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V
FOR USE IN ACCOUNTS ONLY
Form 248
Rate
Date
AMERICAN RED CROSS
Rev. Jan. 1942
Insurance Code
/
F
Job Classification
CHANGE IN PAY ROLL
9
T
National Headquarters
No.
a
(National Headquarters or Area Office)
Affecting
HAWAII UNIT 194,2
CORRIA
(Name of Appropriation or Disaster Relief Operation)
(Appropriation Symbol)
NAME
FARA SULLIVAN
ADDRESS
El Centro Hospital, El Centro, Calif,
For Appointment, *Change in Salary Rate or Transfer
Nature
Allowance For
Regular
Date
*Actual
Salary Rate
Position
of Change
Travel Time
Travel & Maint.
Reported
Date Salary
per Month
(if Applicable)
(Yes or No)
For Duty
Effective
Present
Proposed
Staff nurse
Increase
6/1/42
$90.00
$110.00
From
To
(1) Travel and maintenance allowed
Method ( ) Train ( ) Plane ( ) Bus ( ) Personal Auto ( ) Boat
FOR USE BY RETIREMENT SYSTEM
ONLY
Remarks:
Plus maintenance
No.
Until June 1, fullmaintenance.
% Ded.
After June 1, maintenance to consist of
room, two meals a day, laundering of uniforms.
Semi-Mo.
Amt.
Amt. Ded.
Balance
Provision has been made in the authorized budget
Due
Additional provision needs to be made in the authorized budget
For Resignation or Release Only. (See other side)
Nature
Date Released
*Allowance For
Allowance for
Actual Inclusive
Position
of Change
from Operation
Travel Time
Accrued Annual Leave
Date Effective
benaging
From
To
(1) Travel and maintenance allowed
Method: ( ) Train ( ) Plane ( ) Bus ( ) Personal Auto ( ) Boat
Recommended:
Approved :
Title Asst: Dire; Nürsing Service
Title
Recommended:
Approved:
Title
For Central Committee
* In cases of recommended salary adjustments Form 1496 shall be attached.
** Indicate if less than full day.
SEE OTHER SIDE FOR INSTRUCTIONS COVERING PREPARATION
Page data
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- Source index
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- Type
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- Media ID
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Document data
- ID
- 2662330
- Core
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- Type
- document
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"ocrText": "V\nFOR USE IN ACCOUNTS ONLY\nForm 248\nRate\nDate\nAMERICAN RED CROSS\nRev. Jan. 1942\nInsurance Code\n/\nF\nJob Classification\nCHANGE IN PAY ROLL\n9\nT\nNational Headquarters\nNo.\na\n(National Headquarters or Area Office)\nAffecting\nHAWAII UNIT 194,2\nCORRIA\n(Name of Appropriation or Disaster Relief Operation)\n(Appropriation Symbol)\nNAME\nFARA SULLIVAN\nADDRESS\nEl Centro Hospital, El Centro, Calif,\nFor Appointment, *Change in Salary Rate or Transfer\nNature\nAllowance For\nRegular\nDate\n*Actual\nSalary Rate\nPosition\nof Change\nTravel Time\nTravel & Maint.\nReported\nDate Salary\nper Month\n(if Applicable)\n(Yes or No)\nFor Duty\nEffective\nPresent\nProposed\nStaff nurse\nIncrease\n6/1/42\n$90.00\n$110.00\nFrom\nTo\n(1) Travel and maintenance allowed\nMethod ( ) Train ( ) Plane ( ) Bus ( ) Personal Auto ( ) Boat\nFOR USE BY RETIREMENT SYSTEM\nONLY\nRemarks:\nPlus maintenance\nNo.\nUntil June 1, fullmaintenance.\n% Ded.\nAfter June 1, maintenance to consist of\nroom, two meals a day, laundering of uniforms.\nSemi-Mo.\nAmt.\nAmt. Ded.\nBalance\nProvision has been made in the authorized budget\nDue\nAdditional provision needs to be made in the authorized budget\nFor Resignation or Release Only. (See other side)\nNature\nDate Released\n*Allowance For\nAllowance for\nActual Inclusive\nPosition\nof Change\nfrom Operation\nTravel Time\nAccrued Annual Leave\nDate Effective\nbenaging\nFrom\nTo\n(1) Travel and maintenance allowed\nMethod: ( ) Train ( ) Plane ( ) Bus ( ) Personal Auto ( ) Boat\nRecommended:\nApproved :\nTitle Asst: Dire; Nürsing Service\nTitle\nRecommended:\nApproved:\nTitle\nFor Central Committee\n* In cases of recommended salary adjustments Form 1496 shall be attached.\n** Indicate if less than full day.\nSEE OTHER SIDE FOR INSTRUCTIONS COVERING PREPARATION"
}