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Division South western
Questionnaire
Date July 6-22
1. Name. Monica P. Higgining Daving
2. Address Temporary
Permanent
424 E'. Oak Louisville Ky
3. Red Cross Badge Number.
22724,
4. Date of appointment to service. Sept 12.18
5. Date of discharge from service.
May 29 19
6. Service with - Army
Navy
Red Cross X
It
U.S. Public Health Service, Sanitary Zone.
Emergency, Influenza, Epidemic, Disaster, etc.
7. Condition of health on discharge
good
8. Condition of health at present time.
good
9, Approximate date of illness if any and where.
none
10. Have you notified the Vet. Bureau, or the Red Cross Nursing Service?
11. Are you drawing compensation from the Vet. Bureau?
no
Date granted.
Number.
Hospitalisation if any.
Name and address of doctor by whom examined.
12. Remarks:
13, Vocational Training,
nurse Registered
Number,
Where,
musely Hospital chicago 2lp
What Kind,
Length of Course.
3yrs.
14. Remarks:
15. Are you drawing Insurance from the American Red Cross?
Date granted.
no
16, Present occupation.
House wife
#736
Page data
- Page
- 21
- Source index
- 0
- Type
- photo
- Media ID
- 7182bca72fff789d
- Size
- unknown
Document data
- ID
- 2661687
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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"logicalDate": "1918-06-14",
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Page context
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"ocrText": "Division South western\nQuestionnaire\nDate July 6-22\n1. Name. Monica P. Higgining Daving\n2. Address Temporary\nPermanent\n424 E'. Oak Louisville Ky\n3. Red Cross Badge Number.\n22724,\n4. Date of appointment to service. Sept 12.18\n5. Date of discharge from service.\nMay 29 19\n6. Service with - Army\nNavy\nRed Cross X\nIt\nU.S. Public Health Service, Sanitary Zone.\nEmergency, Influenza, Epidemic, Disaster, etc.\n7. Condition of health on discharge\ngood\n8. Condition of health at present time.\ngood\n9, Approximate date of illness if any and where.\nnone\n10. Have you notified the Vet. Bureau, or the Red Cross Nursing Service?\n11. Are you drawing compensation from the Vet. Bureau?\nno\nDate granted.\nNumber.\nHospitalisation if any.\nName and address of doctor by whom examined.\n12. Remarks:\n13, Vocational Training,\nnurse Registered\nNumber,\nWhere,\nmusely Hospital chicago 2lp\nWhat Kind,\nLength of Course.\n3yrs.\n14. Remarks:\n15. Are you drawing Insurance from the American Red Cross?\nDate granted.\nno\n16, Present occupation.\nHouse wife\n#736"
}