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2963 Form 600 Revised May 20,1918 Top Sheet Upper portion for Divisi onal Record. Also see last portion of application form. Recommended by Division for enrollment under Requisition nurse If not American citizen, so state, and give citizenship american Is applicant available leaving home two weeks from date full papers are rec'd in Washington #2963 Name McCauley, Annie Rite (Miss) Street Address 91 Carrington St. City Providence, R.I. 2963 to what date Temporary Address Please check or fill out blanks where possible Danguages spoken Location of Proposed length of stay E-Excellent Service desired Full volunteer G-Good F-Fair Volunteer with expenses met by Red Cross Is allowance for living abroad to be left to discretion of foreign Commission? Allowance for living abroad if not left to discretion of foreign Commission? Salary over expense allowance if any usual formures Allowance for living prior to departure Requisition for uniform and equipment Allowance for transportation overseas and re- turn Allowance for transportation in U.S. and return Physical Report Age 37 Loyalty investigation conducted by (Name of agen- Date examined cy employed, if any) Date reported and report nursing Service Retail Credit Company List of Loyalty indorsements: Aug. 9, 1918 Mr. Joseph H. Gainer. (Mayor) Providence, R.I. Miss Winifred L. Fitzpatrick, 62 Forest St., Providence, R.I. Dr. Ellen A. Storer, City Hall, Providence, R.I. Have passport application and pictures been forwarded yo Date Headquarters Record (Initial, date, and "O.K." where acceptable) File Record Date Referred to Classification Full Papers Ital Tuberculois Unit Provisional Enrollment War Department 8/20/18 SHB 8/29 Physical Actual Enrollment Remarks

Page data

Page
62
Source index
0
Type
photo
Media ID
a2102e8ec4903336
Size
unknown

Document data

ID
2662214
Core
doc
Type
document
DTO data
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Document identity
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Document source metadata
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    "contentType": "document",
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    "citationUrl": "https://catalog.archives.gov/id/2662214",
    "collections": [
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Document source extras
{
    "url": "https://catalog.archives.gov/id/2662214",
    "naId": 2662214,
    "coverageEndDate": {
        "day": 30,
        "logicalDate": "1945-09-30",
        "month": 9,
        "year": 1945
    },
    "coverageStartDate": {
        "day": 24,
        "logicalDate": "1912-02-24",
        "month": 2,
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Page context
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    "seq": 62,
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    "ocrText": "2963\nForm 600\nRevised May 20,1918\nTop Sheet\nUpper portion for Divisi onal Record. Also see last portion of application form.\nRecommended by Division for enrollment under Requisition nurse\nIf not American citizen, so state, and give citizenship american\nIs applicant available leaving home two weeks from date full papers are rec'd in\nWashington #2963\nName McCauley, Annie Rite (Miss)\nStreet Address 91 Carrington St.\nCity Providence, R.I. 2963 to what date\nTemporary Address\nPlease check or fill out blanks where possible\nDanguages spoken\nLocation of\nProposed length of stay\nE-Excellent\nService desired\nFull volunteer\nG-Good F-Fair\nVolunteer with expenses met by Red Cross\nIs allowance for living abroad to be left to\ndiscretion of foreign Commission?\nAllowance for living abroad if not left to\ndiscretion of foreign Commission?\nSalary over expense allowance if any usual formures\nAllowance for living prior to departure\nRequisition for uniform and equipment\nAllowance for transportation overseas and re-\nturn\nAllowance for transportation in U.S. and return\nPhysical Report\nAge\n37\nLoyalty investigation conducted by (Name of agen-\nDate examined\ncy employed, if any)\nDate reported\nand report\nnursing Service\nRetail Credit Company\nList of Loyalty indorsements:\nAug. 9, 1918\nMr. Joseph H. Gainer. (Mayor) Providence, R.I.\nMiss Winifred L. Fitzpatrick, 62 Forest St., Providence, R.I.\nDr. Ellen A. Storer, City Hall, Providence, R.I.\nHave passport application and pictures been forwarded\nyo\nDate\nHeadquarters Record (Initial, date, and \"O.K.\" where acceptable)\nFile Record\nDate\nReferred to\nClassification\nFull Papers\nItal Tuberculois Unit\nProvisional Enrollment\nWar Department 8/20/18\nSHB 8/29\nPhysical\nActual Enrollment\nRemarks"
}