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FORM 1045--REV. 2-24-27
NATIONAL OFFICERS
CENTRAL COMMITTEE
CALVIN COOLIDGE, PRESIDENT
JOHN BARTON PAYNE, CHAIRMAN
ROBERT w. DE FOREST. VICE PRESIDENT
MRS. AUGUST BELMONT
WILLIAM HOWARD TAFT, VICE PRESIDENT
THE AMERICAN RED CROSS
CORNELIUS N. BLISS
WILLIAM D. MITCHELL, COUNSELOR
MABEL T. BOARDMAN
J. .REUBEN CLARK, JR.
OGDEN L. MILLS, TREASURER
NATIONAL HEADQUARTERS
MRS. HENRY P. DAVISON
MABEL T. BOARDMAN, SECRETARY
E.B. DOUGLAS
WASHINGTON, D.C.
MRS. FRANK v. HAMMAR
HERBERT HOOVER
NATIONAL EXECUTIVE OFFICERS
MAJ. GEN. M. w. IRELAND
development
SAMUEL KNIGHT
JOHN BARTON PAYNE, CHAIRMAN
OGDEN L. MILLS
JAMES L. FIESER, VICE CHAIRMAN
WILLIAM D. MITCHELL
GUSTAVUS D. POPE
ERNEST P. BICKNELL, VICE CHAIRMAN
MRS. HENRY R. REA
E
REAR ADMIRAL CHARLES E. RIGGS
JOHN D. RYAN
GEORGE E. SCOTT
DESTROTED
N
Dear Madam:
The National Committee on Red Cross Nursing Service requires us to submit,
annually, a list of all the Red Cross Nurses enrolled with our Committee, with their
latest addresses. 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.
IMPORTANT:
Yours sincerely,
In order to render prompt service
in time of disaster, enrolled Red Cross
Roience hi Polutou -Secretary. Chairman
or
nurses should report at once to the
Secretary of the Local Committee under
MANHATTAN
which they are enrolled. Do not forget
Local Committee.
the address of the Secretary
Name in full
Elezabth Howkins
If
married,
give
husband's
name n H. Hankaris
Permanent address
for the 252 next year West same 73rd 8t
Probable address
Telephone No.
Sussa whanna 3288
Name and address of nearest relative or friend, in United States, through whom you may
be communicated with in an emergency. (State relationship)
Underline the type of work none -
you are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public
Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.
Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?
no
Have you ever been?
no
Indicate present physical condition good
Would you respond to an emergency call in event of epidemic, disaster, war, etc. you
Badge No.
Current date mar14, 1929
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": "Man\nM\nN\nI\ne.e.\nan\nE\nK\n-\n5\ns\nFORM 1045--REV. 2-24-27\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE, PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT w. DE FOREST. VICE PRESIDENT\nMRS. AUGUST BELMONT\nWILLIAM HOWARD TAFT, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nWILLIAM D. MITCHELL, COUNSELOR\nMABEL T. BOARDMAN\nJ. .REUBEN CLARK, JR.\nOGDEN L. MILLS, TREASURER\nNATIONAL HEADQUARTERS\nMRS. HENRY P. DAVISON\nMABEL T. BOARDMAN, SECRETARY\nE.B. DOUGLAS\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nNATIONAL EXECUTIVE OFFICERS\nMAJ. GEN. M. w. IRELAND\ndevelopment\nSAMUEL KNIGHT\nJOHN BARTON PAYNE, CHAIRMAN\nOGDEN L. MILLS\nJAMES L. FIESER, VICE CHAIRMAN\nWILLIAM D. MITCHELL\nGUSTAVUS D. POPE\nERNEST P. BICKNELL, VICE CHAIRMAN\nMRS. HENRY R. REA\nE\nREAR ADMIRAL CHARLES E. RIGGS\nJOHN D. RYAN\nGEORGE E. SCOTT\nDESTROTED\nN\nDear Madam:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a list of all the Red Cross Nurses enrolled with our Committee, with their\nlatest addresses. We are extremely anxious to make a very complete report to National\nHeadquarters and ask for your cooperation. Please answer the following questions and\nreturn this form to me, in the enclosed envelope, at the earliest possible date.\nIMPORTANT:\nYours sincerely,\nIn order to render prompt service\nin time of disaster, enrolled Red Cross\nRoience hi Polutou -Secretary. Chairman\nor\nnurses should report at once to the\nSecretary of the Local Committee under\nMANHATTAN\nwhich they are enrolled. Do not forget\nLocal Committee.\nthe address of the Secretary\nName in full\nElezabth Howkins\nIf\nmarried,\ngive\nhusband's\nname n H. Hankaris\nPermanent address\nfor the 252 next year West same 73rd 8t\nProbable address\nTelephone No.\nSussa whanna 3288\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nUnderline the type of work none -\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public\nHealth - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nno\nHave you ever been?\nno\nIndicate present physical condition good\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. you\nBadge No.\nCurrent date mar14, 1929\nNOTE. - If the nurse does not complete and return this questionnaire, and can not\nbe located within two years, her enrollment will be annulled."
}