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R
al
P
5
Form 104A
AMERICAN RED CROSS
Rev. Mar. 1941
TRAVEL AND ADVANCE AUTHORITY
S
aut
oT)
F
May.. 31
, 19.41
to
S
Susan Shirley Ralph
is authorized to travel as follows:
A
n
Departing from
York
en. about June 15
1941 to
England.
S
his
and
returning to
on or about
, 19
The purpose of the trip is service with the American Red Cross -Harvard Hospital Unit-
The travel is to be by
plurge:
APPROVED:
Asst. Dir.,
NAME
AND TITLE Nursing Service
NAME AND TITLE
(If the places to be visited are too numerous for the space provided they should be listed in the space pro-
vided on the reverse side of this form with respective dates for each point.
*If travel is to be by any method other than common carrier the basis for reimbursement of travel expense
shall be clearly stated.)
Accounting Department:
Please advance to
Susan Shirley Ralph
the sum of
Une. Hundred rifty
Dollars ($ 150.00
).
encumbering appropriation
FK-GB-3-B
for official expenditures, to be accounted for, in connection with service with ARC-Harvard Hospital Unit
APPROVED:
8
NAME AND TITLE
Asst. Dir.,
Nursing Service
N
NAME AND TITLE
(PREPARE ONE COPY ONLY. SEE REVERSE SIDE.)
U
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"ocrText": "R\nal\nP\n5\nForm 104A\nAMERICAN RED CROSS\nRev. Mar. 1941\nTRAVEL AND ADVANCE AUTHORITY\nS\naut\noT)\nF\nMay.. 31\n, 19.41\nto\nS\nSusan Shirley Ralph\nis authorized to travel as follows:\nA\nn\nDeparting from\nYork\nen. about June 15\n1941 to\nEngland.\nS\nhis\nand\nreturning to\non or about\n, 19\nThe purpose of the trip is service with the American Red Cross -Harvard Hospital Unit-\nThe travel is to be by\nplurge:\nAPPROVED:\nAsst. Dir.,\nNAME\nAND TITLE Nursing Service\nNAME AND TITLE\n(If the places to be visited are too numerous for the space provided they should be listed in the space pro-\nvided on the reverse side of this form with respective dates for each point.\n*If travel is to be by any method other than common carrier the basis for reimbursement of travel expense\nshall be clearly stated.)\nAccounting Department:\nPlease advance to\nSusan Shirley Ralph\nthe sum of\nUne. Hundred rifty\nDollars ($ 150.00\n).\nencumbering appropriation\nFK-GB-3-B\nfor official expenditures, to be accounted for, in connection with service with ARC-Harvard Hospital Unit\nAPPROVED:\n8\nNAME AND TITLE\nAsst. Dir.,\nNursing Service\nN\nNAME AND TITLE\n(PREPARE ONE COPY ONLY. SEE REVERSE SIDE.)\nU"
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