUREAU OF PERSONNEL.
Date January 5, 1920
Approval of Director,
Approved Clara D. loyes
I
Bureau of Personnel
purvias
1. Name
Denny, Linna H.
in
2. Address
137-North 60th Street, Birmingham, Ala.
-
3. Temporary address, if any
to
4. Going to what countries Poland
5
5. Nature of work Enrolled Red Cross Nurse
6. Suggested rank
7. Length of stay (six months or over?) 1 year or more
8. Proposed approximate date of departure
Booked
Sailed 2/7/20
9. Cable number in compliance with which above is being sent 20595
10. Is appointee volunteer?
No
day of departure
11. If not volunteer, what salary per month is promised $...70.00
-
12.0 To begin for New York
13. What allowance, if any, for transportation in United States ? $ to New York and return
14. What allowance, if any, for transportation (steam ship) ? $ to destination and return
4.00 day from date requested to
15. What allowance, if any, for living expenses prior to departure? report in New York to day of
salling.
16. What allowance, if any, for uniform equipment ? $ yes, requisitioned at New York office
17. What allowance, if any, for living expenses abroad ? $ yes, regulat ion allowance:
18. Is there to be an assignment of part or all of salary ?
19. Has the proper form been sent to the Life Extension Institute?
Division of Transportation,
PLEASE LEAVE THE FOLLOWING LINES BLANK.
Correspondence checked :
Note.
Forms
Mailed
Clerk of the
Court at
Application for passport filed
Date
Issued
Reservation
Cancelled
Cabled
Cancelled
Date of birth - Maroh 30, 1872
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Document data
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Page context
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"ocrText": "D\nForm No. 469-(2)\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nM\nW\n5\n46\nGulf Division Voyage number\nTo\nTHE DIVISION OF TRANSPORTATION,\nFrom Nursing Depar tment\nBUREAU OF PERSONNEL.\nDate January 5, 1920\nApproval of Director,\nApproved Clara D. loyes\nI\nBureau of Personnel\npurvias\n1. Name\nDenny, Linna H.\nin\n2. Address\n137-North 60th Street, Birmingham, Ala.\n-\n3. Temporary address, if any\nto\n4. Going to what countries Poland\n5\n5. Nature of work Enrolled Red Cross Nurse\n6. Suggested rank\n7. Length of stay (six months or over?) 1 year or more\n8. Proposed approximate date of departure\nBooked\nSailed 2/7/20\n9. Cable number in compliance with which above is being sent 20595\n10. Is appointee volunteer?\nNo\nday of departure\n11. If not volunteer, what salary per month is promised $...70.00\n-\n12.0 To begin for New York\n13. What allowance, if any, for transportation in United States ? $ to New York and return\n14. What allowance, if any, for transportation (steam ship) ? $ to destination and return\n4.00 day from date requested to\n15. What allowance, if any, for living expenses prior to departure? report in New York to day of\nsalling.\n16. What allowance, if any, for uniform equipment ? $ yes, requisitioned at New York office\n17. What allowance, if any, for living expenses abroad ? $ yes, regulat ion allowance:\n18. Is there to be an assignment of part or all of salary ?\n19. Has the proper form been sent to the Life Extension Institute?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked :\nNote.\nForms\nMailed\nClerk of the\nCourt at\nApplication for passport filed\nDate\nIssued\nReservation\nCancelled\nCabled\nCancelled\nDate of birth - Maroh 30, 1872"
}