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Form 1045 NATIONAL OFFICERS + CENTRAL COMMITTEE CALVIN COOLIDGE. PRESIDENT JOHN BARTON PAYNE, CHAIRMAN ROBERT W. DE FOREST, VICE PRESIDENT MRS. AUGUST BELMONT CORNELIUS N. BLISS WILLIAM HOWARD TAFT. VICE PRESIDENT THE AMERICAN RED CROSS MABEL T. BOARDMAN WILLIAM D. MITCHELL, COUNSELOR MRS. HENRY P. DAVISON GARRARD B. WINSTON. TREASURER NATIONAL HEADQUARTERS E. B. DOUGLAS JOSEPH C. GREW MABEL T. BOARDMAN. SECRETARY WASHINGTON, D. C. MRS. FRANK V. HAMMAR HERBERT HOOVER MAJ. GEN. M. W. IRELAND NATIONAL EXECUTIVE OFFICERS WILLIAM D. MITCHELL W. W. MORROW JOHN BARTON PAYNE, CHAIRMAN GUSTAVUS D. POPE JAMES L. FIESER, VICE CHAIRMAN MRS. HENRY R. REA JOHN D. RYAN ERNEST P. BICKNELL, VICE CHAIRMAN GEORGE E. SCOTT REAR ADMIRAL E. R. STITT GARRARD B. WINSTON Dear Madam: As you undoubtedly know, 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 know that you are very busy, but 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. Yours sincerely, IMPORTANT: Luella m Erior Chairman Secretary. or In order to render prompt service in time of disaster, enrolled Red Cross nurses should report at once to the Secretary of the Local Committee under SanDiegs Local Committee. which they are enrolled. Do not forget the address of the Secretary. Name in full mrs H. L. I ruin If married, give husband's name H.f. Irwin Permanent address 3519 Utah ST San Diego Probable address for the next year Same Telephone No. HC 2742 m Name and address of nearest relative H.f. Iruine. (husband) (State relationship) 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 - 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 emergency call event of epidemic, disaster, war, etc.? yes an in Badge No. 11322 Current date June 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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Document source extras
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    "ocrText": "Form 1045\nNATIONAL OFFICERS\n+\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT W. DE FOREST, VICE PRESIDENT\nMRS. AUGUST BELMONT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\nWILLIAM D. MITCHELL, COUNSELOR\nMRS. HENRY P. DAVISON\nGARRARD B. WINSTON. TREASURER\nNATIONAL HEADQUARTERS\nE. B. DOUGLAS\nJOSEPH C. GREW\nMABEL T. BOARDMAN. SECRETARY\nWASHINGTON, D. C.\nMRS. FRANK V. HAMMAR\nHERBERT HOOVER\nMAJ. GEN. M. W. IRELAND\nNATIONAL EXECUTIVE OFFICERS\nWILLIAM D. MITCHELL\nW. W. MORROW\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nJOHN D. RYAN\nERNEST P. BICKNELL, VICE CHAIRMAN\nGEORGE E. SCOTT\nREAR ADMIRAL E. R. STITT\nGARRARD B. WINSTON\nDear Madam:\nAs you undoubtedly know, the National Committee on Red Cross Nursing Service\nrequires us to submit, annually, a list of all the Red Cross Nurses enrolled with our\nCommittee, with their latest addresses We know that you are very busy, but we are\nextremely anxious to make a very complete report to National Headquarters and ask for\nyour cooperation. Please answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\nYours sincerely,\nIMPORTANT:\nLuella m Erior Chairman Secretary.\nor\nIn order to render prompt service\nin time of disaster, enrolled Red Cross\nnurses should report at once to the\nSecretary of the Local Committee under\nSanDiegs Local Committee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\nName in full\nmrs H. L. I ruin\nIf married, give husband's name\nH.f. Irwin\nPermanent address\n3519 Utah ST San Diego\nProbable address for the next year\nSame\nTelephone No. HC 2742 m\nName and\naddress of nearest relative H.f. Iruine. (husband)\n(State relationship)\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 - 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 emergency call event of epidemic, disaster, war, etc.? yes\nan in\nBadge No. 11322\nCurrent date\nJune 1927\nNOTE. - If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
}