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I + FORM 1045--REV. 2-24-27 NATIONAL OFFICERS CENTRAL COMMITTEE CALVIN COOLIDGE. PRESIDENT JOHN BARTON PAYNE, CHAIRMAN MRS, AUGUST BELMONT ROBERT w. DE FOREST, VICE PRESIDENT 1 THE AMERICAN RED CROSS CORNELIUS N. BLISS WILLIAM HOWARD TAFT. VICE PRESIDENT MABEL T. BOARDMAN WILLIAM D. MITCHELL, COUNSELOR MRS, HENRY P. DAVISON CHARLES s. DEWEY, TREASURER NATIONAL HEADQUARTERS CHARLES s. DEWEY E.B. DOUGLAS MABEL T. BOARDMAN. SECRETARY WASHINGTON. D. c. JOSEPH c. GREW MRS. FRANK v. HAMMAR HERBERT HOOVER NATIONAL EXECUTIVE OFFICERS MAJ. GEN. M. w. IRELAND WILLIAM D. MITCHELL JOHN BARTON PAYNE, CHAIRMAN w.w. MORROW JAMES L. FIESER, VICE CHAIRMAN GUSTAVUS D. POPE MRS. HENRY R. REA ERNEST P. BICKNELL. VICE CHAIRMAN JOHN D. RYAN GEORGE E. SCOTT a REAR ADMIRAL E. R. STITT 5 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, (MRS.) LUCY RYDER JARDON, In order to render prompt service SECRETARY, LOCAL COMMITTEE Chairman or in time of disaster, enrolled Red Cross RED CROSS NURSING SERVICE 130 STREET Secretary. nurses should report at once to the Secretary of the Local Committee under BROOKLYN. N. Y, Local Committee. which they are enrolled. Do not forget the address of the Secretary. Name in full Jane Eligabeth Hitchcock If married, give husband's name Permanent address 71 Willow St., Brooklyn, n.y. Probable address for the next year litto Telephone No. main, 535 5ipalty J. Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) Sister - this Lucy P.Hitchesh 71 Willer SC. Broundlegn Underline the type of work you are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public Health Institutional Private Duty Office Nurse Registrar. Teaching - - - Industrial - - Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? No Have you ever been? yes - ditting war- Indicate present physical condition good Would you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes Badge No. 6578 Current date april - 15-1927 & 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": "I\n+\nFORM 1045--REV. 2-24-27\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nMRS, AUGUST BELMONT\nROBERT w. DE FOREST, VICE PRESIDENT\n1\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nMABEL T. BOARDMAN\nWILLIAM D. MITCHELL, COUNSELOR\nMRS, HENRY P. DAVISON\nCHARLES s. DEWEY, TREASURER\nNATIONAL HEADQUARTERS\nCHARLES s. DEWEY\nE.B. DOUGLAS\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON. D. c.\nJOSEPH c. GREW\nMRS. FRANK v. HAMMAR\nHERBERT HOOVER\nNATIONAL EXECUTIVE OFFICERS\nMAJ. GEN. M. w. IRELAND\nWILLIAM D. MITCHELL\nJOHN BARTON PAYNE, CHAIRMAN\nw.w. MORROW\nJAMES L. FIESER, VICE CHAIRMAN\nGUSTAVUS D. POPE\nMRS. HENRY R. REA\nERNEST P. BICKNELL. VICE CHAIRMAN\nJOHN D. RYAN\nGEORGE E. SCOTT\na\nREAR ADMIRAL E. R. STITT\n5\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, (MRS.) LUCY RYDER JARDON,\nIn order to render prompt service\nSECRETARY, LOCAL COMMITTEE\nChairman or\nin time of disaster, enrolled Red Cross\nRED CROSS NURSING SERVICE\n130 STREET\nSecretary.\nnurses should report at once to the\nSecretary of the Local Committee under\nBROOKLYN. N. Y,\nLocal Committee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\nName in full Jane Eligabeth Hitchcock\nIf married, give husband's name\nPermanent address 71 Willow St., Brooklyn, n.y.\nProbable address for the next year\nlitto\nTelephone No. main, 535 5ipalty J.\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nSister - this Lucy P.Hitchesh 71 Willer SC. Broundlegn\nUnderline the type of work\nyou are now doing: - Army - Navy - U.S.P.H. Hospital - U.S.Vet. Hospital - Public\nHealth Institutional Private Duty Office Nurse Registrar. Teaching\n- - - Industrial - -\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? No\nHave you ever been? yes - ditting war-\nIndicate present physical condition good\nWould\nyou respond to an emergency call in event of epidemic, disaster, war, etc. ? yes\nBadge No. 6578\nCurrent date april - 15-1927\n&\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
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