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Jokaitis, Mrs. Josephine S.

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+ FORM 1045 REV. 12-3-37 THE AMERICAN RED CROSS NATIONAL HEADQUARTERS WASHINGTON, D. C. 9 QUESTIONNAIRES DESTROYED Dear Red Cross Nurse: The National Committee on Red Cross Nursing Service requires us to submit, annually, a report of all the Red Cross Nurses enrolled with our Committee. Will you therefore, please answer the following questions and return this form to me, in the enclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED WITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec- ognize the value of filing this information and will return the questionnaire promptly, as we are extremely anxious to make a very complete report to National Headquarters. IMPORTANT: In order to render prompt service Yours sincerely, in time of disaster, enrolled Red Cross Ella Uan Horn Chairman Secretary. or Nurses should report at once to the Secretary of the Local Committee under Local Committee. which they are enrolled. Do not forget the address of the Secretary. Name in full Josephine Suwalskea Jokaitis- If married, give husband's name Widow Permanent address 6008. Vernon ave. Chicago (CITY) Cook (COUNTY) Illinois (STREET, ETC.) (STATE) Probable address for the next year ? (STREET, ETC.) Telephone No. Durchester 4226 (CITY) (COUNTY) (STATE) Name and address of nearest relative or friend, in United States, through whom you may be communicated with in an emergency. (State relationship) mrs. Anastasia. Simunie 3617 maryland St. Gary Ind. (sister ) Underline the type of work you are now doing: Army - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service - Public Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar. no Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? Have you ever been? yes Indicate present physical condition Good Would you respond to an emergency call in event of epidemic, disaster, war, etc.? yes Badge No. 35,138 Current date march- 26th 1938 NOTE. -- If the nurse does not complete and return this questionnaire, and can not be located within two years, her enrolment will be removed from our active files.

Page data

Page
113
Source index
0
Type
photo
Media ID
9a24bddd8c078dc1
Size
unknown

Document data

ID
2661719
Core
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Type
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Context sent to Scholar

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        "day": 25,
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Page context 
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    "ocrText": "+\nFORM 1045\nREV. 12-3-37\nTHE AMERICAN RED CROSS\nNATIONAL HEADQUARTERS\nWASHINGTON, D. C.\n9\nQUESTIONNAIRES DESTROYED\nDear Red Cross Nurse:\nThe National Committee on Red Cross Nursing Service requires us to submit,\nannually, a report of all the Red Cross Nurses enrolled with our Committee. Will you\ntherefore, please answer the following questions and return this form to me, in the\nenclosed envelope, at the earliest possible date? THIS ANNUAL QUESTIONNAIRE IS FILED\nWITH YOUR RECORDS AT NATIONAL HEADQUARTERS IN WASHINGTON, D. C. We hope you will rec-\nognize the value of filing this information and will return the questionnaire promptly,\nas we are extremely anxious to make a very complete report to National Headquarters.\nIMPORTANT:\nIn order to render prompt service\nYours sincerely,\nin time of disaster, enrolled Red Cross\nElla Uan Horn Chairman Secretary.\nor\nNurses should report at once to the\nSecretary of the Local Committee under\nLocal Committee.\nwhich they are enrolled. Do not forget\nthe address of the Secretary.\nName in full Josephine Suwalskea Jokaitis-\nIf married, give husband's name Widow\nPermanent address 6008. Vernon ave. Chicago (CITY) Cook (COUNTY)\nIllinois\n(STREET, ETC.)\n(STATE)\nProbable address for the next year\n?\n(STREET, ETC.)\nTelephone No. Durchester 4226\n(CITY)\n(COUNTY)\n(STATE)\nName and address of nearest relative or friend, in United States, through whom you may\nbe communicated with in an emergency. (State relationship)\nmrs. Anastasia. Simunie 3617 maryland St. Gary Ind. (sister )\nUnderline the type of work you are now doing:\nArmy - Navy - U.S.P.H. Service - Veterans Administration - U.S. Indian Service -\nPublic Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar.\nno\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick?\nHave you ever been? yes\nIndicate present physical condition Good\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.? yes\nBadge No. 35,138\nCurrent date march- 26th 1938\nNOTE. -- If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrolment will be removed from our active files."
}