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Man M N I e.e. an E K - 5 s 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."
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