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Form 104A
AMERICAN RED CROSS
Rev. Mar. 1941
TRAVEL AND ADVANCE AUTHORITY
March 1.
19..43
E
Miss Janey Elizabeth Stahl
is authorized to travel as follows:
Departing from Cold Spring, New Xork
,
on April 10
19.43 to
Hawaii, via San Francisco, Calif.
and
returning to
, on or about
, 19
The purpose of the trip is for service as Hospital Staff Nurse, O.C.D. Hawaii
The travel is to be by
train
APPROVED:
NAME AND TITLE
Assistant Director, 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
Miss Janey Elitabeth Stahl
the sum of Three Hundred and no/100
Dollars ($ 300.00
).
encumbering appropriation
G-CHA-l
for official expenditures, to be accounted for, in connection with trip. to Hawaii for service
as Hospital Staff Nurse with Q.C.D.
APPROVED:
NAME AND TITLE
Assistant Director, Nursing Service
NAME AND TITLE
(PREPARE ONE COPY ONLY. SEE REVERSE SIDE.)
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"ocrText": "t\ncl\n9\nForm 104A\nAMERICAN RED CROSS\nRev. Mar. 1941\nTRAVEL AND ADVANCE AUTHORITY\nMarch 1.\n19..43\nE\nMiss Janey Elizabeth Stahl\nis authorized to travel as follows:\nDeparting from Cold Spring, New Xork\n,\non April 10\n19.43 to\nHawaii, via San Francisco, Calif.\nand\nreturning to\n, on or about\n, 19\nThe purpose of the trip is for service as Hospital Staff Nurse, O.C.D. Hawaii\nThe travel is to be by\ntrain\nAPPROVED:\nNAME AND TITLE\nAssistant Director, 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\nMiss Janey Elitabeth Stahl\nthe sum of Three Hundred and no/100\nDollars ($ 300.00\n).\nencumbering appropriation\nG-CHA-l\nfor official expenditures, to be accounted for, in connection with trip. to Hawaii for service\nas Hospital Staff Nurse with Q.C.D.\nAPPROVED:\nNAME AND TITLE\nAssistant Director, Nursing Service\nNAME AND TITLE\n(PREPARE ONE COPY ONLY. SEE REVERSE SIDE.)"
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