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I a I 2708 Form No. 469-(3) THE AMERICAN RED CROSS FOR ENROLLMENT FORM M W C Potomac Veyage number To DIVISION OF FILES AND RECORDS, From Juraing Department + BUREAU OF PERSONNEL. Date Oct. 28, 1918. Approved 1. Name Hry. Seott 2. Address 17th and Church Sise, Tashington D. C. 3. Temporary address, if any 4. Going to what countries Gront Britein, Greace, Serbin, Bulgaria, Nontenegro and Albnia. 5. Nature of work inrolled Red. Gross Nurso 6. Suggested rank 7. Length of stay (six months or over?) 8. Proposed approximate date of departure Booked Sailed 9. Cable number in compliance with which above is being sent Be lknn Commission 10. Is appointee volunteer? No Chargeable to Appropriation No. 11. If not volunteer, what salary per month is promised ? $ 12. To begin day of deperturg for Ne Le 13. What allowance, if any, for transportation in United States? $ To Now York and return 14. What allowance, if any, for transportation (steamship) ? $ To destination and return 15. What allowance, if any, for living expenses prior to departure? 4.00 day from dete requested to ro- 16. What allowance, if any, for uniform equipment? $ -Yes, requisitioned port in New York to day of sailing. 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 ? 19. Has the proper form been sent to the Life Extension Institute? THE AMERICAN RED CROSS PASSPORT BUREAU, NATIONAL HEADQUARTERS DEPARTMENT OF STATE, WASHINGTON, D. c. 1423 NEW YORK AVENUE, WASHINGTON, D. C. of appointed in the service of the American National Red Cross, expects to sail Date of Births - Jan 5, 1869

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    "ocrText": "I\na\nI\n2708\nForm No. 469-(3)\nTHE AMERICAN RED CROSS\nFOR\nENROLLMENT FORM\nM\nW\nC\nPotomac Veyage number\nTo\nDIVISION OF FILES AND RECORDS,\nFrom Juraing Department\n+\nBUREAU OF PERSONNEL.\nDate Oct. 28, 1918.\nApproved\n1. Name\nHry. Seott\n2. Address\n17th and Church Sise, Tashington D. C.\n3. Temporary address, if any\n4. Going to what countries\nGront Britein, Greace, Serbin,\nBulgaria, Nontenegro and Albnia.\n5. Nature of work inrolled Red. Gross Nurso\n6. Suggested rank\n7. Length of stay (six months or over?)\n8. Proposed approximate date of departure\nBooked\nSailed\n9. Cable number in compliance with which above is being sent Be lknn Commission\n10. Is appointee volunteer?\nNo\nChargeable to\nAppropriation No.\n11. If not volunteer, what salary per month is promised ? $\n12. To begin day of deperturg for\nNe Le\n13. What allowance, if any, for transportation in United States? $\nTo Now York and return\n14. What allowance, if any, for transportation (steamship) ? $ To destination and return\n15. What allowance, if any, for living expenses prior to departure? 4.00 day from dete requested to ro-\n16.\nWhat allowance, if any, for uniform equipment? $ -Yes, requisitioned\nport in New York to day of sailing.\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 ?\n19. Has the proper form been sent to the Life Extension Institute?\nTHE AMERICAN RED CROSS\nPASSPORT BUREAU,\nNATIONAL HEADQUARTERS\nDEPARTMENT OF STATE,\nWASHINGTON, D. c.\n1423 NEW YORK AVENUE,\nWASHINGTON, D. C.\nof\nappointed\nin the service of the American National Red Cross, expects to sail\nDate of Births - Jan 5, 1869"
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