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Form 2816
May 1945
AMERICAN RED CROSS
NOTICE OF SEPARATION OF NURSE FROM MILITARY SERVICE
To be used by the Red Cross field director to facilitate the joint program of the
American Nurses' Association and the American Red Cross for released nurses.
Date Oct.19 1945
To: Chapter Home Service
Name of chapter Nureding Servico
Address of chapter 161 HAOS Ave. Bonton, Mass.
Street and number
City
State
Name of nurse Evons, Lillion
Last
First
Middle
If married, give husband's full name
Date of birth Oct.13 1918
Month
Day
Year
Give address to which nurse expects to proceed, omi/ting temporary visits en route
40 Nestainster Ave. Arlington, Mose
City
State
Street and number
Approximate date of arrival at above address
pot. 1, 1945
Date of military
Date of
Serial
appointment July 24, 1942.r
separation
Oct.18,1915
number N 744004
Rank 1 Lite
Reason for separation: Demobilization x Disability
Hardship
Other
Has nurse veteran's application for pension on Veterans Administration Form 526 been
filed? Yes
No
@
Date
To which organization has power of attorney been given?
Date
Does nurse expect to do act ive nursing?
Yes
Ft. Dix, N.J.
Camp or hospital
Signature field director
Joh No/ L Du sun
of field director or asst.
Address
8
INSTRUCTIONS TO RED CROSS FIELD DIRECTOR: Make fou'r copies for each nurse. Retain copy
[4] for your files; send copy [3] to Area Director Nursing Service; send copies [1] and
[2] to Home Service in the local chapter.
INSTRUCTIONS TO CHAPTER HOME SERVICE: Send copy [1] to chapter recruitment committee or
chapter recruitment nurse. If chapter has neither, send copy [1] directly to the state
8
nurses' association. Retain copy [2] for your files.
V
78168M
8
NOV 2 1945
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Document data
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- 2661439
- Core
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- Type
- document
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"ocrText": "E\nL\nthat\nForm 2816\nMay 1945\nAMERICAN RED CROSS\nNOTICE OF SEPARATION OF NURSE FROM MILITARY SERVICE\nTo be used by the Red Cross field director to facilitate the joint program of the\nAmerican Nurses' Association and the American Red Cross for released nurses.\nDate Oct.19 1945\nTo: Chapter Home Service\nName of chapter Nureding Servico\nAddress of chapter 161 HAOS Ave. Bonton, Mass.\nStreet and number\nCity\nState\nName of nurse Evons, Lillion\nLast\nFirst\nMiddle\nIf married, give husband's full name\nDate of birth Oct.13 1918\nMonth\nDay\nYear\nGive address to which nurse expects to proceed, omi/ting temporary visits en route\n40 Nestainster Ave. Arlington, Mose\nCity\nState\nStreet and number\nApproximate date of arrival at above address\npot. 1, 1945\nDate of military\nDate of\nSerial\nappointment July 24, 1942.r\nseparation\nOct.18,1915\nnumber N 744004\nRank 1 Lite\nReason for separation: Demobilization x Disability\nHardship\nOther\nHas nurse veteran's application for pension on Veterans Administration Form 526 been\nfiled? Yes\nNo\n@\nDate\nTo which organization has power of attorney been given?\nDate\nDoes nurse expect to do act ive nursing?\nYes\nFt. Dix, N.J.\nCamp or hospital\nSignature field director\nJoh No/ L Du sun\nof field director or asst.\nAddress\n8\nINSTRUCTIONS TO RED CROSS FIELD DIRECTOR: Make fou'r copies for each nurse. Retain copy\n[4] for your files; send copy [3] to Area Director Nursing Service; send copies [1] and\n[2] to Home Service in the local chapter.\nINSTRUCTIONS TO CHAPTER HOME SERVICE: Send copy [1] to chapter recruitment committee or\nchapter recruitment nurse. If chapter has neither, send copy [1] directly to the state\n8\nnurses' association. Retain copy [2] for your files.\nV\n78168M\n8\nNOV 2 1945"
}