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Form No. 200
Revised 2-15-18
AMERICAN RED CROSS
No.
884 (nurse).
SERVICE ENROLLMENT APPLICATION
(OTHER THAN AS DOCTOR, SURGEON, OR NURSE)
Date June 11-1918
The questions should be answered as fully as possible, especially when an application for a passport may later be necessary.
All answers must be in handwriting of applicant.
I. Name in full alice Evangeline Labr Telephone No. yock 3307
2. Present Address Children's Hospital.
Denver,
Colorado.
(Number and Street)
(City)
(State)
(a) If any changes of residence since August I, 1914, give these in full with dates.
not any.
(b) What is your present business or profession? (Be specific.)
Surgical nurse- children's Hosp. Drawer, Colo
(c) What previous business or professional experience have you had, stating nature, places and principal dates
thereof?
2
(d) Have you ever lived in Europe? If so, give names of European countries in which you have resided
and respective dates of residence in each.
-
(e) Have you ever traveled in Europe? If so, name countries visited, with respective dates of visits.
-
(f) Since August I, 1914, have you applied for a United States passport? If so, state whether application
was granted, denied or withdrawn.
I have never applied for au.s. passport
3. State fully your participation in war service of U. S., or any of Allies or of enemy, or in that of any state militia
(a) Have you ever been examined for war service? If so, state when, where and, if possible, name of examin-
ing official.
2
(b) Were you accepted, rejected, or is result of examination pending?
4. Date of birth 1880 18ECC.
Year
Month
14th Day (a) Place of birth golden, Colorado.
(b) Full name of father Carlas william Laber
(c) Birthplace of father Dehall Cc. Illinois (d) Nationality of father Querican,
(e) If father foreign born, whether naturalized and when
-
(f) Full maiden name of mother alfa mayward
(g) Birthplace of mother Pam (h) Nationality of mother american
(i) If mother foreign born, whether naturalized and when
-
(j) Full name and nationality of paternal grandfather Selle Laber american
(k) Full maiden name and nationality of paternal grandmother Charlotte Welles-
"
.
(1) Full name and nationality of maternal grandfather James Mayuard -
"
.
(m) Full maiden name and nationality of maternal grandmother Olice J.Blacknigton
"
,
(n) Names of all relatives nearer than second cousins living in Europe, specifying which of said relatives, if
any, are now or have been in the war service of Germany, Austria, Bulgaria and Turkey. State
nature and places of employment of each of such relatives not now in such war service.
checkmark_ntt
(o) Names of all relatives nearer than second cousins in the war service of any of the allies of the United States,
specifying which ally in every case.
checkmark_ntt
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- a530843aa4054171
- Size
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Document data
- ID
- 2661787
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "Form No. 200\nRevised 2-15-18\nAMERICAN RED CROSS\nNo.\n884 (nurse).\nSERVICE ENROLLMENT APPLICATION\n(OTHER THAN AS DOCTOR, SURGEON, OR NURSE)\nDate June 11-1918\nThe questions should be answered as fully as possible, especially when an application for a passport may later be necessary.\nAll answers must be in handwriting of applicant.\nI. Name in full alice Evangeline Labr Telephone No. yock 3307\n2. Present Address Children's Hospital.\nDenver,\nColorado.\n(Number and Street)\n(City)\n(State)\n(a) If any changes of residence since August I, 1914, give these in full with dates.\nnot any.\n(b) What is your present business or profession? (Be specific.)\nSurgical nurse- children's Hosp. Drawer, Colo\n(c) What previous business or professional experience have you had, stating nature, places and principal dates\nthereof?\n2\n(d) Have you ever lived in Europe? If so, give names of European countries in which you have resided\nand respective dates of residence in each.\n-\n(e) Have you ever traveled in Europe? If so, name countries visited, with respective dates of visits.\n-\n(f) Since August I, 1914, have you applied for a United States passport? If so, state whether application\nwas granted, denied or withdrawn.\nI have never applied for au.s. passport\n3. State fully your participation in war service of U. S., or any of Allies or of enemy, or in that of any state militia\n(a) Have you ever been examined for war service? If so, state when, where and, if possible, name of examin-\ning official.\n2\n(b) Were you accepted, rejected, or is result of examination pending?\n4. Date of birth 1880 18ECC.\nYear\nMonth\n14th Day (a) Place of birth golden, Colorado.\n(b) Full name of father Carlas william Laber\n(c) Birthplace of father Dehall Cc. Illinois (d) Nationality of father Querican,\n(e) If father foreign born, whether naturalized and when\n-\n(f) Full maiden name of mother alfa mayward\n(g) Birthplace of mother Pam (h) Nationality of mother american\n(i) If mother foreign born, whether naturalized and when\n-\n(j) Full name and nationality of paternal grandfather Selle Laber american\n(k) Full maiden name and nationality of paternal grandmother Charlotte Welles-\n\"\n.\n(1) Full name and nationality of maternal grandfather James Mayuard -\n\"\n.\n(m) Full maiden name and nationality of maternal grandmother Olice J.Blacknigton\n\"\n,\n(n) Names of all relatives nearer than second cousins living in Europe, specifying which of said relatives, if\nany, are now or have been in the war service of Germany, Austria, Bulgaria and Turkey. State\nnature and places of employment of each of such relatives not now in such war service.\ncheckmark_ntt\n(o) Names of all relatives nearer than second cousins in the war service of any of the allies of the United States,\nspecifying which ally in every case.\ncheckmark_ntt\n(OVER)"
}