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e Form 1045 NATIONAL OFFICERS CENTRAL COMMITTEE GALVIN COOLIDGE. PRESIDENT JOHN BARTON PAYNE, CHAIRMAN MRS. AUGUST BELMONT ROBERT w. DE FOREST, VICE PRESIDENT CORNELIUS N. BLISS WILLIAM HOWARD TAFT, VICE PRESIDENT THE AMERICAN RED CROSS MABEL T. BOARDMAN 0 WILLIAM D. MITCHELL, COUNSELOR MRS, HENRY P. DAVISON E, B. DOUGLAS GARDARD B. WINSTON, TREASURER NATIONAL HEADQUARTERS JOSEPH c. GREW MABEL T. BOARDMAN. SECRETARY MRS. FRANK v. HAMMAR WASHINGTON, D.C. HERBERT HOOVER in MAJ. GEN. M. W.IRELAND NATIONAL EXECUTIVE OFFICERS WILLIAM D. MITCHELL w. w. MORROW s JOHN BARTON PAYNE, CHAIRMAN GUSTAVUS D, POPE MRS, HENRY R. REA JAMES L. FIESER, VICE CHAIRMAN JOHN D. RYAN ERNEST P. BICKNELL. VICE CHAIRMAN GEORGE E. SCOTT REAR ADMIRAL E, R. STITT GARRARD B. WINSTON M 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, Chairman or Olive M. Diederich, R.N. Secretary. 2157 Euclid Avenue Cleveland, 0. Local Committee. Name in full Lince m Pourll If married, give husband's name Permanent address 8907 Carrejie are Clereland this Probable address for the next year same Telephone No. Cedar 3360 Name and address of nearest relative Tucy Leen Pmill (sister ) (State relationship) sawe Underline the type of work you are now doing: - Army - Navy - U.S.P.H.Hospital - U.S.Vet.Hospital - Public administ tratini Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar Are you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? tho Have you ever been? no Indicate present physical condition Good Would you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes Badge No. 4114 Current date march 13.1926 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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Context sent to Scholar

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    "ocrText": "e\nForm 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nGALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nMRS. AUGUST BELMONT\nROBERT w. DE FOREST, VICE PRESIDENT\nCORNELIUS N. BLISS\nWILLIAM HOWARD TAFT, VICE PRESIDENT\nTHE AMERICAN RED CROSS\nMABEL T. BOARDMAN\n0\nWILLIAM D. MITCHELL, COUNSELOR\nMRS, HENRY P. DAVISON\nE, B. DOUGLAS\nGARDARD B. WINSTON, TREASURER\nNATIONAL HEADQUARTERS\nJOSEPH c. GREW\nMABEL T. BOARDMAN. SECRETARY\nMRS. FRANK v. HAMMAR\nWASHINGTON, D.C.\nHERBERT HOOVER\nin\nMAJ. GEN. M. W.IRELAND\nNATIONAL EXECUTIVE OFFICERS\nWILLIAM D. MITCHELL\nw. w. MORROW\ns\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D, POPE\nMRS, HENRY R. REA\nJAMES L. FIESER, VICE CHAIRMAN\nJOHN D. RYAN\nERNEST P. BICKNELL. VICE CHAIRMAN\nGEORGE E. SCOTT\nREAR ADMIRAL E, R. STITT\nGARRARD B. WINSTON\nM\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\ncooperation. Please answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\nYours sincerely,\nChairman or\nOlive M. Diederich, R.N.\nSecretary.\n2157 Euclid Avenue\nCleveland, 0.\nLocal Committee.\nName in\nfull Lince m Pourll\nIf married, give husband's name\nPermanent address 8907 Carrejie are Clereland this\nProbable address for the next year\nsame\nTelephone No. Cedar 3360\nName and address of nearest relative Tucy Leen Pmill (sister )\n(State relationship)\nsawe\nUnderline the type of work\nyou are now doing: - Army - Navy - U.S.P.H.Hospital - U.S.Vet.Hospital - Public\nadminist tratini Health - Institutional - Private Duty - Industrial - Office Nurse - Registrar\nAre you an instructor of Red Cross classes in Home Hygiene and Care of the Sick? tho\nHave you ever been?\nno\nIndicate present physical condition\nGood\nWould you respond to an emergency call in event of epidemic, disaster, war, etc. ? yes\nBadge No. 4114\nCurrent\ndate march 13.1926\nNOTE.--If the nurse does not complete and return this questionnaire, and can not be\nlocated within two years, her enrollment will be annulled."
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