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F I to - et m - 6 Y Form 1045 NATIONAL OFFICERS CENTRAL COMMITTEE M CALVIN COOLIDGE. PRESIDENT JOHN BARTON PAYNE, CHAIRMAN ROBERT w. DE FOREST, VICE PRESIDENT JAMES M. BECK WILLIAM HOWARD TAFT. VICE PRESIDENT MRS. AUGUST BELMONT a M THE AMERICAN RED CROSS CORNELIUS N. BLISS (JAMES M. BECK, COUNSELOR MABEL T. BOARDMAN ELIOT WADSWORTH, TREASURER MRS, HENRY P. DAVISON MABEL T. BOARDMAN. SECRETARY NATIONAL HEADQUARTERS E, B. DOUGLAS I JOSEPH c. GREW WASHINGTON, D.C. MRS. FRANK v. HAMMAR S HERBERT HOOVER NATIONAL EXECUTIVE OFFICERS MAJ. GEN. M, w. IRELAND 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 M JAN 15 1926 GEORGE E. SCOTT REAR ADMIRAL E. R. STITT ELIOT WADSWORTH Miss Matilda Conn, a 410 S.Atlantic Ave. + Pittsburgh, Pa. - Dear Madam: { a As you undoubtedly know, the National Committee on Red Cross Nursing Service a requires us to submit, annually, a list of all the Red Cross Nurses enrolled with our Committee, with their latest addresses. We know that you are very busy, but we are extremely anxious to make a very complete report to National Headquarters and ask for your cooperation. Please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date. Yours sincerely, b 3 Chairman or LEIGH A. THOMPSON R. N. a Secretary. Secretary Nursing Service 9 AMERICAN RED CROSS 9 Su) Local Committee. Chamber of Commerce bldg. h, PITTSBURGH, PA. Name in full Matilda Conn. If married, give husband's name - Permanent address 410. S atlantic One Pitts busg Probable address for next year Same Telephone No. 9291 Highland Name and address of nearest relative ms aley gaddia (Sister) (State relationship) 2420 Criston Cive Brony hew york Underline the type of work you are doing: Army - Navy - U.S.P.H. Hospital U.S.Vet.Hospital - Institutional - Public Health - Private Duty - Industrial. Are you an instructor of Red Cross classes in Home Hygiene and care of the sick? Have ever been? you no . Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes. Badge No. 23709. Current date February 6 the 1926. 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": "F\nI\nto\n-\net\nm\n-\n6\nY\nForm 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nM\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT w. DE FOREST, VICE PRESIDENT\nJAMES M. BECK\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nMRS. AUGUST BELMONT\na\nM\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\n(JAMES M. BECK, COUNSELOR\nMABEL T. BOARDMAN\nELIOT WADSWORTH, TREASURER\nMRS, HENRY P. DAVISON\nMABEL T. BOARDMAN. SECRETARY\nNATIONAL HEADQUARTERS\nE, B. DOUGLAS\nI\nJOSEPH c. GREW\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nS\nHERBERT HOOVER\nNATIONAL EXECUTIVE OFFICERS\nMAJ. GEN. M, w. IRELAND\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\nM\nJAN 15 1926\nGEORGE E. SCOTT\nREAR ADMIRAL E. R. STITT\nELIOT WADSWORTH\nMiss Matilda Conn,\na\n410 S.Atlantic Ave.\n+\nPittsburgh, Pa.\n-\nDear Madam:\n{\na\nAs you undoubtedly know, the National Committee on Red Cross Nursing Service\na\nrequires us to submit, annually, a list of all the Red Cross Nurses enrolled with our\nCommittee, with their latest addresses. We know that you are very busy, but we are\nextremely anxious to make a very complete report to National Headquarters and ask for\nyour cooperation. Please answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\nYours sincerely,\nb\n3\nChairman or\nLEIGH A. THOMPSON R. N.\na\nSecretary.\nSecretary Nursing Service\n9\nAMERICAN RED CROSS\n9\nSu)\nLocal Committee.\nChamber of Commerce bldg.\nh,\nPITTSBURGH, PA.\nName in full\nMatilda Conn.\nIf married, give husband's name\n-\nPermanent address\n410. S atlantic One Pitts busg\nProbable address for next year\nSame\nTelephone\nNo. 9291 Highland\nName and address of nearest relative ms aley gaddia (Sister)\n(State relationship)\n2420 Criston Cive Brony hew york\nUnderline the type of work you are doing:\nArmy - Navy - U.S.P.H. Hospital\nU.S.Vet.Hospital - Institutional - Public Health - Private Duty - Industrial.\nAre you an instructor of Red Cross classes in Home Hygiene and care of the sick?\nHave ever been?\nyou no\n.\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nyes.\nBadge No. 23709.\nCurrent date February 6 the 1926.\nNOTE.--If the nurse does not complete and return this questionnaire; and can not be\nlocated within two years, her enrollment will be annulled."
}