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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.
Page data
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- Media ID
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Document data
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- Core
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- Type
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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."
}