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FORM 1045
NATIONAL OFFICERS
CENTRAL COMMITTEE
JOHN BARTON PAYNE, CHAIRMAN
WARREN G. HARDING, PRESIDENT
JAMES M. BECK
ROBERT W. DE FOREST, VICE PRESIDENT
MRS. AUGUST BELMONT
WILLIAM HOWARD TAFT, VICE PRESIDENT
JAMES M. BECK, COUNSELOR
THE AMERICAN RED CROSS
CORNELIUS N. BLISS, JR.
MABEL T. BOARDMAN
MRS. HENRY P. DAVISON
ELIOT WADSWORTH, TREASURER
NATIONAL HEADQUARTERS
E. B. DOUGLAS
MABEL T. BOARDMAN, SECRETARY
MRS. FRANK v. HAMMAR
WASHINGTON, D. C.
HERBERT HOOVER
MAJ. GEN. M. W. IRELAND
EXECUTIVE OFFICERS
w. W. MORROW
WILLIAM PHILLIPS
JOHN BARTON PAYNE, CHAIRMAN
GUSTAVUS D. POPE
JAMES L. FIESER, VICE CHAIRMAN
APR 1. 1924
MRS. HENRY R. REA
ERNEST P. BICKNELL, VICE CHAIRMAN
JOHN D. RYAN
GEORGE E. SCOTT
REAR ADMIRAL E. R. STITT
ELIOT WADSWORTH
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
hope for your cooperation.
Will you kindly answer the following questions and return this form to me,
in the enclosed envelope, at the earliest possible date.
Yours sincerely,
Chairman or
, Secretary
Phila
Are you still a member in good
Local Committee
standing of your Alumnae
District and State
If not all, which one
Nys- all
Name in full
Juliet Smyler
Permanent address
Pristy terian Hospital Phila- Pa.
Probable address for the next year:
Preslyterian Hospital. Phila- Pa.
Telephone Carolan 14763
Name and address of nearest relative: (State relationship)
Have none
Underline the type of work you are doing:
Army--Navy--U. S. P. H. Hospital-
U. S. Vet. Hospital-Institutional Public Health- Social -Private Duty-Industrial Service
Would you respond to an emergency call in case of epidemic, disaster, war, etc.?
Badge No. 23-904
Current date april you this 1924
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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Document data
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"ocrText": "FORM 1045\nNATIONAL OFFICERS\nCENTRAL COMMITTEE\nJOHN BARTON PAYNE, CHAIRMAN\nWARREN G. HARDING, PRESIDENT\nJAMES M. BECK\nROBERT W. DE FOREST, VICE PRESIDENT\nMRS. AUGUST BELMONT\nWILLIAM HOWARD TAFT, VICE PRESIDENT\nJAMES M. BECK, COUNSELOR\nTHE AMERICAN RED CROSS\nCORNELIUS N. BLISS, JR.\nMABEL T. BOARDMAN\nMRS. HENRY P. DAVISON\nELIOT WADSWORTH, TREASURER\nNATIONAL HEADQUARTERS\nE. B. DOUGLAS\nMABEL T. BOARDMAN, SECRETARY\nMRS. FRANK v. HAMMAR\nWASHINGTON, D. C.\nHERBERT HOOVER\nMAJ. GEN. M. W. IRELAND\nEXECUTIVE OFFICERS\nw. W. MORROW\nWILLIAM PHILLIPS\nJOHN BARTON PAYNE, CHAIRMAN\nGUSTAVUS D. POPE\nJAMES L. FIESER, VICE CHAIRMAN\nAPR 1. 1924\nMRS. HENRY R. REA\nERNEST P. BICKNELL, VICE CHAIRMAN\nJOHN D. RYAN\nGEORGE E. SCOTT\nREAR ADMIRAL E. R. STITT\nELIOT WADSWORTH\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\nour Committee, with their latest addresses. We know that you are very busy, but we\nare extremely anxious to make a very complete report to National Headquarters and\nhope for your cooperation.\nWill you kindly answer the following questions and return this form to me,\nin the enclosed envelope, at the earliest possible date.\nYours sincerely,\nChairman or\n, Secretary\nPhila\nAre you still a member in good\nLocal Committee\nstanding of your Alumnae\nDistrict and State\nIf not all, which one\nNys- all\nName in full\nJuliet Smyler\nPermanent address\nPristy terian Hospital Phila- Pa.\nProbable address for the next year:\nPreslyterian Hospital. Phila- Pa.\nTelephone Carolan 14763\nName and address of nearest relative: (State relationship)\nHave none\nUnderline the type of work you are doing:\nArmy--Navy--U. S. P. H. Hospital-\nU. S. Vet. Hospital-Institutional Public Health- Social -Private Duty-Industrial Service\nWould you respond to an emergency call in case of epidemic, disaster, war, etc.?\nBadge No. 23-904\nCurrent date april you this 1924\nNOTE. -If the nurse does not complete and return this questionnaire, and can\nnot be located within two years, her enrollment will be annulled."
}