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Form No. 469-(2)
SAN FRANCISCO
THE AMERICAN RED CROSS
ENROLLMENT FORM
ENEARKATION
M
W
Pennsylvayige on
To
THE DIVISION OF TRANSPORTATION,
From
Nursing Depar tment
BUREAU OF PERSONNEL.
Date
February 26, 1919
Approval of Director,
Approved. Elsbash H. bangkan
Bureau of Personnel
1. Name
Wilson, Elizabeth Gertrude
2. Address
155 Nor th Graig St., E.E., Pittsburgh, Pa.
3. Temporary address, if any
4. Going to what countries
Siberia
5. Nature of work
Enrolled Red Cross Nurse
6. Suggested rank
7. Length of stay (six months or over?)
1 year or more
8. Proposed approximate date of departure
Booked
Sailed 3/29/19
9. Cable number in compliance with which above is being sent
Siberian Cable #51
10. Is appointee volunteer
No
day of departure for
11. If not volunteer, what salary per month is promised? $ 70.00
12. To begin. San Francisco
13. What allowance, if any, for transportation in United States? $
20 San Francisco and re turn
14. What allowance, if any, for transportation (steamship) ? $
To destination and return
4.00 day from date requested to re-
15. What allowance, if any, for living expenses prior to departure?
$
port in San Francisco to day of sailing
16. What allowance, if any, for uniform equipment? $ Yes, requisitioned at New York office
17. What allowance, if any, for living expenses abroad ? $ Yes, regulation allowance
18. Is there to be an assignment of part or all of salary ?
19. Has the proper form been sent to the Life Extension Institute?
Division of Transportation,
PLEASE LEAVE THE FOLLOWING LINES BLANK.
Correspondence checked
Note
Forms
Mailed
Clerk of the
Court at
Application for passport filed
Date
Issued
Reservation
Cancelled
Cabled
Cancelled
Date of Birth: - Feb. 17, 1879
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 6376621865d46772
- Size
- unknown
Document data
- ID
- 2661987
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source extras
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"ocrText": "Form No. 469-(2)\nSAN FRANCISCO\nTHE AMERICAN RED CROSS\nENROLLMENT FORM\nENEARKATION\nM\nW\nPennsylvayige on\nTo\nTHE DIVISION OF TRANSPORTATION,\nFrom\nNursing Depar tment\nBUREAU OF PERSONNEL.\nDate\nFebruary 26, 1919\nApproval of Director,\nApproved. Elsbash H. bangkan\nBureau of Personnel\n1. Name\nWilson, Elizabeth Gertrude\n2. Address\n155 Nor th Graig St., E.E., Pittsburgh, Pa.\n3. Temporary address, if any\n4. Going to what countries\nSiberia\n5. Nature of work\nEnrolled Red Cross Nurse\n6. Suggested rank\n7. Length of stay (six months or over?)\n1 year or more\n8. Proposed approximate date of departure\nBooked\nSailed 3/29/19\n9. Cable number in compliance with which above is being sent\nSiberian Cable #51\n10. Is appointee volunteer\nNo\nday of departure for\n11. If not volunteer, what salary per month is promised? $ 70.00\n12. To begin. San Francisco\n13. What allowance, if any, for transportation in United States? $\n20 San Francisco and re turn\n14. What allowance, if any, for transportation (steamship) ? $\nTo destination and return\n4.00 day from date requested to re-\n15. What allowance, if any, for living expenses prior to departure?\n$\nport in San Francisco to day of sailing\n16. What allowance, if any, for uniform equipment? $ Yes, requisitioned at New York office\n17. What allowance, if any, for living expenses abroad ? $ Yes, regulation allowance\n18. Is there to be an assignment of part or all of salary ?\n19. Has the proper form been sent to the Life Extension Institute?\nDivision of Transportation,\nPLEASE LEAVE THE FOLLOWING LINES BLANK.\nCorrespondence checked\nNote\nForms\nMailed\nClerk of the\nCourt at\nApplication for passport filed\nDate\nIssued\nReservation\nCancelled\nCabled\nCancelled\nDate of Birth: - Feb. 17, 1879"
}