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Form 1045 A-Rev. 5-15-25
NATIONAL OFFICERS
CENTRAL COMMITTEE
CALVIN COOLIDGE. PRESIDENT
JOHN BARTON PAYNE, CHAIRMAN
ROBERT w. DE FOREST, VICE PRESIDENT
JAMES M. BECK
MRS. AUGUST BELMONT
WILLIAM HOWARD TAFT. VICE PRESIDENT
JAMES M. BECK, COUNSELOR
THE AMERICAN RED CROSS
CORNELIUS N. BLISS
MABEL T. BOARDMAN
ELIOT WADSWORTH, TREASURER
MRS, HENRY P. DAVISON
NATIONAL HEADQUARTERS
E. B. DOUGLAS
MABEL T. BOARDMAN. SECRETARY
JOSEPH c. GREW
WASHINGTON, D.C.
MRS. FRANK v. HAMMAR
I
HERBERT HOOVER
NATIONAL EXECUTIVE OFFICERS
MAJ. GEN. M. w. IRELAND
w. w. MORROW
JOHN BARTON PAYNE, CHAIRMAN
GUSTAVUS D. POPE
&
JAMES L. FIESER, VICE CHAIRMAN
MRS. HENRY R. REA
JOHN D. RYAN
ERNEST P. BICKNELL. VICE CHAIRMAN
GEORGE E. SCOTT
REAR ADMIRAL E. R. STITT
5
JAN 271926
ELIOT WADSWORTH
T
e
+
+
Dear Madam:
As you undoubtedly know, the National Committee on Red Cross Nursing Service
requires us to submit, annually, a list of all enrolled Red Cross Nurses with their
latest addresses. We know that you are very busy, but we are extremely anxious to
D
make a very complete report and ask for your cooperation. Will you kindly answer the
following questions and return this form to me, in the enclosed envelope, at the
e
earliest possible date?
a
Yours sincerely,
Clasa D. royes
Director Red Cross Nursing Service
Name in full Heurietha A shipley
If married, give husband's name
Permanent address Shothroy Aulair, bauada.
Probable. address for the next year Bennyille General Hospital
Telephone No. 320
Bennyville alberta
Name
and (State address relationship) of nearest relative Mrs of W. Dnylas (sister gamare
Strathing Autain Cau
Underline the type of work you are doing:
Army - Navy - U.S.P.H. Hospital-
U. S. Vet. Hospital - Institutional - Public Health - Private Duty - Industrial.
missim Hospital
Are you an instructor of Red Cross classes in Home Hygiene and care of the sick?
U
Have you ever been?
Would you respond to an emergency call in event of epidemic, disaster, war, etc.?
J
Badge No. 21789
Current date February 4th 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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"ocrText": "S\n5\nForm 1045 A-Rev. 5-15-25\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nCALVIN COOLIDGE. PRESIDENT\nJOHN BARTON PAYNE, CHAIRMAN\nROBERT w. DE FOREST, VICE PRESIDENT\nJAMES M. BECK\nMRS. AUGUST BELMONT\nWILLIAM HOWARD TAFT. VICE PRESIDENT\nJAMES M. BECK, COUNSELOR\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS\nMABEL T. BOARDMAN\nELIOT WADSWORTH, TREASURER\nMRS, HENRY P. DAVISON\nNATIONAL HEADQUARTERS\nE. B. DOUGLAS\nMABEL T. BOARDMAN. SECRETARY\nJOSEPH c. GREW\nWASHINGTON, D.C.\nMRS. FRANK v. HAMMAR\nI\nHERBERT HOOVER\nNATIONAL EXECUTIVE OFFICERS\nMAJ. GEN. M. w. IRELAND\nw. w. MORROW\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D. POPE\n&\nJAMES L. FIESER, VICE CHAIRMAN\nMRS. HENRY R. REA\nJOHN D. RYAN\nERNEST P. BICKNELL. VICE CHAIRMAN\nGEORGE E. SCOTT\nREAR ADMIRAL E. R. STITT\n5\nJAN 271926\nELIOT WADSWORTH\nT\ne\n+\n+\nDear Madam:\nAs you undoubtedly know, the National Committee on Red Cross Nursing Service\nrequires us to submit, annually, a list of all enrolled Red Cross Nurses with their\nlatest addresses. We know that you are very busy, but we are extremely anxious to\nD\nmake a very complete report and ask for your cooperation. Will you kindly answer the\nfollowing questions and return this form to me, in the enclosed envelope, at the\ne\nearliest possible date?\na\nYours sincerely,\nClasa D. royes\nDirector Red Cross Nursing Service\nName in full Heurietha A shipley\nIf married, give husband's name\nPermanent address Shothroy Aulair, bauada.\nProbable. address for the next year Bennyille General Hospital\nTelephone No. 320\nBennyville alberta\nName\nand (State address relationship) of nearest relative Mrs of W. Dnylas (sister gamare\nStrathing Autain Cau\nUnderline the type of work you are doing:\nArmy - Navy - U.S.P.H. Hospital-\nU. S. Vet. Hospital - Institutional - Public Health - Private Duty - Industrial.\nmissim Hospital\nAre you an instructor of Red Cross classes in Home Hygiene and care of the sick?\nU\nHave you ever been?\nWould you respond to an emergency call in event of epidemic, disaster, war, etc.?\nJ\nBadge No. 21789\nCurrent date February 4th 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."
}