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F I e et 1 e X M FORM No. a M THE AMERICAN RED CROSS to T ENROLLMENT FORM -. M W da a Voyage number M From Nursh g Department To THE DIVISION OF TRANSPORTATION, BUREAU OF PERSONNEL. Date August 14, 1918. C a Approval of Director, Approved Jon + Bureau of Personnel 1. Name Conn, Matilda; 2. Address 5219-Baum Blevds, Readenyave The Servickly Pas. 3. Temporary address, if any 4. Going to what countries France, 5. Nature of work Nursing. 6. Suggested rank 7. Length of stay (six months or over?) 1 year or more. 3 8. Proposed approximate date of departure Booked Sailed 11-14-18 a 9. Cable number in compliance with which above is being sent MN-1: Su) 10. Is appointee volunteer? No depenturing 11. what month is If not volunteer, salary per promised? 12. To begin Date of Suiting 13. What allowance, if any, for transportation in United States? $ To New York and return. 14. What allowance, if any, for transportation (steamship)? STo destination and return. 15. What allowance, if any, for living expenses prior to departure? $ 4.00 day from date requested to r eport in Naw York to day of sailing. 16. What allowance, if any, for uniform equipment? $ Yes, requisition at New York office. 17. What allowance, if any, for living expenses abroad? $ Yes, regulation allowance. 18. Is there to be an assignment of part or all of salary? $30.00 19. Has the proper form been sent to the Life Extension Institute? approved. Division of Transportation, PLEASE LEAVE THE FOLLOWING LINES BLANK. Correspondence checked: Note (9% 22 Mailed Forms Clerk of the Court at Application for passport filed Date Issued Reservation Cancelled Cabled Cancelled

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47
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0
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photo
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    "ocrText": "F\nI\ne\net\n1 e\nX\nM\nFORM No.\na\nM\nTHE AMERICAN RED CROSS\nto\nT\nENROLLMENT FORM\n-.\nM\nW\nda\na\nVoyage number\nM\nFrom Nursh g Department\nTo\nTHE DIVISION OF TRANSPORTATION,\nBUREAU OF PERSONNEL.\nDate\nAugust 14, 1918.\nC\na\nApproval of Director,\nApproved\nJon\n+\nBureau of Personnel\n1. Name Conn, Matilda;\n2. Address\n5219-Baum\nBlevds, Readenyave The Servickly Pas.\n3. Temporary address, if any\n4. Going to what countries\nFrance,\n5. Nature of work\nNursing.\n6. Suggested rank\n7. Length of stay (six months or over?)\n1 year or more.\n3\n8. Proposed approximate date of departure\nBooked\nSailed 11-14-18\na\n9. Cable number in compliance with which above is being sent\nMN-1:\nSu)\n10. Is appointee volunteer?\nNo\ndepenturing\n11. what month is\nIf not volunteer,\nsalary per promised? 12. To begin Date of Suiting\n13. What allowance, if any, for transportation in United States? $ To New York and return.\n14. What allowance, if any, for transportation (steamship)? STo destination and return.\n15. What allowance, if any, for living expenses prior to departure? $ 4.00 day from date requested to r eport\nin Naw York to day of sailing.\n16. What allowance, if any, for uniform equipment? $ Yes, requisition at New York office.\n17. What allowance, if any, for living expenses abroad? $ Yes, regulation allowance.\n18. Is there to be an assignment of part or all of salary? $30.00\n19. Has the proper form been sent to the Life Extension Institute? approved.\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked:\nNote\n(9%\n22\nMailed\nForms\nClerk of the\nCourt at\nApplication for passport filed\nDate\nIssued\nReservation\nCancelled\nCabled\nCancelled"
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