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S 5 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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Page context
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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."
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